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Development of a patient decision aid prototype for adults with obstructive sleep apnea

  • Sleep Breathing Physiology and Disorders • Original Article
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Abstract

Study objectives

To describe the development and assess the usability of a patient decision aid (PtDA) prototype designed for newly diagnosed, treatment-naïve, obstructive sleep apnea (OSA) patients.

Methods

A web-based PtDA was developed which focuses on two first-line treatment options: continuous positive airway pressure (CPAP) and mandibular advancement splints (MAS). Development was guided by the International Patient Decision Aid Standards (IPDAS). Usability was assessed in individuals at high risk for OSA based on the STOP-Bang questionnaire, the patient acceptance of decision aid, the System Usability Scale (SUS), and content analysis of open-ended user feedback.

Results

Eighty eligible participants completed the survey. The mean age was 54 years (SD = 8.9), 60 % of the sample was male, 78 % were university-educated, and 64 % were employed full-time. Participants took an average of 13.7 min (SD = 9.6) to complete the PtDA, with 39 participants choosing CPAP, 25 choosing MAS, and 16 choosing no treatment. The mean SUS score was 78.22 (SD = 15.13). The majority of individuals thought the PtDA was useful in making a decision (n = 77, 96 %) and would recommend it to others (n = 77, 96 %), while a third (n = 26, 33 %) thought it was slanted towards CPAP.

Conclusions

The SUS indicated that the PtDA was acceptable and useful for participants. And useful for participants. User feedback has been used to improve the prototype, which will now undergo further testing in patients at the Vancouver Sleep Disorders Clinic.

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Acknowledgments

This work was supported by a grant from the BC Lung Institute and by a CIHR operating grant (Institute for Circulatory and Respiratory Health). Nick Bansback is a CIHR New Investigator. The sponsors have no role in the design or conduct of this research.

Author information

Authors and Affiliations

  1. School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada

    Logan Trenaman, Sarah Munro & Nick Bansback

  2. Center for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada

    Logan Trenaman, Najib Ayas & Nick Bansback

  3. Centre for Health Evaluation and Outcome Sciences, St. Paul’s Hospital, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada

    Logan Trenaman, Sarah Munro, Najib Ayas & Nick Bansback

  4. Interdisciplinary Studies Graduate Program, University of British Columbia, Vancouver, BC, Canada

    Sarah Munro

  5. Faculty of Dentistry, University of British Columbia, Vancouver, BC, Canada

    Fernanda Almeida

  6. Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada

    Najib Ayas

  7. Department of Computer Science, University of British Columbia, Vancouver, BC, Canada

    James Hicklin

Authors
  1. Logan Trenaman
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  2. Sarah Munro
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  3. Fernanda Almeida
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  4. Najib Ayas
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  6. Nick Bansback
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Correspondence to Logan Trenaman.

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Conflict of interest

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript.

Financial support

This work was supported by a grant from the BC Lung Institute and by a CIHR operating grant (Institute for Circulatory and Respiratory Health). Nick Bansback is a CIHR New Investigator.

Ethics approval

All procedures performed herein were in accordance with the ethical standards and approved by the University of British Columbia Behavioural Research Ethics Board (UBC-BREB).

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Trenaman, L., Munro, S., Almeida, F. et al. Development of a patient decision aid prototype for adults with obstructive sleep apnea. Sleep Breath 20, 653–661 (2016). https://doi.org/10.1007/s11325-015-1269-9

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  • DOI: https://doi.org/10.1007/s11325-015-1269-9

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