Feasibility of portable sleep monitors to detect obstructive sleep apnea (OSA) in a vulnerable urban population

Jillian Nickerson, Euny Lee, Michael Nedelman, R. Nisha Aurora, Ana Krieger, Carol R. Horowitz

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Portable sleep monitors may offer a convenient method to expand detection of obstructive sleep apnea (OSA), yet few studies have evaluated this technology in vulnerable populations. We therefore aimed to assess the feasibility and acceptability of portable sleep monitors for detection of OSA in a prediabetic, urban minority population. Methods: We recruited a convenience sample of participants at their 12-month follow-up for a communitypartnered, peer-led lifestyle intervention aimed to prevent diabetes in prediabetic and overweight patients in this prospective mixed-methods pilot study. All participants wore portable sleep monitors overnight at home. We qualitatively explored perceptions about OSA and portable monitors in a subset of participants. Results: We tested 72 people, predominantly non-White, female, Spanish speaking, uninsured, and of low income. Use of portable sleep monitors was feasible: 100% of the monitors were returned and all participants received results. We detected OSA in 49% (defined as an Apnea-Hypopnea Index [AHI] >5) and moderate-severe OSA in 14% (AHI >15) requiring treatment in 14%. In 21 qualitative interviews, participants supported increased use of portable sleep monitors in their community, were appropriately concerned that OSA could cause progression to diabetes, and thought weight loss could prevent or improve OSA. Conclusions: Portable sleep monitors may represent a feasible method for detecting OSA in highrisk urban minority populations.

Original languageEnglish (US)
Pages (from-to)257-264
Number of pages8
JournalJournal of the American Board of Family Medicine
Volume28
Issue number2
DOIs
StatePublished - Mar 1 2015

Keywords

  • Community-Based participatory research
  • Diabetes mellitus
  • Monitoring, sleep
  • Obesity
  • Sleep disorders

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice

Fingerprint Dive into the research topics of 'Feasibility of portable sleep monitors to detect obstructive sleep apnea (OSA) in a vulnerable urban population'. Together they form a unique fingerprint.

Cite this