Presentation Blocks: 03-22-2018 - Thursday - 11:00 AM - 12:15 PM

Title: Adherence in OSA Therapy and Perceived Levels of Sleepiness, Snoring


Shaun Murphy (Presenter)
The Ohio State University

Kevin Schamel, The Ohio State University
Rachel Maerz, The Ohio State University
F. Michael Beck, The Ohio State University
Allen Firestone, Ohio State University


Objectives: Obstructive Sleep Apnea (OSA) can have significant health effects if left untreated. Oral appliances can be effective in treating OSA, however, patient and social factors associated with a patient’s adherence to treatment are not well understood.
To survey patients given an oral appliance for OSA for their perceived levels of sleepiness and snoring, before and during treatment, and their partners perceived level of satisfaction with the oral appliance.

Methods: The Ohio State University IRB approved this study. All patients treated for OSA using an oral appliance between October 2008 and January 2016 in a university-based private practice were asked a series of questions regarding their perceived daytime sleepiness and snoring, their concern about the consequences of OSA, and their partner’s satisfaction with treatment. Subjects were categorized into “Adherent” and “Non-Adherent” groups. Wilcoxon Two-sample tests were run to compare groups’ responses.

Results: 283 people were contacted, 136 responded (48.1%); 104 adherent, and 32 non-adherent. 112 of the surveys were previously recorded; 24 were responses added to the data set since March 2016. Of the 32 non-adherent subjects, 13 (40.6%) were currently treating their OSA with CPAP.
The perceived level of daytime sleepiness (‘none’=1 to ‘severe’=3) in the adherent group was significantly higher before(p=0.0011) and after (p=0.0388) use of the oral appliance. Partner satisfaction (‘dissatisfied’=1 to ‘satisfied’=4) was significantly higher (p=0.0009) in the adherent group. No significant difference was found in snoring either before or after treatment.

Conclusions: Patient adherence to treatment for OSA is associated with significantly higher partner satisfaction, and less daytime sleepiness but not snoring.