1. aCPAP typically provides oxygen under pressure to treat sleep apnea.
2. To be eligible for randomization based on the aCPAP criteria, what is/are needed? Choose all that apply.
a) aCPAP use during the run-in night must be at least 4 hours
b) aCPAP use during the run-in night must be at least 4 hours, or if less than 4 hours, the patient endorses willingness to use it all night going forward
c) the machine-derived central apnea index must be <10
d) the subject must agree to move forward to randomization
3. When should a full face mask NOT be used? Choose all that apply.
a) trick question; it can be used for any subject who breathes through the mouth during sleep
b) if the subject has a decreased level of consciousness
c) if the subject has tube feeds being administered
d) if the subject is unable to remove the mask without assistance
4. When may the aCPAP run-in night be repeated?
a) the subject had trouble using the device due to discomfort and therefore did not use it for ≥4 hours
b) the subject appears to have treatment-induced central sleep apnea
c) if the run-in night was interrupted by clinical testing and the subject used the aCPAP for <4 hours
d) the subject failed the run-in night but asked to have it repeated
5. Once a Sleep SMART participant randomized to use aCPAP leaves the hospital, which of the following is true about management of aCPAP issues? Choose all that apply.
a) the study coordinator should call the subject weekly for the first month, then monthly
b) FusionHealth provides care management to the subject via telemedicine, including mailing additional supplies he or she may need
c) every intervention arm subject should be referred to a sleep medicine specialist at the time of hospital discharge
d) the study team should discuss referral to a sleep medicine specialist only if FusionHealth proves to have difficulty treating the subject’s sleep apnea successfully
6. After randomization to the intervention arm, what techniques may be used to enhance adherence? Select all that apply.
a) share hours of use data (and AHI if favorable) daily from the Sleep Report (on the PAP device) to encourage subjects.
b) encourage small victories. Small increases in use are important towards the goal of increased adherence.
c) provide teaching to the subject and caregiver/bedpartner about CPAP use.
d) remind subjects that the Sleep SMART Care Team will help them with CPAP questions or challenges after discharge.
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