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Poster Abstracts

Evaluation of a telehealth solution to diagnose common sleep disorders

Authors:

Camilla Littau Nielsen ,

Odense University Hospital, Denmark, DK
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Jane Clemensen,

Odense University Hospital, Denmark, DK
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Christoph Patrick Beier

Odense University Hospital, Denmark, DK
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Abstract

Aim: To explore patients’ experience using a newly developed telehealth solution to diagnose common sleep disorders.

Background: To improve and accelerate the diagnostic of sleep disorders at the Odense University Hospital, Denmark, patients were screened using an app linked to the patients electronic medical files. The diagnostic algorithm corresponded to the guidelines of the American Academy of Sleep Medicine and included several validated diagnostic questionnaires. Patients reporting typical symptoms of parasomnia, central hypersomnia or nocturnal seizures were then directly referred to the adequate neurophysiological examination (e.g. polysomnography). The diagnostic course was closed by a phone call of a sleep specialists as only personal contact, who initiated relevant treatment if required.

Design: An exploratory qualitative study with an open approach to data generation, analysis and interpretation qualitative study with a phenomenological-hermeneutic approach.

Methods: The new diagnostic course was completed by the patients and evaluated with interviews. Through open-ended interviews first-hand and in-depth descriptions were conducted. All interviews were audio-recorded, transcribed verbatim and analysed using Malterud’s systematic text condensation. The participants were asked: How was you experience with the questionnaire, the monitoring and stay at the hospital and the conversation with the doctor? Further they were asked to describe their overall experience and if and why they would recommend this to others or not.

Results: Updated results will be presented at the conference. Preliminary data indicate three emerging and recurrent themes. Satisfaction with the rapid diagnostic course, feeling of comfort with a diagnostic course without directed contact with health professionals, restrictions by the predefined questions of the algorithms required for diagnostic purposes.

Conclusion: Albeit feasible, a complete diagnostic workup without direct and personal contact to health professionals is not associated with unambiguous patient accept. Although this study opened for improvements of the questionnaires, it also illustrates the limitations of digitalized diagnostic workflows due to lacking personal contact with health professionals.
How to Cite: Littau Nielsen C, Clemensen J, Beier CP. Evaluation of a telehealth solution to diagnose common sleep disorders. International Journal of Integrated Care. 2022;22(S3):22. DOI: http://doi.org/10.5334/ijic.ICIC22269
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Published on 04 Nov 2022.

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