Date of Graduation

Winter 12-20-2021

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Population Health Leadership

First Advisor

Elena Capella


Aims and Objectives. This literature review's objective was to synthesize evidence from previously published literature on telemedicine interventions' effectiveness on CPAP (Continuous Positive Airway Pressure) therapy compliance.

Background. It is estimated that 22 million Americans suffer from a form of Sleep Apnea (SA), and those up to 80 percent of the cases of moderate to severe Obstructive Sleep Apnea (OSA) are undiagnosed (Sleep Apnea, n,d). The first-line therapy for OSA is CPAP. However, CPAP therapy is associated with low compliance rates.

Design. Systematic review.

Method. A multi-database literature search was conducted to identify published literature between 2009 and 2020. Articles were published in English, and search terms included: Continuous positive airway pressure, CPAP, CPAP therapy, CPAP compliance, telehealth, telemedicine, telephone appointments, video appointments, remote monitoring. Inclusion and exclusion criteria were identified and enacted.

Results. The literature search yielded 33 articles, and six were selected for review. Two papers were systemic reviews, and four were Randomized Control Trials. All pieces were published in 2017 or later.

Conclusions. A review of the literature suggests that utilization of telemedicine in CPAP adherence has produced favorable results. Study periods, however, were limited, with most being a year or less. Future studies that evaluate the long-term usefulness and cost-effectiveness of telemedicine interventions are needed.

Relevance to clinical practice. Telemedicine interventions are a useful tool that may be utilized to increase CPAP therapy compliance. Remote monitoring, telephone appointments, video appointments, and communication through secured online patient portals can be used by registered nurses to effectively monitor and educate patients on the importance of therapy compliance.

Keywords. Continuous positive airway pressure, CPAP therapy, CPAP compliance, CPAP adherence, telehealth, telemedicine, telephone appointments, video appointments, remote monitoring