Methodological strategies in using home sleep apnea testing in research and practice

Jennifer N. Miller, Paula Schulz, Bunny Pozehl, Douglas Fiedler, Alissa Fial, Ann M. Berger

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations


Purpose: Home sleep apnea testing (HSAT) has increased due to improvements in technology, accessibility, and changes in third party reimbursement requirements. Research studies using HSAT have not consistently reported procedures and methodological challenges. This paper had two objectives: (1) summarize the literature on use of HSAT in research of adults and (2) identify methodological strategies to use in research and practice to standardize HSAT procedures and information. Methods: Search strategy included studies of participants undergoing sleep testing for OSA using HSAT. MEDLINE via PubMed, CINAHL, and Embase with the following search terms: “polysomnography,” “home,” “level III,” “obstructive sleep apnea,” and “out of center testing.” Results: Research articles that met inclusion criteria (n = 34) inconsistently reported methods and methodological challenges in terms of: (a) participant sampling; (b) instrumentation issues; (c) clinical variables; (d) data processing; and (e) patient acceptability. Ten methodological strategies were identified for adoption when using HSAT in research and practice. Conclusions: Future studies need to address the methodological challenges summarized in this paper as well as identify and report consistent HSAT procedures and information.

Original languageEnglish (US)
Pages (from-to)569-577
Number of pages9
JournalSleep and Breathing
Issue number3
StatePublished - Sep 1 2018


  • Assessment
  • Diagnosis
  • Home sleep apnea testing
  • Obstructive sleep apnea
  • Screening

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Clinical Neurology


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