Patient Preferences for Obstructive Sleep Apnea Treatment Attributes: A Discrete Choice Experiment Among CPAP Users in Japan

Clicks: 1
ID: 313997
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal

Ranked #145 of 189 articles by views in Sleep & breathing = Schlaf & Atmung

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 189 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Study Objectives To quantify treatment attribute preferences among Japanese patients receiving continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea (OSA), estimate willingness-to-pay (WTP), and examine preference heterogeneity by CPAP adherence status. Methods We conducted a discrete choice experiment among 161 patients with CPAP-treated OSA at a Japanese community hospital (August–October 2025). Participants chose between hypothetical treatment profiles varying across five attributes: sleep quality improvement, device usage frequency, side effect severity, clinic visit frequency, and monthly cost. Preferences were analyzed using conditional logit models with Delta-method estimation of WTP. Preference heterogeneity by CPAP adherence (≥70% vs <70% of nights with ≥4 h use) was evaluated through stratified models and effect size analysis. Results Sleep quality improvement dominated preferences (relative importance 42.4%; WTP ¥5298/month). Unexpectedly, patients showed negative preferences for reduced clinic visit frequency (WTP − ¥1232/month) and non-significant negative preference for side effect burden (WTP − ¥1474/month, p = 0.079). CPAP adherence was associated with large differences in preference weights (Hedges' g = 1.84–1.93 based on model coefficients); however, WTP comparisons between adherence groups were not statistically significant (all p > 0.17; post-hoc power: 6–28%). These findings should be interpreted as exploratory, hypothesis-generating evidence warranting confirmation in larger studies. Conclusions Japanese patients with OSA prioritize treatment efficacy but value frequent healthcare contact, particularly among poor CPAP adherers who view clinic visits as essential support. Preliminary evidence suggests potentially distinct preference structures between adherence groups, warranting confirmation in larger, adequately powered studies. These findings support adherence-stratified care and preference-informed shared decision-making for OSA management.
Reference Key
openalex_W7161583974 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Takahiro Tokunaga, Ryo Sato, Yasuhiro Manabe, Tetsuji Takabayashi, Shigeharu Fujieda
Journal Sleep & breathing = Schlaf & Atmung
Year 2026
DOI
10.1093/sleep/zsag137
URL
https://doi.org/10.1093/sleep/zsag137
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.