CPAP-UserProfile

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CPAP - User Profile

The common characteristics of CPAP (Continuous Positive Airway Pressure) users in the U.S. are shared with the most common characteristics of people who have OSA (Obstructive Sleep Apnea), usually being of older age, suffering from a behavioral disorder due to the symptoms of their illnesses and usually failing to comply with prescribed treatment. In addition, they find information and share experience on social media, as the digital media world has been closing the gap on CPAP treatment in recent years.

PERSONALITY

  • CPAP users were found to be sub-optimal in adherence rates.
  • 5–89% of patients will reject CPAP as a treatment immediately.
  • 25–50% of patients who commence treatment will fail to continue.
  • 50% will discontinue CPAP treatment within 1 year,
  • 25% terminate CPAP treatment within 3 years.
  • These 'no adherence' numbers are similar to other populations with health concerns, where roughly 20–40% of individuals with acute illness, 30–60% with chronic illness and 50–80% of those using preventative care are not adherent to their prescribed medical treatment.
  • Research conducted on OSA patients using Minnesota Multiphasic Personality Inventory (MMPI), discovered that 58% of these patients demonstrated at least one MMPI elevation and 38% had two or more, with depression, hypochondriasis and hysteria being the highest.
  • It was found that people suffering from OSA often have a significant prevalence of psychiatric co-morbid diagnoses such as 21.8% depression, 6.7% anxiety, 11.9% PTSD, 5.1% psychosis and 3.3% bipolar disorders.

LIFESTYLE

  • People who use CPAP, often related to OSA, usually have problems with their sex life.
  • The illnesses treated usually effect relationships due to discomfort and disturbance to the partners.
  • Some people who suffer from OSA have headaches and fatigue affecting their daily life.
  • In some patients, the illness is less distinctive and often the lack of accurate diagnostic leads to sudden death at a young age, as observed with some professional athletes.

DIGITAL ACTIVITY

  • In recent years, companies and organizations dealing with OSA and CPAP target their audience through digital media such as Facebook, Instagram, and Twitter.
  • The social media contain dedicated hashtags(#) and influencers who generate on average around 100 twits daily.
  • Some CPAP manufacturers in recent years started to integrate digitization, in the form of Apps, into their products.
  • ResMed conducted a retrospective study of users of the app. They found, in general, CPAP compliance was 60%, but patients who use the myAir get it up to 84%, which is attributable to the feedback loop patients get from the connected device.

MARKET SIZE AND DEMOGRAPHICS

  • There are more than 8 million CPAP users in the United States.
  • The number of users is increasing by 8% to 9% yearly.
  • Some estimates show that most sleep apnea sufferers in the United States remain undiagnosed, thus there are another 20 to 30 million potential CPAP users in the U.S.
  • Approximately 3-7% of men and 2-5% of women have sleep apnea.
  • 26% of adults aged 30-70 years have obstructive sleep apnea.
  • 1-4% of children aged 2-8 suffer from obstructive sleep apnea.
  • Sleep-disordered breathing affects 23.4% of women and 49.7% of men.

Research Strategy:

We conducted a review of publicly published articles, magazines, and data related to CPAP users in the U.S. Though data regarding the market size was available, the data regarding specific characteristics were not as straight forward.

As we found that CPAP is the most common treatment for OSA, most data when searching for CPAP directly related to OSA.

Many of the CPAP users are in fact using it for OSA, we then assumed from this that it is safe to say the characteristics of OSA patients will be, if not the same, then similar in most cases to most CPAP users.

As information regarding CPAP users activities was limited, we stated the most reliable sources regarding the social activity and market digitization trend as found on social media monitoring data.

Data regarding demographics was not directly available and we assume that the data for OSA segmentation is correspondent with the segmentation percentages of the general CPAP users.
Sources
Sources

Quotes
  • "There are more than 8 million CPAP users in the United States, according to SoClean CEO Bob Wilkins, and their numbers are increasing by 8 to 9 percent yearly. Wilkins said most sleep apnea sufferers in the United States remain undiagnosed. He estimates there are another 20 to 30 million potential CPAP users in the country, making the market for SoClean gigantic."
Quotes
  • "Continuous positive airway pressure (CPAP) is highly efficacious in treating OSA but its effectiveness is limited due to suboptimal acceptance and adherence rates; 5–89% of patients will reject CPAP as a treatment immediately, 25–50% of patients who commence treatment will fail to continue [1–4], 50% will discontinue CPAP treatment within 1 year [5] and 25% terminate CPAP treatment within 3 years [1]."
  • "These nonadherence numbers are similar to other populations with health concerns, where roughly 20–40% of individuals with acute illness, 30–60% with chronic illness and 50–80% of those using preventative care are nonadherent to their prescribed medical treatment"
  • "Research has focused on finding common qualities and/or circumstances that may lead to nonadherence, such as age, sex, race, apnoea hypopnea index (AHI), body mass index (BMI) and education levels, but these have been inconclusive, equivocal or confounded by other demographic variables"
  • "Therefore, more recent research has focused on the psychosocial and personality traits that may contribute to noncompliance, shifting the focus of patient treatment from socioeconomic, physical and environmental predictors to that of more stable personality factors"
  • "Aikens et al. [7] evaluated patients with OSA using the Minnesota Multiphasic Personality Inventory (MMPI), and discovered that 58% of these patients demonstrated at least one MMPI elevation and 38% had two or more, with depression, hypochondriasis and hysteria being the highest."
Quotes
  • "50-70 million US adults have a sleep disorder, and obstructive sleep apnea is one of the most prevalent sleep disorders. Approximately 3-7% of men and 2-5% of women have sleep apnea. "
  • "An estimated 22 Million Americans suffer from moderate to severe sleep apnea."
  • "26% of adults aged 30-70 years have obstructive sleep apnea"
  • "About 20% of children snore, but 1-4% of children aged between 2-8 suffer from obstructive sleep apnea"
  • "Sleep-disordered breathing affect 23.4% of women and 49.7% of men 8 Male-to-female ratio of sleep apnea 2 to 3:1"
  • "There is a significant prevalence of psychiatric comorbid diagnoses 16 such as 21.8% with depression 16.7% with anxiety 11.9% of PTSD 5.1% with psychosis 3.3% with bipolar disorders"
Quotes
  • "Continuous Positive Airway Pressure (CPAP) is the leading therapy for sleep apnea"
Quotes
  • "The most widely used and most successful treatment for moderate and severe OSA in adults is one or another of the various positive airway pressure machines."
Quotes
  • "The latest study in the Journal of Sexual Medicine compared 80 women ages 28 to 64 who have sleep apnea with 240 women without the disorder and found the women with apnea had significantly higher rates of sexual dysfunction. A 2009 study reported that 70 percent of 401 men with suspected sleep apnea also had erectile dysfunction. What’s more, snoring is estimated to be the third most common cause of divorce in the United States and Great Britain."
  • "According to a research study published in mid- 2018 by the Journal of the American Medical Association (JAMA) Otolaryngology – Head and Neck Surgery, successful use of continuous positive airway pressure (CPAP) may be associated with improved sexual QOL. There were 182 participants in the study. Investigators concluded that further study is warranted to test other measures of sexual QOL and other treatments"