Effect of web-based education on NIV-related side effects and insomnia severity in COPD patients using home NIV: a randomized controlled trial.
Şahabettin Eriş, Fatma Gündogdu
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In 30 seconds
This randomized controlled trial evaluated web-based education about NIV-related side effects and insomnia management in 75 patients with COPD using home noninvasive ventilation. Compared with control, the education group had higher total S³-NIV and respiration, sleep, and side-effect subscale scores at weeks 4 and 8. Group-by-time interactions were significant for total S³-NIV scores (p < 0.001, η²p = 0.753) and ISI scores (p < 0.001, η²p = 0.352). ISI scores did not differ significantly between groups at week 4 but were lower in the education group at week 8.
Key findings
- Total S³-NIV scores showed a significant group-by-time interaction (p < 0.001, η²p = 0.753).
- Respiration, sleep, and side-effect subscale scores were higher in the education group than control at weeks 4 and 8.
- ISI scores showed a significant group-by-time interaction (p < 0.001, η²p = 0.352); between-group scores were lower with education at week 8, but not significantly different at week 4.
Why it matters
Home NIV can be accompanied by symptoms and insomnia that may affect patients’ experience of treatment. This trial suggests that web-based education addressing these concerns may improve patient-reported NIV-related symptoms and insomnia over time, highlighting education as a potential component of support for patients adapting to home NIV.
What to keep in mind
The abstract reports outcomes only through week 8, so longer-term effects are not established.