{
  "abstract": "Introduction Patients are often not provided with support before clinical encounters and 40-80% of content from appointments is forgotten. 1 Shared decision making necessitates patient understanding and patients are embarrassed to report being confused by health information provided in clinical encounters.2A key indicator of care quality is patient preparation for clinical encounters.3 We must empower patients with improved understanding before clinic appointments, particularly in sleep medicine, an area historically neglected in public health messaging.Methods We implemented digital onboarding and education for patients before their initial NHS sleep clinic appointment to improve understanding of care. Text or video-based education was available via a progressive web application on smartphone, tablet, or laptop. Patients received the link via text, email, and a QR code in their clinic letter.For baseline assessment, before implementation of digital onboarding, patients were surveyed regarding demand for improved pre-clinic education. Following deployment, patients were asked if they had accessed the education or not and why. Impact of digital education was assessed via patient satisfaction and clinic efficiency metrics.Results Patients were divided into 3 groups: Pre-intervention (n=38), post-intervention accessed education (n=43), post-intervention did not access education (n=27).Pre-intervention, 27/38 (71.1%) wanted more information before their clinic appointment. Digital education improved clinic efficiency (figure 1). 41/43 (95.3%) found the education useful. Most (28/43, 65.1%) chose to access video education (figure 2). No patients (0/70) were unable to access the content due to digital exclusion.Discussion Patients in remote sleep clinics want more information before appointments. Digitally-delivered education is feasible, well-received, improves clinic efficiency and facilitates patient-centred care.Next steps involve translating education into multiple languages, delivering personalised post-clinic education regarding treatment, and assessing the impact of education on clinical outcomes (e.g. adherence).References Kessels RPC. Patients’ memory for medical information. J R Soc Med. 2003 May;96(5):219–22.Kreps GL. Promoting patient comprehension of relevant health information. Isr J Health Policy Res. 2018 Sep 18;7(1):56.Graf A, Koh CH, Caldwell G, Grieve J, Tan M, Hassan J, et al. Quality in clinical consultations: a cross-sectional study. Clin Pract. 2022 Jul 14;12(4):545–56.Abstract P54 Figure 1Time saved by delivery of digital education before clinic appointment. OSA = obstructive sleep apnoea. w/o education = post intervention, did not access education. w/ education = post-intervention, accessed educationAbstract P54 Figure 2Choice of education delivery modality accessed by patients in the post-intervention group who accessed the digital education content",
  "authors": [
    {
      "affiliations": [
        "Theta Sleep",
        "Imperial College Healthcare NHS Trust"
      ],
      "name": "Tom Chambers"
    },
    {
      "affiliations": [
        "Theta Sleep",
        "Lewisham and Greenwich NHS Trust"
      ],
      "name": "Adam Blackstock"
    },
    {
      "affiliations": [
        "Theta Sleep",
        "Bradford Teaching Hospitals NHS Trust"
      ],
      "name": "David Dawson"
    }
  ],
  "title": "P54 Improving remote sleep apnoea care through digital onboarding and education",
  "uid": "94f02596-a150-57e5-bbab-afa0b2872404"
}