04-20-2018, 06:37 PM
(This post was last modified: 04-20-2018, 06:38 PM by mesenteria.)
RE: Resmed MyAir
I agree with you, it's a bit of a problem for reasons of what psychologists call 'face validity'. It just doesn't seem right on the face of it. We aren't treating hours of sleep, we're treating HOW WELL we sleep. Or, it ought to be what is the most salient measure for the reasons we submit to sleep labs and eventual treatment regimens.
Still, as the others have said, the app is not intended to permit adjustments of any kind except that you get the full benefits of the devices, part of which is accomplished by the tweaking of settings (whether by you or by a remote site's monitor as was the case for me). The other part is simply....persistent, and consistent, use of the device to ensure measurements were accurate and meaningful, and that the wearer is making a concerted effort to use the device for his/her own good. Despite how horrible an experience it may be initially. The cure really isn't worse than the disease, not in the case of a properly set up and properly used PAP device.
As a psychometrician myself, I am acutely aware of the risks of assigning weights to various factors that are known to subjects and that might confound the data or its acquisition because of the biases it can raise that impact the behaviours of the subjects as a result. In this case, I think there could easily be a better, more intuitive, balance in the weighting of the scores. After all, ten hours of 'sleep' where leak rates are bordering on, or exceeding, the upper limits much of the time is hardly a salutary experience...in my view. The person gets full marks for PAP usage, and a paltry few points deducted for a complete sabotaging of the utility of the PAP by virtue of unacceptable, or just substantial, leaks.
They could do better IMO.
Still, as the others have said, the app is not intended to permit adjustments of any kind except that you get the full benefits of the devices, part of which is accomplished by the tweaking of settings (whether by you or by a remote site's monitor as was the case for me). The other part is simply....persistent, and consistent, use of the device to ensure measurements were accurate and meaningful, and that the wearer is making a concerted effort to use the device for his/her own good. Despite how horrible an experience it may be initially. The cure really isn't worse than the disease, not in the case of a properly set up and properly used PAP device.
As a psychometrician myself, I am acutely aware of the risks of assigning weights to various factors that are known to subjects and that might confound the data or its acquisition because of the biases it can raise that impact the behaviours of the subjects as a result. In this case, I think there could easily be a better, more intuitive, balance in the weighting of the scores. After all, ten hours of 'sleep' where leak rates are bordering on, or exceeding, the upper limits much of the time is hardly a salutary experience...in my view. The person gets full marks for PAP usage, and a paltry few points deducted for a complete sabotaging of the utility of the PAP by virtue of unacceptable, or just substantial, leaks.
They could do better IMO.
