Truckers Drive Their Own Assessment for Obstructive Sleep Apnea: A Collaborative Approach to Online Self-Assessment for Obstructive Sleep Apnea: Difference between revisions

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''Participants''. Participants could take the survey anonymously from any computer. Potential participants accessed the survey by visiting the TFAC-AWAKE website and logged onto the "Sleep Apnea Checker for Drivers" link. (http://awake.truckersforacause.com). Individuals who took the survey were identified only through their computer's IP (Internet Protocol) address; this was done to ensure anonymity and to be sure that each participant completed the survey only once. After completion of the online questionnaire, participants immediately learned whether their Berlin questionnaire score was positive or negative. If their Berlin score was positive, they  also received a link to a National Sleep Foundation website list of sleep centers.  
''Participants''. Participants could take the survey anonymously from any computer. Potential participants accessed the survey by visiting the TFAC-AWAKE website and logged onto the "Sleep Apnea Checker for Drivers" link. (http://awake.truckersforacause.com). Individuals who took the survey were identified only through their computer's IP (Internet Protocol) address; this was done to ensure anonymity and to be sure that each participant completed the survey only once. After completion of the online questionnaire, participants immediately learned whether their Berlin questionnaire score was positive or negative. If their Berlin score was positive, they  also received a link to a National Sleep Foundation website list of sleep centers.  


Data Collection. The website link was active for data collection from January 11, 2010 until  
''Data Collection''. The website link was active for data collection from January 11, 2010 until September 24, 2010. After that point, the link remained active for truckers' continued usage, but it no longer stored data into the data set. This cut-off point for data collection was created because Internet Service Providers may change a user's IP address over time. Some participants may try to "game" the system to manipulate the survey results with multiple completions of the form. The survey window was open for a short time to reduce this threat to the dataset.
September 24, 2010. After that point, the link remained active for truckers' continued usage, but  
 
it no longer stored data into the data set. This cut-off point for data collection was created  
''Data Analysis''. We applied the R statistical package (http://r-project.org) to construct several logistic regression 13 models on our dataset. We treated the question "Have you ever nodded off or fallen asleep while driving a vehicle?" as a binary response variable. The Berlin question "Has anyone noticed that you quit breathing during your sleep?" had four possible answers, ranging from "Never or nearly never" to "Nearly every day." We transformed this variable to be binary by taking "Never or nearly never" to indicate "No" and any other answer to indicate "Yes". For both response variables (Drowsy Driving and Witnessed Apneas), we generated statistical models using logistic regression and each of the other variables in our study as univariate, independent factors.
because Internet Service Providers may change a user's IP address over time. Some participants  
 
may try to "game" the system to manipulate the survey results with multiple completions of the  
Hypertension was also treated as a binary variable, based on yes or no answers to the question, "Do you have high blood pressure?" We treated the ordinal answers to questions such as "How often do you snore?" and "How often do you feel tired or fatigued after you sleep" as continuous variables with the lowest answer ("Never or nearly never") as 0, and the highest answer ("Nearly every day") as 4. We treated these variables as continuous for the ease of reporting the results, but treating them as ordinal variables yields the same interpretation in our sample.
form. The survey window was open for a short time to reduce this threat to the dataset.
 
This study was granted IRB exemption Certification for Protocol No 10-0027-X2B from the University of Kentucky Office of Research Integrity.


== Results ==
== Results ==