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I'm conducting a poll on a few different forums to gage genuine interest in the area of home testing. Here is the poll question:

If a functional and effective method of attended home testing was available to you as an alternative to having to go to a facility would you prefer to have the study done in the comfort of your home? To clarify, all of the same equipment (including video and audio monitoring) and all of the same leads and sensors used in a lab setting would be used during these tests to ensure lab quality results. Taking the appropriate equipment to you is quite easy if done correctly and there is virtually no equipment set up time. In addition, all tests would be run and fully attended by a nationally registered sleep tech which can not be said for the vast majority of labs which have unregistered techs on their payroll.

I would appreciate an initial YES or NO answer, but would welcome any questions or comments. Please only one response per member.

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No. My experience with these tests is that they're difficult to administer, however effective they may be.
Yes, it is the way we do it in advance in most of Europe.

I don’t know why we should be monitored. These are sleeping quite as usual and this is what I think we do best in our own bed.

The technology is the same whether it is an in-lab or in-home study.
No, for one reason my wife would not stand for it. (he he) Just getting ready for someone, no matter the work that would have to be done before anybody would be able to set up in someone's bedroom I would think it would not be as good and from what I hear is that when you do get a home study done it just to find out if you need to do a full study in a sleep lab. So why waste the time if the insurance company will require a full study in the first place.
Ok, since we have more information here that the home test would be attended by a technician coming to the home, i have to change my response to YES, i would of course be in favor of such a test.

My initial response was NO only because of the difficulty of a lay person going at it alone in the home. I've been there, done that, and it's not pretty.

An enthusiastic YES if it's attended. Will be happy to see the day when this happens (and is inexpensive vis-a-vis an in lab polysomnography test)

Mike
YES - Espcially if the Attendent is actually allowed to speak to me and answer my questions about not just my sleep test but sleep testing in general. I've come to respect a good RPSGT as THE cream of the sleep profession crop w/the sleep doctors and DME RTs way down the totem pole.

My apologies to SY Parks and DanielLevy - obviously THEY are not included in my above remarks.
Such a home-based test would be an added convenience for everyone.Could you elaborate more on related issues? how and who will facilitate this?
Ok with the changes you made to the question I would change my vote to yes due to having someone their to monitor and set it up. My wife would still not like it and would want to make sure everything was put a way and cleaned up before having someone see the bedroom (even tho it's clean up most of the time) I guess the monitor would stay at the house for that night or would they set it up and then leave and monitor remotely?
maybe - I think they would have gotten a more accurate test if I had been at home. On the other hand, I don't know that they would have room in my bedroom for the equipment and my dogs would probably have driven them and me nuts. There are factors that would greatly improve the accuracy of the study that could be more do-able in the home than in the lab - the usual environment that we sleep in, the pets present, background noise, etc.
No. The mess I live in is private.
I would assume that the sleep tech would monitor you all night in your home while you are asleep.

NO way in this day and age where it is possible for about anyone to get licensed for about anything they want to do regardless of background. I would be afraid that this might lead to crime against older people and those unable to defend themselves -- I realise these would be rare occurences probably but there is always that possiblity.

I am in a profession that has strict guidelines about getting licensed and yet there are still those that slip through the cracks (although it is rare) so -------- what guarantee that won't happen, doubt you can. When one is alone they are really vulernable -- at least in a public setting such as a hospital, school, etc. people are around which might add a layer of protection.

Maybe I am more cautious since I am alone most of the time due to my husband's job which keeps him away for periods of time.
You bring up a valid point. On the other hand, my recent in-lab sleep experiences w/the exception of one, was done in an independent sleep lab and on one of the nights there was ONE sleep tech, a female; me and one other patient, a male. On another night there were two techs, both females, and four patients, two women, two men. It was the only "business" open that night in that area. Also, something to think about.
It is still one thing to have it done in a sleep lab since really the only one's that are there are send there by a DR and not right off the street, so there is a more controlled environment and the safety factor / insurance liability is more safe.

The other issue if it is done in the home, yes you might get a better picture of how someone's sleeping environment is but I feel that the environment would not be as controlled due to one's own feeling that someone is in their home that normally is not there and you would not sleep much knowing that, at lease I would. The insurance liability of lab tech staying at someones home for the testing would have to be address some how.

Also depending on the age of the person being tested and the number of others in the home, including pets would have an effect of the testing. If it was going to be done at home, I would much rater have someone hook me up and setup what other equipment was needed and then remotely monitor it from outside of the home, say like a traveling RV that the sleep tech's could stay in and if some major problem arise then they can be near to take care of the problem or phone for help that was needed.

Just some more thoughts for this discussion.

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