2022 HME Business Handbook: Sleep Therapy

Embracing Remote PAP Setup For Sleep Patients

Sleep TherapyPAP therapy supports better sleep at night and improved functioning during the day in patients with OSA. Despite the success of PAP therapy, compliance remains poor as many patients find wearing a mask uncomfortable or disruptive to their normal sleep routine.

Compliance of any kind requires buy-in from the patient, particularly among those newly diagnosed. Some level of the existing dissatisfaction with PAP therapy is likely due to a lack of patient empowerment, or reduced confidence in navigating the treatment. This is where the remote setup model may be useful. Apps that guide sleep users through set up and prepackaging of all necessary supplies to get started are encouraging greater patient self-sufficiency and easy resolution of the fitting issues.

Once prescribed, patients usually receive face-to-face education about PAP therapy, personalized mask fittings, and trialing of treatment in a sleep lab environment under the supervision of an experienced sleep technologist or physician. PAP therapy consists of many complex components, all designed to work together to offer the most comfortable, trouble-free experience for patients.


Long-term compliance patterns are often established in the first few days of starting PAP therapy. Patients may switch masks during this period, but more frequent switching is associated with ending treatment early. For this reason, F&P provides support services to help providers set up patients, and in doing so, simplify the process of beginning treatment.

The myMask app is designed to support the early, most crucial stages of a patient’s treatment journey. The app enables mask setup, independent of guidance from a healthcare professional. Videos and animations containing visual cues and prompts provide step-by-step instructions on fitting a mask, fine-tuning its positioning, and cleaning. Users of the app will find the content accessible, customized to each F&P mask, and generally solution-driven, allowing patients to troubleshoot mask issues at their own pace and in their own time.

Alongside this is the Fit Pack range of mask models, which come pre-fitted with a cushion size that will fit most patients. Each bag also contains multiple cushion sizes that patients can fit to themselves, wear over an extended period, and then decide on their cushion size preference.

Moreover, because packs are compatible with the smartphone app, patients are encouraged to invest more time in obtaining the right fit and understanding how their mask can be adjusted to suit their unique facial features.

At F&P, masks are designed with performance and comfort in mind, and as part of a Care by Design approach, which is centered on satisfying the needs and expectations of patients. This philosophy extends to our range of remote setup solutions, which ensure a successful early experience with PAP therapy, and one that is comprehensive enough to foster a patient’s transition from novice to proficient user. This begins with achieving an appropriate mask fit. We believe that getting this right for patients will make ongoing treatment management easier for healthcare professionals.


Recent events, such as the COVID-19 pandemic, have meant the use of PAP therapy has become restricted in clinical settings. Treatment setup pathways are now more numerous and diverse.

Remote setup allows users to start treatment in a real-world environment, placing control back in the hands of patients. The phone app and packs can help healthcare professionals lead fitting sessions, but can also supplement the advice patients receive from their provider as part of standard clinical practice.

Therefore, these tools are beneficial for all users and audiences. Making these services widely available gives patients a sense of autonomy over their own healthcare, while also minimizing the workload of providers.


  • Remote setup solutions, such as the myMask app and Fit Packs, continue to reinforce messages around the importance of cleaning equipment, controlling leaks, and mitigating contributors to mask discomfort.
  • Providing greater support may improve compliance with PAP therapy.
  • DMEs will benefit from patients becoming more self-reliant in fitting masks and troubleshooting issues with on-demand advice from device manufacturers. More extensive use of remote setup solutions will likely alleviate the burdens associated with mask refitting and follow-up.


To learn more about Fisher & Paykel Healthcare’s remote PAP setup solutions, visit fphcare.com.

This article originally appeared in the May/Jun 2022 issue of HME Business.

About the Author

Bhavi Ogra is the Senior Category Marketing Manager for Fisher & Paykel Healthcare. She has led its Clinical Research Program, initiating and managing clinical investigations and engaging with leaders on sleep and breathing treatments in the home during her 13-year career with FPH in New Zealand.

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