Frontiers in sleep最新文献

{"title":"Assessing sleep, cognition and overnight memory performance in neurotypically developing youth in a children's hospital.","authors":"Gabrielle N Deutsch, Emmet W Klein, Chelsea E Cadle, Katharine C Simon, H Gerry Taylor, Maninder Kalra, Paola Malerba","doi":"10.3389/frsle.2026.1771860","DOIUrl":"10.3389/frsle.2026.1771860","url":null,"abstract":"<p><p>Childhood and adolescence are times of significant maturation for cognitive abilities and cortical neurophysiology, and changes in sleep brain activity across development reflect these maturation trajectories. Furthermore, sleep is known to support changes in cognition across the lifespan, including in domains of memory, emotion regulation and executive functioning. Driven by our interest in establishing mechanistic links between changes in sleep neurophysiology and cognitive/mood symptoms in pediatric populations, we aim to establish research protocols for examining sleep-dependent cognition in a wide range of pediatric populations. As a first step, we have established a data acquisition protocol that pairs measurement of overnight memory changes with polysomnography involving a full electroencephalography (EEG) montage and standardized clinical assessments of cognition. While this is typical of a cognitive sleep laboratory, we are now executing it in the context of a pediatric hospital. The protocol is essential in creating an inclusive research program where children and adolescents with a range of conditions can participate in research in a context that is safe and tailored to their needs (a sleep center in a pediatric hospital). This article describes our first protocol, developed for typically developing youth aged 8-19 years, including collection of subjective and objective measures of sleep and cognition, emotion regulation and executive functioning, and overnight changes in memory performance. We also share strategies for ensuring data quality in our protocol.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"5 ","pages":"1771860"},"PeriodicalIF":2.0,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13275221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A multilevel CPAP support strategy implemented within a large stroke clinical trial (sleep SMART).","authors":"Devin L Brown, Jeffrey S Durmer, Mark Aloia, Rebecca M Hankla, Kayla Novitski, Joelle B Sickler, Shannon Considine, Emerson Delacroix, Jason C Ong, Alp Sinan Baran, Craig S Anderson, Dawn M Bravata, H Klar Yaggi, Valerie Durkalski-Mauldin, Ronald D Chervin","doi":"10.3389/frsle.2026.1832143","DOIUrl":"10.3389/frsle.2026.1832143","url":null,"abstract":"<p><strong>Introduction: </strong>Continuous positive airway pressure (CPAP) clinical trials require integrated CPAP support programs, especially in challenging patient populations. Herein, we describe the CPAP support program devised and implemented within the largest CPAP trial to date in patients with recent acute stroke, the Sleep for Stroke Management and Recovery Trial (Sleep SMART).</p><p><strong>Methods: </strong>We developed a comprehensive, primarily remote, multi-level and -component automatically-adjusting CPAP (APAP) use support strategy for application across diverse enrollment sites with varied resources. Although many components were pre-planned, some were developed during the conduct of the trial, reflecting innovation and adaption to new technologies. Sites received training and guidance on APAP during the inpatient setting, and a robust telemedicine-based support program was implemented to maximize participant convenience and access. The APAP support program included patient-level behavioral and educational strategies, technical support, objective monitoring and feedback, social support, and system-level facilitation to address the complex determinants of APAP use.</p><p><strong>Results: </strong>Among the 146 sites across the United States, 138 enrolled at least one participant, and 129 sites randomized at least one participant. Overall, 1,892 participants were equally randomized (1:1) between the two treatment arms from 2019 to 2025, and outcome assessments are ongoing.</p><p><strong>Discussion: </strong>In this large multicenter clinical trial of APAP in stroke patients, a range of APAP support components were implemented at site- and participant-levels. A comprehensive and standardized APAP support program can be delivered, using a combination of centralized and non-centralized tools, without reliance on local sleep medicine expertise for a clinically complex and difficult-to-treat population.</p><p><strong>Clinical trial registration: </strong>clinicaltrials.gov, identifier NCT03812653.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"5 ","pages":"1832143"},"PeriodicalIF":2.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243104/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep quality as a predictor of learning engagement and academic self-efficacy among college students.","authors":"Jae Hee Kim","doi":"10.3389/frsle.2026.1837613","DOIUrl":"10.3389/frsle.2026.1837613","url":null,"abstract":"<p><p>Sleep disturbances among Korean college students are a persistent and escalating concern that significantly impacts learning performance. This study aimed to examine the association of sleep quality with learning engagement and academic self-efficacy among college students. The study participants were 195 second- to 4th-year students at universities in the Seoul metropolitan area, sampled through convenience sampling. An online survey was conducted from March 12 to April 8, 2025, adhering to ethical standards throughout the process. Data were analyzed using <i>t</i>-test, ANOVA, and simultaneous multiple regression analysis. Findings indicated that learning engagement was significantly higher among students with high academic achievement satisfaction, major satisfaction, and college life adjustment. Academic self-efficacy was greater among male students compared to female students, and among students with higher academic achievement satisfaction, major satisfaction, and college life adjustment. Regression analysis results indicated that sleep quality was a significant influencing factor for both learning engagement and academic self-efficacy. These findings suggest that sleep quality may be a modifiable factor worth targeting in future intervention research aimed at supporting learning engagement and academic self-efficacy. When developing these programs, incorporating strategies that consider gender, academic achievement satisfaction, major satisfaction, and college life adjustment may further enhance their effectiveness.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"5 ","pages":"1837613"},"PeriodicalIF":2.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Revolutionizing sleep instability: advanced diagnosis and management of sleep disorders.","authors":"Fábio Mendonça, Sheikh Mostafa, Antonio Ravelo-Garcia, Fernando Morgado-Dias","doi":"10.3389/frsle.2026.1835364","DOIUrl":"https://doi.org/10.3389/frsle.2026.1835364","url":null,"abstract":"","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"5 ","pages":"1835364"},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243075/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between perceived bedtime autonomy, sleep patterns, and daytime functioning in adolescents.","authors":"Sarah Hartley, Sylvie Royant-Parola, Sylvain Dagneaux, Frédérique Aussert, Catherine Tobie, Sandrine Launois, Marta Fernandez-Bolanos, Amandine Rey, Stéphanie Mazza","doi":"10.3389/frsle.2026.1719668","DOIUrl":"10.3389/frsle.2026.1719668","url":null,"abstract":"<p><strong>Introduction: </strong>Sleep duration in adolescents is determined by bedtime as weekday getting up times are fixed by school starting times. The impact of adolescents' choice of bedtime (bedtime autonomy) during the week and at the weekend on sleep duration and sleep timing has been little studied.</p><p><strong>Methods: </strong>A cross sectional questionnaire survey of adolescents responding to an online survey recorded sleep habits on school nights and weekends, screen use and daytime repercussions. Bedtime autonomy (determining one's own bedtime) on weeknights and at weekends, sleep deprivation (< 7 h in bed/night), school night sleep restriction (≥2 h difference in time in bed on school nights vs. weekends), social jetlag (midpoint of time in bed variation >2 h between school nights and weekends), difficulty waking, level of anxiety/depression hospital anxiety and depression scale (HAD), sleepiness (FSSA-8 sleepiness scale), duration of screen use and timing of screen use (evening, after bedtime, during the night) were determined.</p><p><strong>Results: </strong>Two thousand eight hundred ninety-five questionnaires were returned of which 2,512 were completed by adolescents (70% female, mean age 14.46 ± 2.08). Fourteen percent were non autonomous (NA), 21% were autonomous at the weekend only weekend autonomy (WA) and 65% at the weekend and on weeknights total autonomy (TA). Autonomy increased with age (<i>p</i> < 0.001) and female sex (<i>p</i> < 0.001). Weekend autonomy is granted to younger children than weeknight autonomy (13.61 ± 2.0 vs. 16.4 ± 2.8): nearly all participants were totally autonomous by the age of 18. In a model adjusting for age, sex, mood, and sleepiness potential sleep deprivation was linked to WA and more strongly to TA while social jetlag was only associated with WA.</p><p><strong>Conclusion: </strong>Bedtime autonomy is an important factor in determining bed time duration and sleep rhythms in adolescents.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"5 ","pages":"1719668"},"PeriodicalIF":2.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13243058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric evaluation of the Values Inventory: structural validity, internal consistency, and the integration with sleep value in a U.S. adult online sample.","authors":"Dustin Sherriff, Abby Woolley, Brandon Pattillo, Chongming Yang, Kara M Duraccio, Daniel B Kay","doi":"10.3389/frsle.2026.1800391","DOIUrl":"10.3389/frsle.2026.1800391","url":null,"abstract":"<p><p>Personal values shape health behaviors, yet the role of sleep value within broader value systems remains unknown. This study aimed to validate the Values Inventory, a novel measure assessing individual life values, and examine how sleep value fits into broader these value orientations. An online sample of U.S. adults (<i>N</i> = 455) completed the Values Inventory and the Sleep Valuation Item Bank 2.0 (SVIB-2.0), along with demographic and sleep-related surveys. Exploratory factor mixture modeling and confirmatory factor analysis supported a five-factor structure of the Values Inventory: Health/Wellbeing, Fundamental Human Values, Social Status, Personal Accomplishment/Global Advancement, and Community/Belonging. Internal consistency was high across factors (ω ≥ 0.88). Structural equation modeling revealed significant associations between demographic characteristics and value endorsements. Sleep health, along with mental and physical health, formed the core of the Health/Wellbeing factor, supporting the common belief that sleep is a pillar of health. Age was significantly associated with higher valuing of Health/Wellbeing and Fundamental Human Values. Multivariate analysis of variances comparing Values Inventory factors across previously established sleep value profiles (Unconcerned, Appreciative, Devalue, Ambivalent Priority, and Concerned) revealed distinct value patterns. The Appreciative profile showed the highest valuation of Health/Wellbeing. The Ambivalent Priority profile showed the highest valuation of Social Status and Community/Belonging. Findings support the Values Inventory as a psychometrically sound tool for assessing individual value systems and highlight the complex role of sleep. These results suggest the need for future research determining whether aligning sleep health interventions with individuals' broader values may enhance effectiveness and relevance.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"5 ","pages":"1800391"},"PeriodicalIF":2.0,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13236613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight and sleep health in OSA: exploring their link.","authors":"Caroline J Beatty, Shane A Landry, Dwayne L Mann, Simon A Joosten, Kaitlin Day, Maxine P Bonham, Denise M O'Driscoll, Alan Young, Ladan Ghazi, Chiara Murgia, Terry P Haines, Garun S Hamilton, Bradley A Edwards","doi":"10.3389/frsle.2026.1828583","DOIUrl":"10.3389/frsle.2026.1828583","url":null,"abstract":"<p><strong>Objectives: </strong>Weight loss is often recommended for individuals with obesity and OSA, however, weight loss is particularly hard for this population. This study investigates how weight and weight change are associated with sleep health in people with OSA.</p><p><strong>Methods: </strong>Sleep data were analyzed from participants (<i>n</i> = 28) newly diagnosed with OSA over 12-months during which time they underwent a 6-month weight-loss intervention in a step-wedge design. Sleep duration, sleep regularity, and sleep efficiency were calculated for each participant based on Fitbit data. Linear mixed-effects models were used to examine the relationships between each sleep variable and weight and weight change over the intervention period.</p><p><strong>Results: </strong>Participants were middle-aged (51 ± 10 years), living with obesity (32.6 ± 4.4 kg/m²), and severe OSA (AHI 30.5[26.6, 49.8] events/h). There was no association between changes in weight and sleep duration or sleep efficiency. The higher an individual's weight (kg), the more likely they were to have irregular sleep (estimate = 0.81, 95% CI [0.29, 1.32] min, and <i>p</i> = 0.002). Conversely, weight changes (kg) were not associated with changes in sleep regularity (estimate = -0.10, 95% CI [-1.51, 1.31] min, and <i>p</i> = 0.884).</p><p><strong>Conclusions: </strong>Higher weight was associated with worse sleep regularity. However, weight change was not associated with improvements in sleep regularity. Our findings demonstrate an association between weight and poor sleep in people with OSA, but the relationship is likely complex.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"5 ","pages":"1828583"},"PeriodicalIF":2.0,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13222836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<i>Bedtime Stories</i>: a sleep health education protocol for primary care clinicians, caregivers, and school-age children.","authors":"Jessica M Page, Grace Wang, Rebecca Robbins, Pallas Snider Ziporyn, Monica Ordway, Judith Owens","doi":"10.3389/frsle.2026.1787776","DOIUrl":"10.3389/frsle.2026.1787776","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the feasibility of <i>Bedtime Stories</i>, a sleep health education program designed to promote equitable pediatric sleep health among pediatric primary care clinicians (PCCs), caregivers, and school-aged children in community-based practice settings.</p><p><strong>Method: </strong>The <i>Bedtime Stories</i> program is informed by the socioecological model developed using the Consolidated Framework for Implementation Research, principles of social learning, and guidelines for feasibility pilot studies. The program includes three single-arm, pre-post pilot studies that will be conducted using: (1) a web-based provider sleep health education course (NCT06455579), (2) a digital caregiver sleep health intervention (NCT06618040), and (3) a children's book, <i>My Sleep Recipe</i>. The program's primary outcomes include benchmarks for participant recruitment and retention, along with metrics to evaluate feasibility and acceptability. Exploratory outcomes include providers' and caregivers' knowledge, self-efficacy, and changes in child sleep. Statistical analyses will focus on descriptive statistics and 95% confidence intervals.</p><p><strong>Results: </strong>Results will provide data on feasibility, engagement, and satisfaction for PCCs, caregivers, and school-aged children. Furthermore, they will provide preliminary insights into implementation barriers and facilitators for supporting sleep health practices, especially in underserved pediatric populations.</p><p><strong>Conclusions: </strong>This protocol outlines a scalable, multilevel framework for promoting pediatric sleep health. Findings will inform refinements and larger-scale trials to address sleep health practices through coordinated, equity-centered approaches that foster healthy sleep practices and reduce sleep health disparities across diverse communities.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"5 ","pages":"1787776"},"PeriodicalIF":2.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13189890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148019186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A multi-method pilot exploration of a brief behavioral sleep intervention for school-aged children: feasibility, acceptability, and initial evaluation.","authors":"Isabella Delores Wright, Gracie Crandall, Scott Baldwin, Kara McRae Duraccio","doi":"10.3389/frsle.2026.1731331","DOIUrl":"10.3389/frsle.2026.1731331","url":null,"abstract":"<p><strong>Objectives: </strong>Parents often lack knowledge regarding healthy sleep practices, and little is known about whether a brief behavioral intervention emphasizing mastery, personalization, motivation, and modeling can increase parental knowledge of childhood sleep and promote child sleep health outcomes. This multi-method pilot study aimed to (1) assess parental knowledge of healthy child sleep practices, (2) determine the preliminary efficacy of a brief, personalized sleep intervention on parental self-efficacy and child sleep behaviors, and (3) examine the feasibility, acceptability, and parent-perceived impact of the intervention on child sleep health and parental knowledge.</p><p><strong>Methods: </strong>54 Parent-child dyads in a community sample participated in a 7-day baseline sleep assessment before attending a brief behavioral intervention appointment designed to improve child sleep. Two weeks later, parents completed an additional sleep assessment, participated in a qualitative interview, and reviewed actigraphy data to evaluate changes in child sleep.</p><p><strong>Results: </strong>Parental knowledge of healthy child sleep practices improved significantly following the intervention (<i>p</i> < 0.001, ηp² = 0.245). Self-reported child sleep disturbance (<i>p</i> = 0.041, ηp² = 0.084), pediatric insomnia severity (<i>p</i> < 0.001, ηp² = 0.213), and parental self-efficacy (<i>p</i> = 0.036, ηp² = 0.088) also significantly improved. Objective sleep measures (sleep duration, onset latency) did not change (<i>p</i>'s > 0.05), and sleep efficiency declined (<i>p</i> = 0.001). Qualitative feedback indicated the intervention was acceptable and feasible.</p><p><strong>Discussion: </strong>The pilot brief behavioral intervention improved parents' perception of child sleep health, parental self-efficacy, and parental sleep knowledge. Despite limited changes in objective sleep measures, findings from this predominantly subclinical, community-based sample suggest that brief, personalized behavioral interventions may be a feasible and acceptable approach for promoting sleep health and supporting families. Future investigations, including randomized control trials and longer follow-up periods, are warranted.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"5 ","pages":"1731331"},"PeriodicalIF":2.0,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13183519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of nasal patency in obstructive sleep apnea: an expert consensus.","authors":"Andrew M Vahabzadeh-Hagh, Patrick J Strollo, Masayoshi Takashima, Kathleen Yaremchuk, Thomas Heineman, Ofer Jacobowitz, Yi Cai, Jolie Chang, Maria Suurna, Carol Yan, Atul Malhotra","doi":"10.3389/frsle.2026.1819496","DOIUrl":"10.3389/frsle.2026.1819496","url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) is estimated to affect up to 1 billion people worldwide, although the majority of the disease remains undiagnosed and untreated. OSA has major cardiometabolic and neurocognitive sequelae, making effective treatment a public-health priority. Nasal positive airway pressure (PAP) therapy remains the most effective non-surgical therapy, and provides transformative benefits for some patients. However, tolerance and long-term adherence remain problematic for a substantial subset of patients, particularly those with nasal airway obstruction (NAO). Inadequate nasal patency increases resistance and hinders effective PAP use, prompting many patients to struggle with or abandon therapy. This challenge underscores the need to identify strategies that optimize PAP adherence through improved nasal function. A converging body of physiological evidence, large-scale observational data, and controlled clinical trials demonstrates that nasal airway obstruction, particularly at the nasal valve, can be a fundamental limitation to continuous positive airway pressure (CPAP) success. To address this challenge, a multidisciplinary expert panel of clinicians in sleep medicine, otolaryngology, and pulmonology medicine convened to review the physiologic mechanisms linking nasal resistance to upper-airway collapsibility, evaluate outcomes after restoration of nasal patency, and examine the role of minimally invasive therapies such as temperature-controlled radiofrequency (TCRF) remodeling. The group concluded that nasal obstruction management and optimization should be viewed as an integral component of OSA management, with the goal of improving CPAP adherence and patient outcomes.</p>","PeriodicalId":73106,"journal":{"name":"Frontiers in sleep","volume":"5 ","pages":"1819496"},"PeriodicalIF":2.0,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13160733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147935578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}