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Running head : IDENTIFYING OSA RISK 1 Identifying OSA Risk in the General Adult Primary Care Population

Purpose: The purpose of this project is to illustrate the need for the implementation of a novel screening tool for obstructive sleep apnea (OSA) in the primary care setting. Background: OSA has been associated with numerous comorbidities including hypertension, Diabetes Mellitus and stroke. Despite these associations, the condition continues to be widely underdiagnosed in the general adult population. Methods: Using the seven-step process outlined in the Knowledge to Action framework, a research translation project implementing the NAMES OSA screening tool in a community-based primary care setting was conducted. Implications: Implementation of a novel screening tool in the primary care setting consisting of patient history, symptoms and physical exam findings in the form of a paper questionnaire may increase the detection rate of OSA. Conclusions: The implementation of the NAMES2 assessment tool resulted in increased awareness of OSA risk presentation as evidenced by a 5% increase in OSA screening rates in the involved primary care practice site. Consequently, increased detection of OSA risk in the adult primary care setting can potentially increase treatment in those affected with this condition thereby decreasing the incidence of existing or developing comorbidities in this population.