Explore the January 2026 Edition

Learners will examine the principles of a biopsychosocial approach to sleep health, including the role of non-respiratory contributors such as nutrition, stress, and family dynamics. The issue also highlights emerging uses of HST for monitoring therapy effectiveness, alongside updated perspectives on restless legs syndrome treatment and the risks of long-term dopaminergic therapy. 

The BRPT CSTE will expire on 3/26/27. Take the quiz before then to earn CSTE.

July August Sleep Review 2025 cover stroke prevention

CSTE Exam Preparation Articles

For thorough test preparation, please review these essential articles. They cover key topics and concepts that will be evaluated.

What Holistic Sleep Care Looks Like*

Learning Objectives: Describe the principles of a holistic, biopsychosocial approach to sleep care and how it differs from symptom-focused models. Identify non-respiratory contributors to sleep disorders, including nutritional deficiencies, family dynamics, and psychosocial stressors. Explain the role of extended patient interactions and care coordination in improving diagnostic accuracy and patient outcomes.

The Surprising Reasons Some Sleep Physicians Insist on HST for Monitoring Sleep Apnea Therapy Efficacy*

Learning Objectives: Explain the rationale for using home sleep testing (HST) beyond diagnosis, including its role in monitoring treatment efficacy over time. Describe how HST-derived metrics—such as sleep quality trends and physiologic responses—can reveal heterogeneous patient responses to CPAP therapy. Discuss the value of additional signals captured by some HST systems, such as heart rate, in assessing cardiovascular risk and treatment effectiveness.

Should Dopamine Remain a Target in Restless Legs Syndrome?

Learning Objectives: Explain the historical role of dopaminergic therapies in restless legs syndrome (RLS) and their initial effectiveness in symptom control. Describe the phenomenon of RLS augmentation and how long-term dopamine agonist use can worsen symptoms or shift their timing and severity. Identify emerging hypotheses about dopamine signaling in RLS, including the potential role of D1 receptor pathways as alternative pharmacologic targets.

How to Lighten the Load for Sleep Apnea Patients*

Learning Objectives: Explain the concept of treatment burden in obstructive sleep apnea (OSA) and how it differs from traditional disease-centric metrics such as AHI. Describe how incorporating patient-reported goals and standardized questionnaires into follow-up can improve engagement and long-term therapy use. Apply strategies to reinforce therapy “wins” during patient interactions, including comparing baseline and follow-up symptom data.

The Most-Read Sleep Topics of 2025

Learning Objectives: Describe the major topic areas that drove engagement among sleep professionals in 2025, including the continued dominance of obstructive sleep apnea (OSA) and the shift toward diagnostics-focused content. Explain why interest in sleep diagnostics—particularly home sleep testing (HST)—is increasing, including the role of anticipated reimbursement and policy changes. Identify emerging areas of clinical and operational focus reflected in these trends and relate them to evolving priorities in sleep labs and clinical workflows.

Terms for CSTE Qualification

The Board of Registered Polysomnographic Technologists (BRPT) designates this educational activity for a maximum of 0.5 Continuing Sleep Technology Education (CSTE) credits. Individuals should claim only those credits that he/she actually earned in the educational activity. Certificates are issued on Fridays.

To be awarded Continuing Sleep Technology Education (CSTE) credit, BRPT-credential holders must read the digital edition of Sleep Review and score 80% or higher on the post-test. The participant may re-take the post-test up to 3 times. If unable to achieve a passing score, credit cannot be issued.

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* Conflict of Interest: Articles are written by employees of Sleep Review, which accepts sleep marketer advertising