Adherence to Continuous Positive Airway Pressure in Existing Users: Self-Efficacy Enhances the Association between Continuous Positive Airway Pressure and Adherence

Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine
Joseph M DzierzewskiWilliam K Wohlgemuth

Abstract

Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a common sleep disorder associated with a myriad of sequelae. OSAHS is effectively treated with continuous positive airway pressure (CPAP) therapy. However, fewer than 50% of patients are compliant with their CPAP therapy prescriptions. The current study sought to explore an integrated, biopsychological approach to CPAP adherence among experienced CPAP users. We performed a retrospective, cross-sectional analysis of a cohort of veterans with a diagnosis of OSAHS (n = 191) who were prescribed CPAP therapy and returned for adherence download at the Miami VA Sleep Clinic. The relationships between biomedical characteristics (e.g., CPAP pressure, self-reported sleepiness, and change in sleep efficiency) and psychological factors (e.g., self-efficacy beliefs and psychological diagnoses) and objectively measured CPAP use were examined to determine whether psychological factors moderated the relationships between biomedical characteristics and CPAP adherence. Hierarchical regression analyses predicting CPAP adherence (adjusting for time since CPAP prescription, age, education, prescribed CPAP pressure, daytime sleepiness, changes in sleep efficiency with CPAP, and psychiatric condit...Continue Reading

Associated Clinical Trials

Nov 30, 2011·Kathy C. RichardsKathy C. Richards

Citations

Apr 5, 2018·PloS One·Pierre PhilipJean-Arthur Micoulaud-Franchi
Jun 28, 2018·Sleep & Breathing = Schlaf & Atmung·Jean-Arthur Micoulaud-FranchiPierre Philip
Feb 7, 2019·Journal of the American Geriatrics Society·Kathy C RichardsJerry Johnson
Jul 17, 2019·Sleep & Breathing = Schlaf & Atmung·Xin LiJing-Ying Ye
Jul 21, 2021·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Samuel GenzorMilan Sova
Aug 26, 2021·World Journal of Otorhinolaryngology - Head and Neck Surgery·Zhi-Fei Xu, Xin Ni

❮ Previous
Next ❯

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.