Summary and Update on Behavioral Interventions for Improving Adherence with Positive Airway Pressure Treatment in Adults - 21/01/21

Doi : 10.1016/j.jsmc.2020.10.006

Angela L. D’Rozario, PhD ^a,^b,^c,^⁎ , Yael Galgut, PGDip (ProfPsych) ^b, Megan R. Crawford, PhD ^d, Delwyn J. Bartlett, PhD ^b,^c
^a School of Psychology, Faculty of Science, Brain and Mind Centre and Charles Perkins Centre, The University of Sydney, Level 2, Building D17, Johns Hopkins Drive, Camperdown, New South Wales 2050, Australia
^b Sleep and Circadian Research Group, Woolcock Institute of Medical Research, The University of Sydney, PO Box M77, Missenden Road, Camperdown, Sydney, New South Wales 2050, Australia
^c Sydney Medical School, The University of Sydney
^d The University of Strathclyde, Graham Hills Building, 50 George Street, Glasgow G1 1QE, UK

^∗Corresponding author. Sleep and Circadian Research Group, Woolcock Institute of Medical Research, The University of Sydney, PO Box M77, Missenden Road, New South Wales 2050, Australia.Sleep and Circadian Research GroupWoolcock Institute of Medical ResearchThe University of SydneyPO Box M77Missenden RoadNew South Wales2050Australia

Résumé

Continuous positive airway pressure (PAP) is still the most efficacious treatment for obstructive sleep apnea when used effectively. Since the availability of PAP 39 years ago there have been considerable technological advances, such as quieter, lighter and smaller machines with better humidification. However, adherence to treatment is still a major problem. This article reviews studies published on behavioral interventions aimed at improving the uptake and maintenance of PAP treatment (January 2016–February 2020). It discusses underlying factors in the poor uptake and discontinuation of treatment and the role of qualitative research to better understand the perspective of the patients.

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Keywords : Adherence, Compliance, Obstructive sleep apnea, Behavioral interventions, Psychoeducation, Psychosocial factors, Cognitive behavioral therapy, Sleep-disordered breathing

Plan

Key points

Background

Prevalence and Burden of Obstructive Sleep Apnea

Effects of Positive Airway Pressure Treatment

Challenges with Positive Airway Pressure Adherence

Challenges Around Side Effects of Using Positive Airway Pressure

Patients’ perspective: qualitative research in positive airway pressure usage

Behavioral treatment interventions to increase adherence

Psychosocial Interventions

Cognitive Behavioral Therapy

Motivational Interviewing/Enhancement

Standard Care and Educational Programs

Telehealth and Support-Based Approaches

The Role of Partners in Positive Airway Pressure Adherence

Updated Research: Behavioral Treatment Interventions to Increase Adherence

Methods

Results

Psychosocial Interventions

Motivational Enhancement

Cognitive Behavioral Therapy

Educational Programs

Telehealth Approaches

Summary

Clinics care points

Points around enhancing positive airway pressure usage

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Vol 16 - N° 1

P. 101-124 - mars 2021 Retour au numéro

Article précédent

Using the Remote Monitoring Framework to Promote Adherence to Continuous Positive Airway Pressure
Brendan T. Keenan, Richard J. Schwab

| Article suivant

Where to Next for Optimizing Adherence in Large-Scale Trials of Continuous Positive Airway Pressure?
Amy M. Sawyer, Douglas M. Wallace, Luis F. Buenaver, Alexa J. Watach, Amy Blase, Bruno Saconi, Sanjay R. Patel, Samuel T. Kuna, Naresh M. Punjabi

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Summary and Update on Behavioral Interventions for Improving Adherence with Positive Airway Pressure Treatment in Adults - 21/01/21

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