Novel Aspects of CPAP Treatment and Interventions to Improve CPAP Adherence

被引:59
|
作者
Weaver, Terri E. [1 ]
机构
[1] Univ Illinois, Coll Nursing, Dept Biobehav Hlth Sci, Chicago, IL 60612 USA
关键词
obstructive sleep apnea; CPAP; adherence; behavioral intervention; motivational enhancement therapy; POSITIVE AIRWAY PRESSURE; OBSTRUCTIVE SLEEP-APNEA; SELF-EFFICACY; OSA PATIENTS; QUALITY;
D O I
10.3390/jcm8122220
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Continuous positive airway pressure (CPAP) is an effective treatment for obstructive sleep apnea. However, the success of this treatment is hampered by nonadherence in half of the treated patients. Moreover, in clinical trials, poor adherence reduces adequate exposure required to determine its true effect. There is growing evidence that behavioral interventions, in addition to education, are a promising approach to improving adherence. Behavioral interventions include the use of cognitive behavioral therapy and motivational enhancement therapy designed to elevate a patient's self-efficacy. The abundance of data obtained by CPAP tracking systems enables daily surveillance of use, and this telemonitoring along with telehealth allows the provider to quickly intervene when nightly CPAP use falls below thresholds or mask leaks are present. Telehealth reaches a large number of patients who may not be able to regularly attend a clinic, providing support and reinforcement. Peer support may also be useful in improving adherence. Not all obstructive sleep apnea patients present with the same phenotype, and can, therefore, be clustered into several groupings. Which intervention is most successful with a given phenotype or cluster remains unexplored. Comprehensive adherence management requires a team approach with the unique contribution of different professionals.
引用
收藏
页数:8
相关论文
共 50 条
  • [21] Early CPAP use identifies subsequent adherence to CPAP therapy
    Budhiraja, Rohit
    Parthasarathy, Sairam
    Drake, Christopher L.
    Roth, Thomas
    Sharief, Lmran
    Budhiraja, Pocja
    Saunders, Victoria
    Hudgel, David W.
    SLEEP, 2007, 30 (03) : 320 - 324
  • [22] Practical Aspects of Interface Application in CPAP Treatment
    Bachour, Adel
    Avellan-Hietanen, Heidi
    Palotie, Tuula
    Virkkula, Paula
    CANADIAN RESPIRATORY JOURNAL, 2019, 2019
  • [23] ADHERENCE TO CPAP TREATMENT IN WOMEN WITH OBSTRUCTIVE SLEEP APNEA
    Libman, E.
    Bailes, S.
    Fichten, C.
    Rizzo, D.
    Creti, L.
    Bailes, M.
    Grad, R.
    Tran, D.
    Conrod, K.
    Amsel, R.
    SLEEP, 2017, 40 : A302 - A302
  • [24] CPAP as a novel treatment for bronchial asthma?
    Pellegrino, Riccardo
    Pellegrino, Giulia Michela
    Brusasco, Vito
    JOURNAL OF APPLIED PHYSIOLOGY, 2011, 111 (02) : 343 - 344
  • [25] Adherence to CPAP Treatment: Can Mindfulness Play a Role?
    Pataka, Athanasia
    Kotoulas, Seraphim Chrysovalantis
    Gavrilis, Panagiotis Raphael
    Karkala, Alice
    Tzinas, Asterios
    Stefanidou, Aimiliza
    LIFE-BASEL, 2023, 13 (02):
  • [26] Seasonal Variations in CPAP Adherence
    Patel, S. R.
    Bakker, J. P.
    Stitt, C. J.
    Aloia, M. S.
    Nouraie, S.
    AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2020, 201
  • [27] Mask Interface and CPAP Adherence
    Parthasarathy, Sairam
    JOURNAL OF CLINICAL SLEEP MEDICINE, 2008, 4 (05): : 511 - 512
  • [28] Telemonitoring improves adherence to CPAP
    不详
    BRITISH JOURNAL OF HOSPITAL MEDICINE, 2017, 78 (10) : 549 - 549
  • [29] INFLUENCE OF CHRONOTYPE ON CPAP ADHERENCE
    Adekolu, Olurotimi
    Xu, Zhichao
    Chu, Jen-hwa
    Kushida, Clete
    Yaggi, Henry
    Knauert, Melissa
    Zinchuk, Andrey
    SLEEP, 2021, 44 : A174 - A175
  • [30] Helmet CPAP bundle: A narrative review of practical aspects and nursing interventions to improve patient's comfort
    Lucchini, Alberto
    Giani, Marco
    Minotti, Dario
    Elli, Stefano
    Bambi, Stefano
    INTENSIVE AND CRITICAL CARE NURSING, 2023, 74