Experiences with CPAP treatment in patients with obstructive sleep apnea syndrome and obesity

Objective: Continuous positive airway pressure (CPAP) is the fi rst treatment of choice for obstructive sleep apnea syndrome (OSAS). However, adherence rates are low with no clear consensus on causes. Behavioral support strategies are needed, which is an evolving arena for physiotherapists within sleep medicine. The purpose of this study was to describe patients' experiences of CPAP treatment in obese individuals with moderate to severe OSAS. Methods: A qualitative content analysis was employed. Fifteen participants were consecutively selected. Data were collected by semi-structured interviews. Results: Experiences were described and structured according to three themes: (1) coming to terms with wearing CPAP; (2) getting a new life; and (3) being restricted in everyday life. Conclusion: A focus on incentives for regular CPAP use is important when supporting the use of a device that has almost as many disadvantages as advantages. Positive and negative reinforcers may receive greater attention when tailoring behavioral support for initiation and maintenance of CPAP. The potential of involving spouses and signifi cant others to reinforce self-management behaviors needs further studies.