Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea

Askland, Kathleen D.; Wright, Lauren E.; Woźniak, Dariusz; Emmanuel, Talia; Caston, Jessica; Smith, Ian

doi:10.1002/14651858.cd007736.pub3

Cited by 51 publications

(57 citation statements)

References 209 publications

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“…Furthermore, although there is some evidence for improved adherence to ASV compared with CPAP, there are no blinded or crossover studies to confirm the findings from cross-sectional research. Studies are also needed to translate to CSA the known effective strategies for increasing PAP use among patients with OSA, such as educational, supportive, and behavioral interventions ( 137 ). Identifying specific challenges to adherence with non-PAP therapies such as oxygen and pharmacotherapy will clearly be needed to effectively implement such treatments.…”

Section: Resultsmentioning

confidence: 99%

Research Priorities for Patients with Heart Failure and Central Sleep Apnea. An Official American Thoracic Society Research Statement

Orr¹,

Ayappa²,

Eckert³

et al. 2021

Am J Respir Crit Care Med

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Background: Central sleep apnea (CSA) is common among patients with heart failure and has been strongly linked to adverse outcomes. However, progress toward improving outcomes for such patients has been limited. The purpose of this official statement from the American Thoracic Society is to identify key areas to prioritize for future research regarding CSA in heart failure. Methods: An international multidisciplinary group with expertise in sleep medicine, pulmonary medicine, heart failure, clinical research, and health outcomes was convened. The group met at the American Thoracic Society 2019 International Conference to determine research priority areas. A statement summarizing the findings of the group was subsequently authored using input from all members. Results : The workgroup identified 11 specific research priorities in several key areas: 1 ) control of breathing and pathophysiology leading to CSA, 2 ) variability across individuals and over time, 3 ) techniques to examine CSA pathogenesis and outcomes, 4 ) impact of device and pharmacological treatment, and 5 ) implementing CSA treatment for all individuals Conclusions: Advancing care for patients with CSA in the context of heart failure will require progress in the arenas of translational (basic through clinical), epidemiological, and patient-centered outcome research. Given the increasing prevalence of heart failure and its associated substantial burden to individuals, society, and the healthcare system, targeted research to improve knowledge of CSA pathogenesis and treatment is a priority.

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Section: Resultsmentioning

confidence: 99%

Research Priorities for Patients with Heart Failure and Central Sleep Apnea. An Official American Thoracic Society Research Statement

Orr¹,

Ayappa²,

Eckert³

et al. 2021

Am J Respir Crit Care Med

View full text Add to dashboard Cite

show abstract

“…In adults, meta-analysis studies showed that an additional intervention such as educational, behavioral, or telemonitoring intervention was shown to improve CPAP adherence by 0.54 to 0.70 hours/night. 7 , 8 However, there is limited data on an effect of additional interventions to improve CPAP adherence in pediatric patients with OSA. This study aimed to evaluate if any interventions that improve CPAP adherence in pediatric patients with OSA using a systematic review.…”

Section: Introductionmentioning

confidence: 99%

Any Effective Intervention to Improve CPAP Adherence in Children with Obstructive Sleep Apnea: A Systematic Review

Sawunyavisuth

Ngamjarus

Sawanyawisuth

2021

Global Pediatric Health

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Obstructive sleep apnea (OSA) in children is leading to several consequences as reported in adults. A continuous positive airway pressure (CPAP) machine is one of the effective treatments in pediatric OSA. However, the CPAP adherence rate is approximately 50%. This study aimed to evaluate if any interventions that improve CPAP adherence in pediatric patients with OSA using a systematic review. We included intervention studies on CPAP adherence in pediatric patients with OSA regardless of machine types. Five databases were used for article searching. Search terms included OSA, adherence, compliance, and CPAP. The outcomes of this study were adherence rate and usage hours/minutes. The outcomes were compared between the intervention and comparator groups with descriptive statistics. There were 2931 articles from 5-database searching. There were 41 articles related with children. There were 7 articles conducted with any intervention on CPAP compliance. Of those, 4 studies included in the analysis. There were 3 significant differences between both groups in 2 studies. Those with caregiver support had significantly longer CPAP use/night by 86.60 minutes (95% CI 10.90, 162.30) and percentage of CPAP usage more than 4 hours/night by 18.10% (95% CI 3.87, 32.33) than those without caregiver support. Those who received BPAP therapy had higher chance of good PAP adherence than those who received CPAP by 18.17 times (95% CI 5.19, 63.70). Caregiver support and BPAP therapy significantly improved CPAP adherence in children with OSA. Further studies are required to add additional comparisons and also other interventions.

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“…This requires the individual with OSA to wear a mask while asleep, during all sleep bouts, in order to prevent apneic episodes. Adherence to therapy is critical for improved patient reported outcomes including sleepiness 24,[26][27][28] and quality of life and function. 24,29 Incidence of associated comorbidities such as hypertension, [30][31][32] stroke, 33,34 and insulin resistance, 35,36 may also be reduced by PAP and a dose-response effect has been suggested for these improvements.…”

Section: Introductionmentioning

confidence: 99%

Personalized and Patient-Centered Strategies to Improve Positive Airway Pressure Adherence in Patients with Obstructive Sleep Apnea

Watach¹,

Hwang²,

Sawyer³

2021

PPA

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Obstructive sleep apnea (OSA), a common sleep disorder characterized by repeated pauses in breathing during sleep, is effectively treated with positive airway pressure (PAP) therapy. The magnitude of improvements in daily functioning and reduced negative health risks are dependent on maintaining PAP adherence, which is a significant challenge. Evidence-based interventions to improve PAP use are not easily translated to clinical practice because they are labor-intensive and require specialty expertise. Further, to date, individualized care, inclusive of personalized medicine and patient-and person-centered care have been marginally incorporated in the field's understanding of OSA and PAP adherence. This integrative review describes current PAP adherence assessment processes, interventions to improve adherence, and outlines future opportunities to advance the field, particularly as it relates to individualizing care and the use of implementation science to apply evidence to practice.

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Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea

Cited by 51 publications

References 209 publications

Research Priorities for Patients with Heart Failure and Central Sleep Apnea. An Official American Thoracic Society Research Statement

Research Priorities for Patients with Heart Failure and Central Sleep Apnea. An Official American Thoracic Society Research Statement

Any Effective Intervention to Improve CPAP Adherence in Children with Obstructive Sleep Apnea: A Systematic Review

Personalized and Patient-Centered Strategies to Improve Positive Airway Pressure Adherence in Patients with Obstructive Sleep Apnea

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