Effects of patient education and progressive muscle relaxation alone or combined on adherence to continuous positive airway pressure treatment in obstructive sleep apnea patients

Wang, Weihong; He, Guoping; Wang, Meirong; Liu, Lihua; Tang, Huaqing

doi:10.1007/s11325-011-0600-3

Cited by 37 publications

(18 citation statements)

References 32 publications

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“…The interventions in our study accord with this description of educational intervention. As we found a significant effect of group therapy in our study, we compared our results with the only 2 studies available in this Cochrane meta‐analysis that also evaluated the effect of group education . Moreover, one of these studies is only published in abstract form.…”

Section: Discussionmentioning

confidence: 98%

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Adherence to CPAP therapy: comparing the effect of three educational approaches in patients with obstructive sleep apnoea

Delanote

Borzée

Belge

et al. 2016

Clinical Respiratory J

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Introduction: Continuous positive airway pressure (CPAP)-therapy is the first-line treatment for moderate to severe obstructive sleep apnoea (OSA). A significant limitation of CPAP treatment is the poor therapy adherence, compromising the beneficial effects. Objective: This study evaluates three different educational approaches and their effect on therapy adherence. Method: This single-center, retrospective study compared three groups of 100 consecutive, CPAP-naive patients with moderate to severe OSA who were started on CPAP therapy. Group 1 and 2 received the same individual structured education on two consecutive days with an extra phone call 7 to 10 days after CPAP start in group 2. Group 3 received individual structured education on the first day and participated in a group education using a slide presentation open for discussion on the second day. Re-evaluation was performed after 24 weeks. Results: Baseline characteristics did not differ significantly between groups. During the 24 weeks follow-up there was a drop-out rate of 16% (group 1), 12% (group 2) and 5% (group 3). In the patients still on CPAP after 24 weeks, the mean nightly CPAP usage was, respectively, 4.7 6 1.8, 5.2 6 2.3 and 5.7 6 2.1 h/night. In group 3 both the drop-out rate and mean CPAP usage were significantly different (P values, respectively, P < 0.05 and P < 0.01) compared with group 1. Conclusion: Improving CPAP adherence is an ongoing challenge. This study shows that a multi-modality approach, using a combination of individual and group education using a slide presentation open for discussion resulted in improved therapy adherence.Please cite this paper as: Delanote I, Borz ee P, Belge C, Buyse B and Testelmans D. Adherence to CPAP therapy: comparing the effect of three educational approaches in patients with obstructive sleep apnoea. Clin Respir J 2018; 12: 91-96.

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Section: Discussionmentioning

confidence: 98%

“…The study of Wang et al . consisted of 4 arms: a control group, a group who received progressive muscle relaxation, a group education arm and a group who received the combination of group education and progressive muscle relaxation. Thirty‐eight patients were included in each arm.…”

Section: Discussionmentioning

confidence: 99%

Adherence to CPAP therapy: comparing the effect of three educational approaches in patients with obstructive sleep apnoea

Delanote

Borzée

Belge

et al. 2016

Clinical Respiratory J

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“…Several small, randomised controlled trials with 1-, 3-or 6-month follow-up periods have evaluated such interventions [39][40][41][42][43][44][45]. Large effect sizes in terms of an increase in the hours of nightly use of CPAP have been suggested by these studies; however, the interpretation of the data is limited by the small sample size, short-term follow-up and uncertain treatment components.…”

Section: Discussionmentioning

confidence: 99%

Intensiveversusstandard follow-up to improve continuous positive airway pressure compliance

et al. 2014

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We aimed to compare the effect of intensive versus standard interventions on continuous positive airway pressure (CPAP) adherence 2 years after CPAP initiation, as well as on sleepiness, quality of life, depression, hospitalisation and death rate due to cardiovascular disease (CVD). 3100 patients with newly diagnosed sleep apnoea were randomised into the standard group, with usual follow-up care, or the intensive group, with additional visits, telephone calls and education. Subjective daytime sleepiness (Epworth Sleepiness Scale; ESS), quality of life (36-item Short Form Health Survey; SF-36) and the patient's level of depression (Beck Depression Inventory; BDI) were recorded before and 2 years after CPAP initiation, together with CVD hospitalisations and death rate.2 years after CPAP initiation, the intensive group used CPAP significantly more than the standard group (6.9 versus 5.2 h per night; p,0.001). ESS, SF-36 and BDI scores were also significantly better in the intensive group. Furthermore, the standard group had significantly more deaths and hospitalisations due to CVD.CPAP usage can be improved by both intensive and standard patient support. However, the patients who received intensive CPAP support had significantly better ESS, BDI and SF-36 scores, and lower cardiovascular morbidity and mortality, suggesting that an intensive programme could be worthwhile. @ERSpublications Intensive CPAP support improves sleepiness, quality of life, depression, hospitalisation and death rate

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“…Another study demonstrated how patient education and progressive muscle relaxation significantly improved CPAP adherence 13 . In Hong Kong CPAP acceptance was low among a group of bus drivers who were diagnosed with OSA despite significant improvement of symptoms with CPAP treatment 14 .…”

Section: Introductionmentioning

confidence: 99%

Acceptance and Adherence to Continuous Positive Airway Pressure Therapy in patients with Obstructive Sleep Apnea (OSA) in a Southeast Asian privately funded healthcare system

Lee¹,

Leow²,

Song³

et al. 2017

Sleep Sci

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Background: There is limited data on long term Continuous Positive Airway Pressure (CPAP) adherence in Southeast Asian countries. This is a prospective study on CPAP adherence among Obstructive sleep apnea (OSA) patients in a Southeast Asian privately funded healthcare system. Methods: Patients with moderate-severe OSA who had been initiated on CPAP at least one year previously were contacted for a scripted telephone interview to assess compliance and factors associated with CPAP adherence. Results: Of 135 consecutive patients diagnosed to have moderate to severe OSA, 78 (57.8%) were initiated on CPAP treatment while 57 (42.2%) rejected CPAP upfront. 41 (52.6%) who initiated CPAP remained adherent at one year. OSA severity (AHI, ODI) and symptomatic improvement after CPAP were associated with better adherence. Presence of machine related side effects was associated with lower adherence. Inconvenience, cost and poor disease perception were reported as major barriers to uptake of CPAP therapy. Conclusions: In this Southeast Asian privately funded healthcare system, almost half of all patients with significant OSA rejected CPAP treatment upfront, but adherence among those who started CPAP is comparable to other reports. Challenges with CPAP acceptance as well as CPAP adherence need to be addressed to improve outcomes.

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Effects of patient education and progressive muscle relaxation alone or combined on adherence to continuous positive airway pressure treatment in obstructive sleep apnea patients

Abstract: Combined intervention with patient education and PMR can significantly improve CPAP adherence in OSA patients for at least 12 weeks. The intervention paradigm may serve as an important reference for future studies on CPAP adherence.

Cited by 37 publications

References 32 publications

Adherence to CPAP therapy: comparing the effect of three educational approaches in patients with obstructive sleep apnoea

Adherence to CPAP therapy: comparing the effect of three educational approaches in patients with obstructive sleep apnoea

Intensiveversusstandard follow-up to improve continuous positive airway pressure compliance

Acceptance and Adherence to Continuous Positive Airway Pressure Therapy in patients with Obstructive Sleep Apnea (OSA) in a Southeast Asian privately funded healthcare system

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