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

Willman, Maria; Igelström, Helena; Martin, Cathrin; Åsenlöf, Pernilla

doi:10.3109/14038196.2012.704944

Cited by 12 publications

(10 citation statements)

References 31 publications

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“…Reductions in AHI may be achieved by different means such as CPAP, mandibular devices, dietary changes, and enhanced physical activity, and a patient-centred care considering different treatment options is important for engagement and treatment adherence [ 27 ]. Due to the challenges of initiating CPAP therapy [ 28 ], changing eating habits [ 29 ] and physical activity [ 30 ], it is important in clinical praxis to tailor treatment to individual prerequisites.…”

Section: Discussionmentioning

confidence: 99%

Improvement in obstructive sleep apnea after a tailored behavioural sleep medicine intervention targeting healthy eating and physical activity: a randomised controlled trial

et al. 2017

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PurposeThe aim of the present single-centre randomised controlled trial was to assess the effect of a behavioural sleep medicine (BSM) intervention on obstructive sleep apnea (OSA) severity in patients who have been referred for new treatment with continuous positive airway pressure (CPAP).MethodsAfter baseline assessment including ventilatory and anthropometric parameters, and physical activity monitoring, 86 patients who were overweight (BMI ≥ 25) and had moderate-severe OSA with apnea-hypopnea index (AHI) ≥ 15 were randomised into a control group (CG; CPAP and advice about weight loss) or an experimental group (ExpG; CPAP and BSM intervention targeting physical activity and eating behaviour). The BSM intervention comprised 10 individual sessions with a dietician and a physiotherapist and included behaviour change techniques such as goal setting and self-monitoring. After 6 months, a new recording of ventilatory parameters was performed without CPAP.ResultsIn ExpG, 40% (n = 14) had improved from severe to moderate or mild OSA or from moderate to mild OSA compared to 16.7% in CG (n = 6, p = 0.02). Further, a lower AHI and amount body fat at baseline were correlated with improvement in severity class. Being in ExpG implied a mean improvement in AHI by 9.7 and an odds ratio of 4.5 for improving in severity classification.ConclusionsThe results highlight the clinical importance of lifestyle modifications in conjunction with CPAP treatment in patients with OSA.

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Section: Discussionmentioning

confidence: 99%

Improvement in obstructive sleep apnea after a tailored behavioural sleep medicine intervention targeting healthy eating and physical activity: a randomised controlled trial

et al. 2017

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“…Most the studies did not attempt to define adaptation in the context of NIV treatment. The few studies that attempted to define adaptation to the NIV machine described it with reference to adherence or tolerance, as these two concepts form an integral part of the intervention process [21,31,52,54]. Thus, from this given description and related discussions in other studies, adaptation in the context of NIV treatment may be defined as a gradual familiarisation process by which patients make alterations to conform to a newly introduced medical device.…”

Section: Fear Of Pain and Sufferingmentioning

confidence: 99%

“…Studies in this review suggest that persistence and tolerance were two mechanisms adopted by participants in the process of developing an adjustment to being attached to the NIV machine. Furthermore, others studies indicate that adaptation or acceptance of the NIV machine can be promoted by developing specific education about adverse effects and benefits of the treatment, which patients need to be aware of prior to being started on NIV treatment [41,45,52].…”

Section: Fear Of Pain and Sufferingmentioning

confidence: 99%

Experiences of noninvasive ventilation in adults with hypercapnic respiratory failure: a review of evidence

2016

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Noninvasive ventilation (NIV) has been shown to be beneficial for patients with respiratory failure; however, many patients fail to tolerate it and require other interventions. The objective of this thematic synthesis was to describe the nature of NIV experiences in adults with hypercapnic respiratory failure. A systematic, computerised literature search of English-language databases was undertaken with no restriction on date of publication. A total of 99 papers was identified and screened for eligibility from databases including CINAHL, Medline and PsycINFO, and some were hand searched. 45 papers were critically appraised and 32 met our inclusion criteria. Thematic analysis identified six key themes: benefits of NIV; fear (of various categories, namely, fear of technology/mask, fear of death and dying, and fear of pain and suffering); adaptation to NIV machine; decision making; need for information; and relationship with healthcare professionals. For people using NIV treatment, the experience of being on the NIV machine is unexpected and can be stressful. Findings from this review offer healthcare professionals insights and understanding into the patient experience of NIV. Healthcare professionals may use these findings to implement new strategies in NIV provision and the exploration of the applicability of age-specific supportive care NIV guidelines.

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“…Qualitative methods using in-depth interviews, or focus groups, complement existing empirical research that has investigated these factors and add a more in-depth and personal perspective to important issues surrounding CPAP adherence. However, few studies have investigated factors associated with CPAP treatment from the patients’ and, as importantly, their partners’ perspectives (Almeida et al, 2012; Brostrom et al, 2010; Sawyer, Deatrick, Juna, & Weaver, 2010; Willman, Igelstrom, Martin, & Asenlof, 2012). In a qualitative study, partners of OSA patients were interviewed to understand their perceptions of the nature and severity of OSA and the effectiveness of OSA treatment and how their experiences of OSA influenced subsequent help-seeking behavior (Henry & Rosenthal, 2013).…”

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confidence: 99%

Patient and Partner Experiences With Obstructive Sleep Apnea and CPAP Treatment: A Qualitative Analysis

Luyster

Dunbar‐Jacob

Aloia

et al. 2014

Behavioral Sleep Medicine

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Few studies have investigated factors associated with continuous positive airway pressure (CPAP) treatment for sleep apnea from the patients’ and their partners’ perspective. This qualitative research study explored patients’ and partners’ experiences of CPAP and facilitators and barriers to CPAP use, and elicited suggestions for a first-time CPAP user program. Data from 27 participants were collected via four sleep apnea patient and four partner focus groups. Qualitative content analysis identified five themes: knowledge of sleep apnea, effects of sleep apnea, effects of CPAP, barriers and facilitators of CPAP, and ideas for a new user support program. Patients and partners emphasized the importance of partner involvement in the early CPAP treatment period. These data suggest consideration of a couple-oriented approach to improving CPAP adherence.

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

Cited by 12 publications

References 31 publications

Improvement in obstructive sleep apnea after a tailored behavioural sleep medicine intervention targeting healthy eating and physical activity: a randomised controlled trial

Improvement in obstructive sleep apnea after a tailored behavioural sleep medicine intervention targeting healthy eating and physical activity: a randomised controlled trial

Experiences of noninvasive ventilation in adults with hypercapnic respiratory failure: a review of evidence

Patient and Partner Experiences With Obstructive Sleep Apnea and CPAP Treatment: A Qualitative Analysis

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