Interventions to improve use of continuous positive airway pressure for obstructive sleep apnoea

Effect of a Heated Breathing Tube on Efficacy, Adherence and Side Effects during Continuous Positive Airway Pressure Therapy in Obstructive Sleep Apnea

“…It can be speculated that after 12 months the patients with a conventional humidifier became accustomed to the condensation in the interface, although this was not verified in the study. Nevertheless, the patients with the heated breathing tube used their treatment on average 1 h longer per night, which indicates a notable improvement in adherence and could hardly be attained in previous studies by treatment modification [17,18,19]. The difference did not reach statistical significance, but it was close to significance.…”

Effect of a Heated Breathing Tube on Efficacy, Adherence and Side Effects during Continuous Positive Airway Pressure Therapy in Obstructive Sleep Apnea

“…It can be speculated that after 12 months the patients with a conventional humidifier became accustomed to the condensation in the interface, although this was not verified in the study. Nevertheless, the patients with the heated breathing tube used their treatment on average 1 h longer per night, which indicates a notable improvement in adherence and could hardly be attained in previous studies by treatment modification [17,18,19]. The difference did not reach statistical significance, but it was close to significance.…”

Subjective HRQoL in Patients with Sleep Apnea Syndrome Who Underwent PAP Therapy in a Rehabilitation Setting: A Longitudinal Study

“…Concerning BMI, our values (31.1 ± 6.6 vs. 27.7 ± 5.7, p = 0.001) are consistent with those found by Ersözlü et al (34.4 ± 5.9 vs. 29.4 ± 4.0) [23] in patients with similar AHI. Between groups, there was a significant difference in sleepiness symptoms (5.6 ± 3.8 vs. 4.3 ± 3.5, p = 0.008) according to ESS scores, even if both groups were identified as not sleepy differently from the majority of the existing relevant literature [24,25].…”

“…Furthermore, a significant improvement emerged in HRQoL comparing EQ VAS scores at T0 and T1 (73.6 ± 16.8 vs. 84.8 ± 15.2, p < 0.0001), and, as aforementioned, between T0 and T2 (73.6 ± 16.8, vs. 82.1 ± 18.2, p = 0.012). The positive impact that PAP therapy might have on HRQoL is well-known in the literature [2,24,33], and the absence of differences in EQ VAS between T1 and T2 (84.8 ± 15.2 vs. 82.1 ± 18.2, p = 0.47) could indicate the maintenance of the positive effect over time, specifically after one year from rehabilitative hospitalization. However, the absence of a control group without PAP treatment prevents assigning the betterment of HRQoL only to multidisciplinary rehabilitation and PAP.…”

Efficiency of a phone coaching program on adherence to continuous positive airway pressure in sleep apnea hypopnea syndrome: a randomized trial

“…Our program was focused on exploring the knowledge of the disease by the patient and on motivation reinforcement by highlighting benefits of the CPAP. Two meta-analyses [ 29 , 30 ] examined factors that improve compliance in SAHS patients and confirmed that the understanding of the disease is one of the key factors for treatment success. Interestingly, Trupp et al [ 20 ] tested negative framing messages emphasizing negative consequences that may occur if CPAP was not worn and found this strategy superior to delivering positive messages about benefit of regular CPAP use.…”

Effect of a Heated Breathing Tube on Efficacy, Adherence and Side Effects during Continuous Positive Airway Pressure Therapy in Obstructive Sleep Apnea

“…It can be speculated that after 12 months the patients with a conventional humidifier became accustomed to the condensation in the interface, although this was not verified in the study. Nevertheless, the patients with the heated breathing tube used their treatment on average 1 h longer per night, which indicates a notable improvement in adherence and could hardly be attained in previous studies by treatment modification [17,18,19]. The difference did not reach statistical significance, but it was close to significance.…”

Subjective HRQoL in Patients with Sleep Apnea Syndrome Who Underwent PAP Therapy in a Rehabilitation Setting: A Longitudinal Study

“…Concerning BMI, our values (31.1 ± 6.6 vs. 27.7 ± 5.7, p = 0.001) are consistent with those found by Ersözlü et al (34.4 ± 5.9 vs. 29.4 ± 4.0) [23] in patients with similar AHI. Between groups, there was a significant difference in sleepiness symptoms (5.6 ± 3.8 vs. 4.3 ± 3.5, p = 0.008) according to ESS scores, even if both groups were identified as not sleepy differently from the majority of the existing relevant literature [24,25].…”

“…Furthermore, a significant improvement emerged in HRQoL comparing EQ VAS scores at T0 and T1 (73.6 ± 16.8 vs. 84.8 ± 15.2, p < 0.0001), and, as aforementioned, between T0 and T2 (73.6 ± 16.8, vs. 82.1 ± 18.2, p = 0.012). The positive impact that PAP therapy might have on HRQoL is well-known in the literature [2,24,33], and the absence of differences in EQ VAS between T1 and T2 (84.8 ± 15.2 vs. 82.1 ± 18.2, p = 0.47) could indicate the maintenance of the positive effect over time, specifically after one year from rehabilitative hospitalization. However, the absence of a control group without PAP treatment prevents assigning the betterment of HRQoL only to multidisciplinary rehabilitation and PAP.…”

Efficiency of a phone coaching program on adherence to continuous positive airway pressure in sleep apnea hypopnea syndrome: a randomized trial

“…Our program was focused on exploring the knowledge of the disease by the patient and on motivation reinforcement by highlighting benefits of the CPAP. Two meta-analyses [ 29 , 30 ] examined factors that improve compliance in SAHS patients and confirmed that the understanding of the disease is one of the key factors for treatment success. Interestingly, Trupp et al [ 20 ] tested negative framing messages emphasizing negative consequences that may occur if CPAP was not worn and found this strategy superior to delivering positive messages about benefit of regular CPAP use.…”

Effect of a Heated Breathing Tube on Efficacy, Adherence and Side Effects during Continuous Positive Airway Pressure Therapy in Obstructive Sleep Apnea

“…It can be speculated that after 12 months the patients with a conventional humidifier became accustomed to the condensation in the interface, although this was not verified in the study. Nevertheless, the patients with the heated breathing tube used their treatment on average 1 h longer per night, which indicates a notable improvement in adherence and could hardly be attained in previous studies by treatment modification [17,18,19]. The difference did not reach statistical significance, but it was close to significance.…”

Subjective HRQoL in Patients with Sleep Apnea Syndrome Who Underwent PAP Therapy in a Rehabilitation Setting: A Longitudinal Study

“…Concerning BMI, our values (31.1 ± 6.6 vs. 27.7 ± 5.7, p = 0.001) are consistent with those found by Ersözlü et al (34.4 ± 5.9 vs. 29.4 ± 4.0) [23] in patients with similar AHI. Between groups, there was a significant difference in sleepiness symptoms (5.6 ± 3.8 vs. 4.3 ± 3.5, p = 0.008) according to ESS scores, even if both groups were identified as not sleepy differently from the majority of the existing relevant literature [24,25].…”

“…Furthermore, a significant improvement emerged in HRQoL comparing EQ VAS scores at T0 and T1 (73.6 ± 16.8 vs. 84.8 ± 15.2, p < 0.0001), and, as aforementioned, between T0 and T2 (73.6 ± 16.8, vs. 82.1 ± 18.2, p = 0.012). The positive impact that PAP therapy might have on HRQoL is well-known in the literature [2,24,33], and the absence of differences in EQ VAS between T1 and T2 (84.8 ± 15.2 vs. 82.1 ± 18.2, p = 0.47) could indicate the maintenance of the positive effect over time, specifically after one year from rehabilitative hospitalization. However, the absence of a control group without PAP treatment prevents assigning the betterment of HRQoL only to multidisciplinary rehabilitation and PAP.…”

Efficiency of a phone coaching program on adherence to continuous positive airway pressure in sleep apnea hypopnea syndrome: a randomized trial

“…Our program was focused on exploring the knowledge of the disease by the patient and on motivation reinforcement by highlighting benefits of the CPAP. Two meta-analyses [ 29 , 30 ] examined factors that improve compliance in SAHS patients and confirmed that the understanding of the disease is one of the key factors for treatment success. Interestingly, Trupp et al [ 20 ] tested negative framing messages emphasizing negative consequences that may occur if CPAP was not worn and found this strategy superior to delivering positive messages about benefit of regular CPAP use.…”