An adaptive treatment to improve positive airway pressure (PAP) adherence in patients with obstructive sleep apnea: a proof of concept trial

Jamie A. Cvengros, Vivian M. Rodríguez, Sarah Snyder, Megan M. Hood, Megan Crawford, Margaret Park

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Despite the benefits of positive airway pressure (PAP) treatment, rates of adherence to treatment are suboptimal. This proof-of-concept study assessed the feasibility, acceptability, and clinical significance of an adaptive treatment strategy to improve adherence to PAP. All participants first completed a brief educational intervention. Those who did not show at least a 25% increase in PAP use were randomized to receive a second, more intensive intervention, either motivational enhancement treatment or self-management treatment. Results suggested adequate feasibility and acceptability. In addition, participants demonstrated significant increases in objective PAP use, improvements in sleep quality, and decreases in daytime sleepiness. This study represents a first step in the development and validation of an adaptive treatment strategy to improve PAP adherence.

Original languageEnglish
Pages (from-to)345-360
Number of pages16
JournalBehavioral Sleep Medicine
Issue number5
Early online date20 Apr 2016
Publication statusPublished - 3 Sep 2017


  • positive airway pressure
  • proof-of-concept study
  • adaptive treatment strategy
  • obstructive sleep apnea

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