Summary and update on behavioral interventions for improving adherence with positive airway pressure treatment in adults

Angela L. D'Rozario; Yael Galgut; Megan R. Crawford; Delwyn J. Bartlett

doi:10.1016/j.jsmc.2020.10.006

Summary and update on behavioral interventions for improving adherence with positive airway pressure treatment in adults

Angela L. D'Rozario^*, Yael Galgut, Megan R. Crawford, Delwyn J. Bartlett

^*Corresponding author for this work

Psychology

Research output: Contribution to journal › Review article › peer-review

5 Citations (Scopus)

29 Downloads (Pure)

Abstract

Continuous positive airway pressure (PAP) is still the most efficacious treatment for obstructive sleep apnea when used effectively. Since the availability of PAP 39 years ago there have been considerable technological advances, such as quieter, lighter and smaller machines with better humidification. However, adherence to treatment is still a major problem. This article reviews studies published on behavioral interventions aimed at improving the uptake and maintenance of PAP treatment (January 2016–February 2020). It discusses underlying factors in the poor uptake and discontinuation of treatment and the role of qualitative research to better understand the perspective of the patients.

Original language	English
Pages (from-to)	101-124
Number of pages	24
Journal	Sleep Medicine Clinics
Volume	16
Issue number	1
Early online date	19 Dec 2020
DOIs	https://doi.org/10.1016/j.jsmc.2020.10.006
Publication status	Published - 1 Mar 2021

Funding

This work was supported by an Australian National Health and Medical Research Council (NHMRC)/ Australian Research Council (ARC) Fellowship to ALD (GNT1107716). Sincere thanks to Ms YuXin Kwan, CPAP Therapy Coordinator, Woolcock Clinic for sharing her experiences and providing input on the clinical care points.

Keywords

Adherence
Behavioral interventions
Cognitive behavioral therapy
Compliance
Obstructive sleep apnea
Psychoeducation
Psychosocial factors
Sleep-disordered breathing

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10.1016/j.jsmc.2020.10.006

DRozario-etal-SMC-2021-behavioral-interventions-for-improving-adherence-with-positive-airway-pressure-treatment-in-adultsAccepted author manuscript, 666 KBLicence: CC BY-NC-ND 4.0

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KW - Psychoeducation

KW - Psychosocial factors

KW - Sleep-disordered breathing

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Summary and update on behavioral interventions for improving adherence with positive airway pressure treatment in adults

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