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

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

6 Citations (Scopus)

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
DOIs	https://doi.org/10.1016/j.jsmc.2020.10.006
Publication status	Published - Mar 2021
Externally published	Yes

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

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

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.",

keywords = "adherence, behavioral interventions, cognitive behavioral therapy, compliance, obstructive sleep apnea, psychoeducation, psychosocial factors, sleep-disordered breathing",

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AU - D'Rozario, Angela L.

AU - Galgut, Yael

AU - Crawford, Megan R.

AU - Bartlett, Delwyn J.

PY - 2021/3

Y1 - 2021/3

N2 - 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.

AB - 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.

KW - adherence

KW - behavioral interventions

KW - cognitive behavioral therapy

KW - compliance

KW - obstructive sleep apnea

KW - psychoeducation

KW - psychosocial factors

KW - sleep-disordered breathing

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DO - 10.1016/j.jsmc.2020.10.006

M3 - Review article

C2 - 33485523

SN - 1556-407X

VL - 16

SP - 101

EP - 124

JO - Sleep Medicine Clinics

JF - Sleep Medicine Clinics

IS - 1

ER -

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

Abstract

Keywords

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