scholarly journals CPAP Treatment Adherence in Women with Obstructive Sleep Apnea

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
E. Libman ◽  
S. Bailes ◽  
C. S. Fichten ◽  
D. Rizzo ◽  
L. Creti ◽  
...  
Keyword(s):  
Primary Care ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Treatment Adherence ◽  
Positive Airway Pressure ◽  
Daytime Functioning ◽  
Research Attention ◽  
Obstructive Sleep ◽  
Health Related ◽  
Nocturnal Polysomnography

Untreated obstructive sleep apnea (OSA) has numerous negative health-related consequences. Continuous positive airway pressure (CPAP) is generally considered the treatment of choice for OSA, but rates of nonadherence are high. It is believed that OSA is more prevalent among men; therefore understanding how OSA presents among women is limited and treatment adherence has received little research attention. For this study, 29 women were recruited from primary care offices. They completed a questionnaire battery and underwent a night of nocturnal polysomnography (PSG) followed by a visit with a sleep specialist. Women diagnosed with OSA were prescribed CPAP; 2 years later CPAP adherence was evaluated. Results show that approximately half the sample was adherent. There were no significant differences between adherent and nonadherent women on OSA severity; however CPAP adherent women had worse nocturnal and daytime functioning scores at the time of diagnosis. Moreover, when the seven nocturnal and daytime variables were used as predictors in a discriminant analysis, they could predict 87% of adherent and 93% of the nonadherent women. The single most important predictor was nonrefreshing sleep. We discuss the implications of the findings for identifying women in primary care with potential OSA and offer suggestions for enhancing treatment adherence.

scholarly journals Impact of the Novel Coronavirus Disease (COVID-19) on Treatment Adherence and Sleep Duration in Obstructive Sleep Apnea Patients Treated with Positive Airway Pressure

2020 ◽  
Author(s):  
Salma Batool-Anwar ◽  
Olabimpe S. Omobomi ◽  
Stuart F. Quan
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Treatment Adherence ◽  
Sleep Duration ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Obstructive Sleep ◽  
Number Of Patients ◽  
Significant Difference ◽  
Adherence Data

AbstractObjectiveTo examine the effect of COVID-19 on treatment adherence and self-reported sleep duration among patients with Obstructive Sleep Apnea (OSA) treated with positive airway pressure (PAP) therapy.MethodsRetrospective review of medical records of patients seen in Sleep and Circadian Clinic at Brigham Health during the immediate period of one month after the national lockdown was announced on March 15, 2020. Patients with OSA were included only if PAP adherence data was available in the 12-months prior and in the month after the lockdown. Patients with other sleep disorders and OSA patients without the adherence data were excluded.ResultsMean age was 63.5± 13.9 years, 55% of the participants were men, and mean BMI was 31.8 ± 7.9 kg/m2. Severe OSA was noted among 59.5% compared to 29.3% moderate, and 11.2% mild OSA. Increased number of patients reported insomnia after the lockdown (41% vs 48%, p= 0.02). Gender stratification noted worsening insomnia only among women. There was no significant difference in PAP adherence as measured by the hours of use, self-reported sleep duration or in the use of sleep medications.ConclusionPost COVID-19 lockdown had a negative impact on sleep as evidenced by increased reporting of insomnia particularly among women, but no impact on PAP adherence or self-reported sleep duration.

scholarly journals Adequate health literacy is associated with adherence to continuous positive airway pressure in adults with obstructive sleep apnea

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Claire M Ellender ◽  
Sebastian Le Feuvre ◽  
Mary Boyde ◽  
Brett Duce ◽  
Sara Winter ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Health Literacy ◽  
Sleep Apnea ◽  
Continuous Positive Airway Pressure ◽  
Treatment Adherence ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Adequate Health Literacy ◽  
Obstructive Sleep ◽  
Inadequate Health Literacy

Abstract Study Objectives Obstructive sleep apnea (OSA) is a chronic disease with significant health implications and adequate adherence to continuous positive airway pressure (CPAP) is essential for effective treatment. In many chronic diseases, health literacy has been found to predict treatment adherence and outcomes. In this study, the aim was to determine the health literacy of a sleep clinic population and evaluate the association between health literacy and CPAP adherence. Methods A prospective cohort study was undertaken, recruiting 104 consecutive patients with a variety of sleep diagnoses. The Short Form Rapid Estimate of Adult Literacy in Medicine (REALM-SF), a validated questionnaire, was administered to measure health literacy. In a sub-group of 91 patients prescribed CPAP for OSA, CPAP usage was measured, with adequate usage defined as greater than 4 h/night CPAP therapy. Results Seventy-one percent of the sleep clinic cohort was found to have adequate health literacy, as measured by the REALM-SF. In those prescribed CPAP for OSA, inadequate health literacy was associated with a twofold increased risk for inadequate CPAP usage (adjusted odds ratio [OR] 2.9, 95% CI: 1.1 to 8.22, p = 0.045). There was a 1.7 h/night difference in median CPAP usage comparing those with adequate to inadequate health literacy (4.6 h vs. 6.3 h/night). Conclusions The majority of this sleep disorders cohort had adequate health literacy as measured by the REALM-SF questionnaire. However, inadequate health literacy appears to be an independent predictor of treatment adherence and may represent a modifiable risk factor of poor treatment outcomes in OSA.

scholarly journals Insomnia complaints in lean patients with obstructive sleep apnea negatively affect positive airway pressure treatment adherence

2016 ◽  
Vol 26 (2) ◽  
pp. 159-165 ◽  
Author(s):  
Bjorg Eysteinsdottir ◽  
Thorarinn Gislason ◽  
Allan I. Pack ◽  
Bryndís Benediktsdottir ◽  
Erna S. Arnardottir ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Treatment Adherence ◽  
Airway Pressure ◽  
Positive Airway Pressure ◽  
Pressure Treatment ◽  
Obstructive Sleep ◽  
Insomnia Complaints
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