title: Brief behavioral therapies reduce early positive airway pressure discontinuation rates in sleep apnea syndrome: preliminary findings.
abstract: Sleep apnea syndrome (SAS) is a serious disorder with significant daytime consequences. Treatment for SAS most commonly takes the form of positive airway pressure (PAP). Although effective, PAP adherence is often below expectations. Previous studies have suggested that the provision of information on the importance of PAP use can enhance adherence. In this study, we compare 2 brief behavioral approaches-traditional education (ED) and a motivational enhancement therapy (MET)-designed from theories of behavior change to standard clinical care. PAP discontinuation and adherence are the primary outcome measures. Both brief therapies decreased PAP discontinuation compared to standard care. The MET therapy performed best under the condition of flexible delivery of PAP, although differences were not statistically significant. Implications are discussed.
authors: Department of Psychiatry and Human Behavior, Brown Medical School. aloiam@njc.org
authors: Mark S
authors: MS
authors: Aloia
authors: Kevin
authors: K
authors: Smith
authors: J Todd
authors: JT
authors: Arnedt
authors: Richard P
authors: RP
authors: Millman
authors: Michael
authors: M
authors: Stanchina
authors: Carol
authors: C
authors: Carlisle
authors: Jacki
authors: J
authors: Hecht
authors: Belinda
authors: B
authors: Borrelli
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D001521:Behavior Therapy / Q000379:methods*; D045422:Continuous Positive Airway Pressure / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011237:Predictive Value of Tests; D011614:Psychotherapy, Brief; D012720:Severity of Illness Index; D020181:Sleep Apnea, Obstructive / Q000628:therapy*; D013997:Time Factors; D016312:Treatment Refusal / Q000706:statistics & numerical data*