title: [Effects of an educational program in non-adherent apneic patients treated with continuous positive airway pressure].
abstract: BACKGROUND
  Obstructive Sleep Apnea (OSA) is a chronic, frequent pathology impacting patients' quality of life. Continuous positive airways pressure (CPAP) is the most effective treatment, but is often considered binding and thus poorly observed. The aim of this study was to assess the impact of an educational program in non-adherent patients with OSA, to identify the factors of inobservance and to determine risk groups.
  
  
  METHODS
  We enrolled 21 patients presenting OSA in this monocentric, forward-looking study. Nineteen patients completed the study. The inclusion criterion was a daily observance less than 4 hours a night. Educational program was realized by a specialized, trained team, with the authorization of the Regional Agency of Health.
  
  
  RESULTS
  Our population consisted of 15 male and six female, all of them obese, with a medium age of 57.7 ± 12.9 years, treated for 10,7 ± 15 months. All of our patients had few symptoms. After the educational program, two groups were individualized according to their observance. Fifty-two percent of patients became compliant to CPAP treatment. Demographic data and medical histories did not differ between these two groups: nine patients remained inobservant (medium daily treatment duration of 57 ± 49 minutes); ten patients became observant (medium daily treatment duration raising from 104 ± 70 minutes to 322 ± 65 minutes, P=0.0002). Among these ten patients, seven were considered as having accepted their disease at initial educational diagnosis.
  
  
  CONCLUSIONS
  The educational program improved adherence to CPAP treatment in 52% of our patients. All included patients had few symptoms. This could raise the issue of a poorer perception of treatment efficacy in less symptomatic patients. Disease acceptance also appeared linked to CPAP treatment compliance.
authors.affiliation: Service de Pneumologie et Immuno-Allergologie, Université de Lille-2, Clinique des Maladies Respiratoires, Hôpital A.-Calmette, 59037 Lille Cedex, France.
authors.forename: M-C
authors.initials: MC
authors.lastname: Willemin
authors.forename: S
authors.initials: S
authors.lastname: Fry
authors.forename: S
authors.initials: S
authors.lastname: Peres
authors.forename: B
authors.initials: B
authors.lastname: Wallaert
authors.forename: A
authors.initials: A
authors.lastname: Mallart
mesh_terms: D000328:Adult; D000368:Aged; D045422:Continuous Positive Airway Pressure / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D005602:France; D006699:Home Care Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology; D010353:Patient Education as Topic; D017286:Polysomnography; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology; D012307:Risk Factors; D020181:Sleep Apnea, Obstructive / Q000523:psychology / Q000628:therapy*