title: Spousal involvement and CPAP adherence: a dyadic perspective.
abstract: Poor adherence to continuous positive airway pressure (CPAP) treatment is associated with substantial health care costs, morbidity and mortality, and has been a leading obstacle in the effective management of obstructive sleep apnea (OSA). Successful interventions to improve CPAP adherence may ultimately include a variety of components. For patients living with spouses (refers to all domestic partners), the spouse will likely be an integral component to any successful intervention. Developing understanding of the role of spouses in adherence to CPAP has been identified to be a critical research need. This review expands the investigation of CPAP adherence to a broader context, from an exclusive focus on individual patients to a dyadic perspective encompassing both patients and their spouses. A conceptual framework based on social support and social control theories is proposed to understand spousal involvement in CPAP adherence. Methodologies for future investigations are discussed, along with implications for developing interventions that engage both patients and their spouses to improve CPAP use.
authors.affiliation: Boston College, William F. Connell School of Nursing, Chestnut Hill, MA, USA. Electronic address: yel@bc.edu.
authors.forename: Lichuan
authors.initials: L
authors.lastname: Ye
authors.affiliation: University of California San Diego School of Medicine, La Jolla, CA, USA.
authors.forename: Atul
authors.initials: A
authors.lastname: Malhotra
authors.affiliation: University of Louisville Kent School of Social Work, Louisville, KY, USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Kayser
authors.affiliation: Boston College, William F. Connell School of Nursing, Chestnut Hill, MA, USA.
authors.forename: Danny G
authors.initials: DG
authors.lastname: Willis
authors.affiliation: Thomas Jefferson University School of Nursing, Philadelphia, PA, USA.
authors.forename: June A
authors.initials: JA
authors.lastname: Horowitz
authors.affiliation: National Jewish Health, Denver, CO, USA.
authors.forename: Mark S
authors.initials: MS
authors.lastname: Aloia
authors.affiliation: University of Illinois at Chicago, College of Nursing, Chicago, IL, USA.
authors.forename: Terri E
authors.initials: TE
authors.lastname: Weaver
mesh_terms: D000223:Adaptation, Psychological; D045422:Continuous Positive Airway Pressure / Q000523:psychology*; D006801:Humans; D010349:Patient Compliance / Q000523:psychology*; D020181:Sleep Apnea, Obstructive / Q000523:psychology* / Q000628:therapy*; D018454:Spouses / Q000523:psychology*; D016896:Treatment Outcome
keywords: Continuous positive airway pressure; Lung; Obstructive sleep apnea; Spousal involvement; Treatment adherence