title: Efficiency of a phone coaching program on adherence to continuous positive airway pressure in sleep apnea hypopnea syndrome: a randomized trial.
abstract: BACKGROUND
  Continuous Positive Airway Pressure (CPAP) remains the reference treatment for moderate to severe forms of the Sleep Apnea/Hypopnea Syndrome (SAHS). Compliance to the treatment appears to be a key factor to improving health status of these patients.
  
  
  METHODS
  We conducted a multicenter, prospective, randomized, controlled, parallel group trial of standard support completed or not within 3 months of coaching sessions for newly diagnosed SAHS patients starting CPAP therapy. This study has been recorded by AFSSAPS with the RCB number: 2009-A01127-50 and received favourably by the Human Studies Committee in France. The coaching session consisted of 5 sessions of telephone-based counselling by competent staff. The primary outcome was the proportion of patients using CPAP more than 3 h per night for 4 months; the secondary outcome was mean hours of CPAP usage in the 2 groups.
  
  
  RESULTS
  Three hundred and seventy-nine patients fulfilled the inclusion criteria and were randomized. The percentage of patients using CPAP more than 3 h per night for 4 months was 65 % for the standard support group and 75 % for the coached group. This difference reached a statistical significance (χ2 = 3.97). The mean CPAP usage was increased in the coached group versus standard group. A difference of 26 min was observed (4 h34+/-2 h17 and 4 h08+/-2 h25 respectively, p = 0.04).
  
  
  CONCLUSIONS
  This study shows that SAHS patients who benefit from phone coaching are statistically more compliant to CPAP than a standard support group is. A simple phone coaching procedure based on knowledge of the disease and reinforcement messages about treatment benefits helps to improve CPAP adherence in SAHS patients.
  
  
  BACKGROUND
  NCT02435355.
authors.affiliation: Service de pneumologie - allergologie, hôpital Larrey, CHU de Toulouse, chemin de Pouvourville, 31059, Toulouse, France. sedkaoui.k@chu-toulouse.fr.
authors.forename: Kamila
authors.initials: K
authors.lastname: Sedkaoui
authors.affiliation: SADIR association, oncopole, 2 place Pierre Potier, CS 40623, 31106, Toulouse cedex 1, France. lleseux@sadir.asso.fr.
authors.forename: Ludivine
authors.initials: L
authors.lastname: Leseux
authors.affiliation: Service de pneumologie - allergologie, hôpital Larrey, CHU de Toulouse, chemin de Pouvourville, 31059, Toulouse, France. pontier.s@chu-toulouse.fr.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Pontier
authors.affiliation: SADIR assistance, oncopole, 2 place Pierre Potier, CS 40623, 31106, Toulouse cedex 1, France. nrossin@sadir-assistance.com.
authors.forename: Nicole
authors.initials: N
authors.lastname: Rossin
authors.affiliation: SADIR association, oncopole, 2 place Pierre Potier, CS 40623, 31106, Toulouse cedex 1, France. paul.leo@free.fr.
authors.forename: Paul
authors.initials: P
authors.lastname: Leophonte
authors.affiliation: SADIR assistance, oncopole, 2 place Pierre Potier, CS 40623, 31106, Toulouse cedex 1, France. jlfraysse@sadir-assistance.com.
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Fraysse
authors.affiliation: Service de pneumologie - allergologie, hôpital Larrey, CHU de Toulouse, chemin de Pouvourville, 31059, Toulouse, France. didier.a@chu-toulouse.fr.
authors.forename: Alain
authors.initials: A
authors.lastname: Didier
mesh_terms: D000368:Aged; D045422:Continuous Positive Airway Pressure; D005260:Female; D005602:France; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D011446:Prospective Studies; D019114:Remote Consultation / Q000379:methods*; D020181:Sleep Apnea, Obstructive / Q000628:therapy*; D011795:Surveys and Questionnaires; D013689:Telephone; D016896:Treatment Outcome