An Adaptive Treatment to Improve Positive Airway Pressure (PAP) Adherence in Patients With Obstructive Sleep Apnea: A Proof of Concept Trial.
Despite the benefits of positive airway pressure (PAP) treatment, rates of adherence to treatment are suboptimal. This proof-of-concept study assessed the feasibility, acceptability, and clinical significance of an adaptive treatment strategy to improve adherence to PAP. All participants first completed a brief educational intervention. Those who did not show at least a 25% increase in PAP use were randomized to receive a second, more intensive intervention, either motivational enhancement treatment or self-management treatment. Results suggested adequate feasibility and acceptability. In addition, participants demonstrated significant increases in objective PAP use, improvements in sleep quality, and decreases in daytime sleepiness. This study represents a first step in the development and validation of an adaptive treatment strategy to improve PAP adherence.
a Rush Sleep Disorders Service and Research Center , Rush University Medical Center , Chicago , Illinois.
Jamie A
JA
Cvengros
b Department of Psychiatry and Behavioral Sciences , Memorial Sloan-Kettering Cancer Center , New York , New York.
Vivian M
VM
Rodríguez
a Rush Sleep Disorders Service and Research Center , Rush University Medical Center , Chicago , Illinois.
Sarah
S
Snyder
c Department of Behavioral Sciences , Rush University Medical Center , Chicago , Illinois.
Megan M
MM
Hood
a Rush Sleep Disorders Service and Research Center , Rush University Medical Center , Chicago , Illinois.
Megan
M
Crawford
a Rush Sleep Disorders Service and Research Center , Rush University Medical Center , Chicago , Illinois.
Margaret
M
Park
D001521:Behavior Therapy; D045422:Continuous Positive Airway Pressure / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010349:Patient Compliance; D020181:Sleep Apnea, Obstructive / Q000523:psychology* / Q000628:therapy*; D012894:Sleep Stages / Q000502:physiology