title: Patient-Provider Communication With Older Adults About Sleep Apnea Diagnosis and Treatment.
abstract: Patient-provider communication impacts adherence to therapy. We explored older adults' communication with their providers, preferences for communication, and views on communication attributes and decision aid characteristics, by conducting four focus groups. Several participants reported they had received insufficient information about their sleep apnea diagnosis and treatment options. Most participants felt that it would be helpful to have treatment information tailored to their needs, including information on the negative impact of treatment on comfort and convenience and disclosure about common barriers to adherence. Participants provided desired characteristics for a decision aid, including their preferred delivery method, content, and format. These findings have implications for how to design useful decision aids for older adults with newly diagnosed sleep apnea.
authors.affiliation: a VA Greater Los Angeles Healthcare System , North Hills , California.|b Division of Geriatrics , David Geffen School of Medicine, University of California at Los Angeles , North Hills , California.
authors.forename: Constance H
authors.initials: CH
authors.lastname: Fung
authors.affiliation: a VA Greater Los Angeles Healthcare System , North Hills , California.|b Division of Geriatrics , David Geffen School of Medicine, University of California at Los Angeles , North Hills , California.
authors.forename: Cathy
authors.initials: C
authors.lastname: Alessi
authors.affiliation: a VA Greater Los Angeles Healthcare System , North Hills , California.|b Division of Geriatrics , David Geffen School of Medicine, University of California at Los Angeles , North Hills , California.
authors.forename: Cindy
authors.initials: C
authors.lastname: Truong
authors.affiliation: c Department of Medicine , VA Greater Los Angeles Healthcare System , North Hills , California.
authors.forename: Karen
authors.initials: K
authors.lastname: Josephson
authors.affiliation: d Division of General Internal Medicine and Health Services Research, Department of Medicine , University of California at Los Angeles , Los Angeles , California.
authors.forename: Ron D
authors.initials: RD
authors.lastname: Hays
authors.affiliation: e Center of Excellence in the Neurosciences , University of New England , Biddeford , Maine.
authors.forename: Nananda
authors.initials: N
authors.lastname: Col
authors.affiliation: f School of Health and Rehabilitation Sciences , Ohio State University , Columbus , Ohio.
authors.forename: Emily S
authors.initials: ES
authors.lastname: Patterson
authors.affiliation: a VA Greater Los Angeles Healthcare System , North Hills , California.|b Division of Geriatrics , David Geffen School of Medicine, University of California at Los Angeles , North Hills , California.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Martin
mesh_terms: D000368:Aged; D003142:Communication; D003661:Decision Support Techniques; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D010349:Patient Compliance; D010817:Physician-Patient Relations; D012891:Sleep Apnea Syndromes / Q000175:diagnosis* / Q000628:therapy*