title: User Compliance and Behavioral Adaptation Associated With Supine Avoidance Therapy.
abstract: This study investigates behavioral adaptation to vibrotactile position-avoidance therapy during sleep in patients with obstructive sleep apnea (n =135) across 15 to 52 weeks. The overall compliance, based on nights used ≥ 4 hr, was 71%. Overall regular use, that is, ≥ 4 hr/night over 70% of nights, was 88%. Poor early compliance strongly predicted poor long-term treatment adherence, with 92% of those noncompliant across the first 12 weeks of therapy remaining noncompliant. Conversely, 21% of those with compliant utilization in the short term became noncompliant in the long term. It appears that patients do not habituate to the stimulus during sleep, nor was there a training effect associated with long-term use.
authors.affiliation: a Advanced Brain Monitoring, Inc ., Carlsbad , California , USA.
authors.forename: Daniel
authors.identifier: 0000-0003-1278-6349
authors.initials: D
authors.lastname: Levendowski
authors.affiliation: b Melbourne Sleep Disorders Centre , Melbourne , Australia.
authors.forename: David
authors.initials: D
authors.lastname: Cunnington
authors.affiliation: b Melbourne Sleep Disorders Centre , Melbourne , Australia.
authors.forename: John
authors.identifier: 0000-0001-8281-4048
authors.initials: J
authors.lastname: Swieca
authors.affiliation: a Advanced Brain Monitoring, Inc ., Carlsbad , California , USA.
authors.forename: Philip
authors.initials: P
authors.lastname: Westbrook
mesh_terms: D000223:Adaptation, Psychological; D001362:Avoidance Learning; D006801:Humans; D008297:Male; D010349:Patient Compliance; D012189:Retrospective Studies; D012890:Sleep; D020181:Sleep Apnea, Obstructive / Q000523:psychology* / Q000628:therapy*; D016683:Supine Position