Devoted or negotiated routes of adherence: Narratives of patients with obstructive sleep apnoea using a continuous positive airway pressure device

Møkleby, Margareta; Mengshoel, Anne Marit

doi:10.1002/nop2.325

Cited by 3 publications

(1 citation statement)

References 35 publications

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“…There is thus a need to gain insight into the patient's experiences earlier in the process to improve support from healthcare professionals, increase the number of highadherence patients, and achieve knowledge on patients' experiences using PAP where PAP treatment is not yet established and successful. Cultural differences may affect clinical practice as well as the experience of PAP treatment, and only one of the studies was from Scandinavia (24). Furthermore, only six of the included twenty-ve studies were published during the past six years (2017-2019 ( 23…”

Section: Introductionmentioning

confidence: 99%

Patients’ experiences of barriers and facilitators with continuous positive airway pressure therapy in obstructive sleep apnoea – a qualitative interview study

Jeppesen,

Good,

Dyrhaug

et al. 2024

Preprint

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Background: The prevalence of obstructive sleep apnoea ranges from 6% to 17% in the general adult population. Untreated obstructive sleep apnoea is associated with cardiovascular disease, diabetes, traffic accidents, and decreased quality of life. Continuous positive airway pressure (CPAP) therapy is the gold standard for treating obstructive sleep apnoea. However, only approximately half of all treated patients succeed with this therapy. There is a lack of knowledge about the patient experience of CPAP treatment and the barriers and facilitators to successful CPAP treatment. The study aimed to explore how newly diagnosed patients with OSA experience receiving the diagnosis, their motivation for treatment, and essential factors for successful CPAP treatment. Methods: A qualitative design using individual semi-structured interviews was applied. Patients with successful (n=10) and unsuccessful (n=9) treatment were interviewed. Qualitative Content Analysis inspired by Graneheim and Lundman was used. Results: The analysis derived five themes: “Symptoms and thoughts about the diagnosis and CPAP treatment”, “Expectations and personal resources are important for success”, “The experience of problems and benefit from CPAP treatment”, “Social impact of CPAP treatment” and “Information and support from the sleep clinic.” Conclusions: Newly diagnosed patients with obstructive sleep apnoea describe barriers to successful CPAP treatment as lack of support from their partner and problems with the equipment. Important facilitators are positive expectations, partner support, and noticeable treatment effects. Early follow-up support, a biopsychosocial approach, and relatives' involvement in the sleep clinic consultations are needed to support patients toward successful CPAP treatment.

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Section: Introductionmentioning

confidence: 99%

Patients’ experiences of barriers and facilitators with continuous positive airway pressure therapy in obstructive sleep apnoea – a qualitative interview study

Jeppesen,

Good,

Dyrhaug

et al. 2024

Preprint

View full text Add to dashboard Cite

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Experiences of using positive airway pressure for treatment of obstructive sleep apnea: a systematic review and thematic synthesis

Brown

Jones

Algorta

2021

Sleep

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Study objectives Sub-optimal use of positive airway pressure (PAP) to treat obstructive sleep apnoea (OSA) continues to be a major challenge to effective treatment. Meanwhile, the individual and societal impacts of untreated OSA make effective treatment a priority. Although extensive research has been conducted into factors that impact PAP use, it is estimated that at least half of users do not use it as prescribed. However, the voice of users is notably minimal in the literature. A systematic review and qualitative metasynthesis of PAP user experience was conducted to contribute to understandings of how PAP is experienced and to inform how usage could be improved. Methods PsycINFO, MEDLINE, CINAHL and EMBASE databases were systematically searched. Primary research findings of adult experiences using PAP that had been inductively analysed were included. Papers were critically appraised using the CASP qualitative checklist to generate a “hierarchy of evidence”. Thematic synthesis was then conducted to generate analytical themes. Results were presented in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Results 25 papers reporting on over 398 people’s experiences were analysed to generate 4 themes: Journey to PAP, Discomfort from and around PAP, Adapting to and using PAP, and Benefits from PAP. Author reflexivity and vulnerability to bias is acknowledged. Conclusions The findings highlight the applicability of a biopsychosocial understanding to PAP use. This metasynthesis gave voice to user experiences, revealing barriers to PAP use at a healthcare service level across the world, and suggests ways services can address these barriers.

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Outcomes Important to Patients Diagnosed with Both COPD and Sleep Apnea: Findings from the O2VERLAP Study Focus Groups

Sullivan¹,

Pasquale²,

Clark³

et al. 2022

J COPD F

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Devoted or negotiated routes of adherence: Narratives of patients with obstructive sleep apnoea using a continuous positive airway pressure device

Cited by 3 publications

References 35 publications

Patients’ experiences of barriers and facilitators with continuous positive airway pressure therapy in obstructive sleep apnoea – a qualitative interview study

Patients’ experiences of barriers and facilitators with continuous positive airway pressure therapy in obstructive sleep apnoea – a qualitative interview study

Experiences of using positive airway pressure for treatment of obstructive sleep apnea: a systematic review and thematic synthesis

Outcomes Important to Patients Diagnosed with Both COPD and Sleep Apnea: Findings from the O2VERLAP Study Focus Groups

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