Impact of patient and family engagement in improving continuous positive airway pressure adherence in patients with obstructive sleep apnea: a randomized controlled trial

Khan, Nazia; Todem, David; Poltavskiy, Eduard; Bottu, Shireesha; Badr, M. Safwan; Olomu, Adesuwa

doi:10.5664/jcsm.9534

Cited by 12 publications

(6 citation statements)

References 45 publications

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“…Family support may greatly help with such management. For example, two clinical trials of adults with newly diagnosed OSA reported that an educational intervention that engaged family support improved PAP adherence (Khan et al, 2022; Luyster et al, 2019). Some studies showed that individuals living with a partner showed better PAP adherence than those living alone (Gagnadoux et al, 2011; Lewis et al, 2004), whereas another study reported the opposite result (Libman et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Veterans' Experiences of Support in Managing Comorbid Sleep Apnea and Type 2 Diabetes

et al. 2023

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Background: Obstructive sleep apnea (OSA) is highly prevalent in patients with Type 2 diabetes, more so in veterans compared with nonveterans. Positive airway pressure is the recommended first-line treatment for OSA. However, adherence to both positive airway pressure and diabetes management regimens can be challenging for older adults. Support from family or friends may improve glucose control or sleep-apnea-related symptoms, yet the evidence is limited when both conditions coexist.Objectives: This study aimed to describe veterans' experiences of support from family and friends with managing comorbid sleep apnea and Type 2 diabetes. Methods:We conducted a postal survey of older veterans with OSA and Type 2 diabetes from one healthcare system. Questions include demographic and health-related information, information about sleep apnea and diabetes treatment and education received, related support from family or a friend, perceived benefits of regular positive airway pressure device use on improving sleep health, and perceived benefits of education for family or a friend on sleep apnea and diabetes. Descriptive and bivariate analyses were performed.Results: Of 145 respondents (mean age = 72 years), 43% reported receiving help for Type 2 diabetes from family or a friend. Almost two thirds of the respondents were currently using a positive airway pressure device, of whom 27% received support with device use from family or friends. About one third of veterans perceived family and friends receiving education on treating sleep apnea and diabetes to be very or extremely helpful. Such perceived benefit was higher among those who were married or identified as non-White. Veterans using a positive airway pressure device had lower hemoglobin A1c levels than nonusers.Discussion: Veterans perceived that additional education for the individuals providing support would be beneficial. Future studies could address interventions to increase sleep apnea and Type 2 diabetes knowledge among families and friends of veterans with these comorbid conditions. In addition, patients' adherence to positive airway pressure may be enhanced by support from family and friends.

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Section: Discussionmentioning

confidence: 99%

Veterans' Experiences of Support in Managing Comorbid Sleep Apnea and Type 2 Diabetes

et al. 2023

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“…The results reported in a recent article by Khan et al. suggest that a multifaceted patient-centered intervention based on SDM with caregiver engagement improve PAP adherence [ 23 ]. This supports the importance of exploring the patient perspective in meeting with patients and thereby identifying patients willing to actively cope with their disease.…”

Section: Discussionmentioning

confidence: 99%

“…There is a lack of studies describing SDM in clinical sleep medicine populations. However, a recently published randomized controlled trial suggests that a multifaceted, patient-centered intervention, based on SDM and with caregiver involvement can improve PAP adherence in adult patients with OSA [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Shared decision making: A novel approach to personalized treatment in obstructive sleep apnea

Øverby¹,

Sutharshan²,

Gulbrandsen³

et al. 2022

Sleep Medicine: X

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“…In addition, our results echo other studies that showed married were more likely to take free medicines than patients who were single [31,32], which might be explained by family support being promotive of medication adherence. It has been suggested that social support would help patients deal with the stresses of living with illnesses, leading to improved adherence to chronic illness treatment [32][33][34], which can be cultivated to improve future FCPEM implementation.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China

Zhi-gang

Bai

Luo

et al. 2021

IJERPH

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Full coverage policies for medicines have been implemented worldwide to alleviate medicine cost burden and promote access to medicines. However, few studies have explored the factors associated with free medicine use in patients with chronic diseases. This study aimed to analyze the utilization of free medicines by patients with hypertension and diabetes after the implementation of the full coverage policy for essential medicines (FCPEM) in Taizhou, China, and to explore the factors associated with free medicine use. We conducted a descriptive analysis of characteristics of patients with and without free medicine use and performed a panel logit model to examine factors associated with free medicine use, based on an electronic health record database in Taizhou from the baseline year (12 months in priori) to three years after FCPEM implementation. After FCPEM implementation, the proportion of patients without any free medicine use decreased from 31.1% in the baseline year to 28.9% in the third year, while that of patients taking free medicines rose from 11.0% to 22.8%. Patients with lower income or education level, those with agricultural hukou, patients aged 65 and above, married patients, and patients in the Huangyan district were more likely to take free medicines. In conclusion, FCPEM contributed to improved medicine access, especially in vulnerable populations. Local policy makers should consider expanding the coverage of FCPEM to other types of medicines and cultivate the potential of social supports for patients to enhance the effectiveness of FCPEM policies.

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Impact of patient and family engagement in improving continuous positive airway pressure adherence in patients with obstructive sleep apnea: a randomized controlled trial

Cited by 12 publications

References 45 publications

Veterans' Experiences of Support in Managing Comorbid Sleep Apnea and Type 2 Diabetes

Veterans' Experiences of Support in Managing Comorbid Sleep Apnea and Type 2 Diabetes

Shared decision making: A novel approach to personalized treatment in obstructive sleep apnea

Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China

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