Self-efficacy contributes to individual differences in subjective improvements using CPAP

Baron, Kelly Glazer; Berg, Cynthia A.; Czajkowski, Laura A.; Smith, Timothy W.; Gunn, Heather E.; Jones, Christopher R.

doi:10.1007/s11325-010-0409-5

Cited by 37 publications

(28 citation statements)

References 31 publications

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“…Results suggest that in individuals randomized to the weight loss intervention, those who achieved more weight loss also had greater CPAP adherence. This may reflect the impact of a common (unmeasured) personality factor [26] or motivational characteristic [27] that may underlie success with both behaviors. These data provide some initial support for multiple behavior change theory, which posits that individuals who effectively make one health behavior change (behaviors leading to weight loss) are more likely to make other changes (better CPAP compliance).…”

Section: Discussionmentioning

confidence: 99%

Impact of a brief dietary self-monitoring intervention on weight change and CPAP adherence in patients with obstructive sleep apnea

Hood

Corsica

Cvengros

et al. 2013

Journal of Psychosomatic Research

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Section: Discussionmentioning

confidence: 99%

Impact of a brief dietary self-monitoring intervention on weight change and CPAP adherence in patients with obstructive sleep apnea

Hood

Corsica

Cvengros

et al. 2013

Journal of Psychosomatic Research

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“…Additional investigations should continue to examine the potential moderation and mediation of biomedical predictors of CPAP adherence by psychosocial factors. 34 Such a practice has proven fruitful in previous investigations, 40 and may highlight avenues to strengthen future interventions based on social cognitive theory, 42,43 or the newly proposed biopsychosocial model. 34 There are several limitations of the current investigation that need to be acknowledged.…”

Section: A Bbre V I Ati O Nsmentioning

confidence: 94%

“…23,29 Previous examinations have revealed that self-efficacy beliefs moderate the relationship between CPAP adherence and daily positive effect, such that patients with high self-efficacy beliefs showed a stronger relationship between CPAP adherence and next-day mood. 40 The combination of both biomedical and psychological predictors appear to result in the best predictive power for explaining CPAP adherence. We found that the relationship between CPAP pressure and CPAP adherence was modified by self-efficacy beliefs such that there was no relationship between CPAP pressure and adherence in individuals with low self-efficacy beliefs, but for individuals with high self-efficacy beliefs, there was a significant positive relationship between CPAP pressure and adherence.…”

Section: A Bbre V I Ati O Nsmentioning

confidence: 99%

Adherence to Continuous Positive Airway Pressure in Existing Users: Self-Efficacy Enhances the Association between Continuous Positive Airway Pressure and Adherence

Dzierzewski

Wallace

Wohlgemuth

2016

Journal of Clinical Sleep Medicine

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Study Objectives: Obstructive sleep apnea-hypopnea syndrome (OSAHS) is a common sleep disorder associated with a myriad of sequelae. OSAHS is effectively treated with continuous positive airway pressure (CPAP) therapy. However, fewer than 50% of patients are compliant with their CPAP therapy prescriptions. The current study sought to explore an integrated, biopsychological approach to CPAP adherence among experienced CPAP users. Methods: We performed a retrospective, cross-sectional analysis of a cohort of veterans with a diagnosis of OSAHS (n = 191) who were prescribed CPAP therapy and returned for adherence download at the Miami VA Sleep Clinic. The relationships between biomedical characteristics (e.g., CPAP pressure, selfreported sleepiness, and change in sleep efficiency) and psychological factors (e.g., self-efficacy beliefs and psychological diagnoses) and objectively measured CPAP use were examined to determine whether psychological factors moderated the relationships between biomedical characteristics and CPAP adherence. Results: Hierarchical regression analyses predicting CPAP adherence (adjusting for time since CPAP prescription, age, education, prescribed CPAP pressure, daytime sleepiness, changes in sleep efficiency with CPAP, and psychiatric conditions) revealed the following: (1) CPAP self-efficacy and CPAP pressure were positively related to adherence, and (2) CPAP self-efficacy moderates the relationship between CPAP pressure and CPAP adherence. Conclusions: There was no relationship between CPAP pressure and adherence in individuals with low self-efficacy beliefs. However, for individuals with high self-efficacy beliefs, there was a significant positive relationship between CPAP pressure and adherence. Self-efficacy beliefs appear to be a prime target for focused interventions aimed at improving CPAP adherence among those individuals with higher pressure prescriptions. I NTRO DUCTI O NObstructive sleep apnea-hypopnea syndrome (OSAHS) is a very common clinical condition. Population-based estimates suggest that approximately 20% of adults, or one in five, meet the criteria for at least mild OSAHS, based on an apnea-hypopnea index ≥ 5.1 OSAHS can be effectively treated with continuous positive airway pressure (CPAP) therapy.2,3 However, adherence with treatment recommendations is relatively low. 4 We sought to examine previously described biomedical and psychological factors associated with CPAP adherence, as well as investigate whether psychological factors (i.e., self-efficacy beliefs) might modify the association of biomedical characteristics and CPAP adherence.Identification of predictors of CPAP adherence is critically important given the many unwanted negative consequences of untreated OSAHS, such as deficits across multiple cognitive domains, 5,6 when viewed in context of the extremely high nonadherence rates associated with CPAP therapy. Approximately 50% of patients prescribed CPAP are completely noncompliant with therapy recommendation at 1 y. 4 In addition, 15% to 30% of patients with...

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“…CPAP users were remarkably inaccurate in linking risk factors and symptoms such as daytime sleepiness and being depressed with untreated OSA, and only two thirds recognised the benefits of using CPAP [44]. Other researchers using the SEMSA [45,46] found self-efficacy and outcome expectations were the most significant factors in CPAP adherence at 3 months, and AHI moderated the daily response in subjective improvements and benefits of CPAP [45]. The timing of measuring self-efficacy to predict adherence is of interest.…”

Section: Psychosocial Interventions For Cpap Adherencementioning

confidence: 99%

“…Interestingly, one point higher on the self-efficacy scale predicted an hour more of CPAP adherence at 6 months. Higher self-efficacy at baseline may define those individuals who require less support emphasising the importance of both high and low scores in CPAP adherence [45,46]. Aloia and colleagues [76••] conducted a three-arm randomised controlled trial comparing the effects of an education intervention, a motivational enhancement intervention and standard care on CPAP adherence over a 12-month period.…”

Section: Psychosocial Interventions For Cpapmentioning

confidence: 99%

An Update on Behavioural Interventions for Improving Adherence with Continuous Positive Airway Pressure in Adults

D'Rozario

Galgut

Bartlett

2016

Curr Sleep Medicine Rep

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Obstructive sleep apnoea (OSA) is a common sleep disorder which if left untreated results in considerable physical and psychological co-morbidity and mortality. With the development of continuous positive airway pressure (CPAP), an effective treatment was available to counteract the partial and complete airway closures, hypoxia and sleep fragmentation. Technological advances in CPAP devices improved the interface between machine and man, reduced noise levels and improved many aspects of the treatment process. Yet, with all these advancements over the last 35 years, adherence to CPAP remains low. There are a number of underlying factors in the poor uptake and discontinuation of treatment. Previous CPAP adherence interventions are discussed along with behavioural programmes which have emerged in the last 3 years. Of importance are the insights gained from emerging qualitative research in this area to enable a better understanding of patient perceptions and how these continue to impact on adherence rates.

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Self-efficacy contributes to individual differences in subjective improvements using CPAP

Cited by 37 publications

References 31 publications

Impact of a brief dietary self-monitoring intervention on weight change and CPAP adherence in patients with obstructive sleep apnea

Impact of a brief dietary self-monitoring intervention on weight change and CPAP adherence in patients with obstructive sleep apnea

Adherence to Continuous Positive Airway Pressure in Existing Users: Self-Efficacy Enhances the Association between Continuous Positive Airway Pressure and Adherence

An Update on Behavioural Interventions for Improving Adherence with Continuous Positive Airway Pressure in Adults

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