Simple interventions improve re-attendance when treating the sleep apnoea syndrome

Lewis, Keir; Bartle, Iona; Watkins, Alan; Seale, Lisa; Ebden, P

doi:10.1016/j.sleep.2005.09.007

Cited by 19 publications

(14 citation statements)

References 23 publications

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“…Like other studies [17,18], we used a type of intervention and support only in the initial phase of therapy with standardized telephone calls during the first week and on the 30th day from delivery of the device. During the phone contact, medical staff supported the patient process of acceptance of the chronic therapy, with the assistance of the home care provider at home.…”

Section: Discussionmentioning

confidence: 99%

“…Lewis et al [17] recruited in a sleep centre seventy-two consecutive patients starting CPAP for OSA who were randomised to receive standard follow-up or extra early support. Patients had further appointments with a sleep physician at sleep centre at 1 month, 6 months and 12 months.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to this and other studies, our protocol actively involved an home care provider in the immediate management and resolution of patients’ problems. This allowed us to accurately obtain the adherence data, unlike in other studies [17] where an active participation of the patient for data collection was expected.…”

Section: Discussionmentioning

confidence: 99%

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Usefulness of reinforcing interventions on continuous positive airway pressure compliance

et al. 2014

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BackgroundObstructive sleep apnea (OSA) is a high prevalence sleep disorder characterized by upper airway obstruction during sleep, nocturnal intermittent hypoxemia, poor sleep quality, risk for cardiovascular and metabolic diseases. The adherence to CPAP is the key for an effective management of these patients.The aim of the study was to assess the adherence to CPAP therapy with and without early reinforcing interventions, consisting of motivational reinforcement and technical support in the first month of therapy.MethodsForty patients with OSA undergoing counseling and a one year follow-up on a quarterly basis were included in the study. Twenty subjects (intervention group) underwent reinforcing interventions with telephone interviews in the first month of therapy, and twenty (control group) remained without reinforcing interventions. The two populations were homogeneous for age, severity of illness and BMI.ResultsDuring the first month, intervention group patients showed a higher number of nights with a device use ≥4 hours. Average treatment adherence in the first month (days of therapy with at least 4 hours per night on the total number of days from device delivery) was 77.5% in the intervention group and 55.7% in the control group (p = 0.022). At one year the differences between the two groups were not significant.ConclusionsOur findings suggest that it is important that adequate time and effort is spent to ensure patient comfort at the time of CPAP therapy start to optimize acceptance and adherence to treatment, and suggest that it is necessary to maintain reinforcing interventions over time.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Usefulness of reinforcing interventions on continuous positive airway pressure compliance

et al. 2014

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“…Während der Therapieanwendung können folgende Maßnahmen die Compliance verbessern, wenngleich hierzu noch die Evidenz fehlt (Chai et al 2006): Luftbefeuchtung und -erwärmung (Kushida et al 2006b;Nilius et al 2008), enge Nachuntersuchungen mit Erhebung der CPAP-Nutzung, der Probleme und Komplikationen und der Meinung des Partners, die Objektivierung von evtl. residueller Schläfrigkeit und deren rechtzeitige Behandlung (Lewis et al 2006;Hirshkowitz u. Black 2007;Kumar 2008) sowie die Retitration bei nicht ausreichendem Therapieeffekt oder Umstellung auf ein alternatives Therapieverfahren (Ballard et al 2007).…”

Section: Complianceunclassified

S3-Leitlinie

2009

Somnologie

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“…This is an astonishingly high rate of adherence difficulty and entirely unacceptable given the extensive time, money and effort that is devoted to proper routing, evaluation and treatment planning for an apneic patient. Early interventions to address compliance issues have been found to make a significant impact on overall adherence [22]. Mask discomfort is a common suspect in compliance difficulties; however, the range of available masks is ever expanding.…”

Section: Compliancementioning

confidence: 99%

Positive Airway Pressure in Sleep Disordered Breathing

Rathi¹,

Rose²,

Balachandran³

2007

CRMR

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Obstructive sleep apnea (OSA) is characterized by repetative obstruction of the upper airway. Positive airway pressure has evolved as the preferred therapeutic modality for OSA. PAP can be used successfully to treat both OSA and central sleep apnea (CSA). PAP usage affects a variety of medical diseases. Proper titration and attention to compliance is paramount in proper usage of PAP. Finally, auto-titrating devices and adaptive servo ventilation may be used to treat and possibly diagnose sleep disorder breathing and the later may have role in treating complex sleep apnea.

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Simple interventions improve re-attendance when treating the sleep apnoea syndrome

Cited by 19 publications

References 23 publications

Usefulness of reinforcing interventions on continuous positive airway pressure compliance

Usefulness of reinforcing interventions on continuous positive airway pressure compliance

S3-Leitlinie

Positive Airway Pressure in Sleep Disordered Breathing

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