Spousal involvement and CPAP adherence: A dyadic perspective

Ye, Lichuan; Malhotra, Atul; Kayser, Karen; Willis, Danny G.; Horowitz, June Andrews; Aloia, Mark S.; Weaver, Terri E.

doi:10.1016/j.smrv.2014.04.005

Cited by 50 publications

(46 citation statements)

References 96 publications

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“…7 Findings from the interviews directly support this hypothesis. A partner’s interactions with the patient were either positively or negatively associated with the adherence behavior, identified as facilitators or barriers.…”

Section: Discussionmentioning

confidence: 71%

“…Unfortunately, previous investigations of CPAP adherence have focused primarily on the diagnosed individual and resulted in limited success. 7 The goal of the current study was to obtain a comprehensive qualitative description of couples’ experiences with CPAP treatment, with a particular interest in determining facilitators and barriers to incorporating CPAP use into daily life. Due to the “collateral damage” of OSA to partners (e.g., snoring-induced sleep disruption, 8 increased distress, 9 and marital dissatisfaction, 8,10 ) and demonstrated positive effects of CPAP for both patients and their partners, 11–13 improving CPAP adherence would have major benefits for both partners.…”

Section: Introductionmentioning

confidence: 99%

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Couples' experiences with continuous positive airway pressure treatment: a dyadic perspective

Antonelli

Willis

et al. 2017

Sleep Health

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Objective The majority of adults sleep with a partner making sleep a dyadic experience. However, interventions to improve sleep have primarily focused on individuals. This qualitative analysis used a dyadic approach to identify facilitators and barriers to successful treatment of one of the most common sleep disorders, obstructive sleep apnea, with continuous positive airway pressure (CPAP). Methods Twenty joint qualitative interviews were conducted with couples, one couple at a time, with a sample of 20 patients with obstructive sleep apnea and their partners to develop an understanding of couples’ experiences with CPAP use. Interviews were audio recorded and transcribed. Conventional qualitative content analysis was used to analyze the interview data. Results Facilitators of CPAP use were: the partner aiding diagnosis and treatment, couples working together using CPAP, the perceived benefits of CPAP for both partners, the patient being motivated to use CPAP for the benefit of the partner, and various types of support provided by the partner to encourage CPAP use. Major barriers to CPAP use were: anxiety related to CPAP use particularly in the beginning of therapy, bothersome equipment causing disruptions in sleep and bedtime routine, interruptions to intimacy, and concern about image change while wearing CPAP. Conclusions Findings from this study suggest couple-directed interventions that advocate for a mutually engaging perspective and promote supportive relationships and positive dyadic coping may be targets for improving CPAP adherence. Further research evaluating the potential of couple-focused interventions to improve sleep health is warranted.

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Section: Discussionmentioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

Couples' experiences with continuous positive airway pressure treatment: a dyadic perspective

Antonelli

Willis

et al. 2017

Sleep Health

Self Cite

View full text Add to dashboard Cite

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“…Other potentially important factors such as relationship quality, sex of the couple, and partners' knowledge and attitude toward OSA and CPAP should be considered when examining the association between partner involvement and CPAP adherence. 64 A meta-analyses of couple-oriented interventions for chronic illnesses including cardiovascular disease, cancer, osteoarthritis, chronic pain, rheumatoid arthritis, human immunodeficiency virus, and type 2 diabetes found small but significant improvements in patient depressive symptoms, marital functioning, and pain. 65 Additionally, couple-oriented interventions led to improvements in partners' psychological and marital functioning.…”

Section: Co Nclusi O Ns a Nd D I R Ecti O Ns Fo R Future R Ese A Rchmentioning

confidence: 99%

Impact of Obstructive Sleep Apnea and Its Treatments on Partners: A Literature Review

Luyster

2017

Journal of Clinical Sleep Medicine

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Study Objectives: Many adults sleep with a significant other; thus, sleep disorder symptoms and treatments of one partner are likely to impact the other partner's health. A literature review was conducted to examine the impact of obstructive sleep apnea (OSA) and OSA treatments on partner-assessed sleep and daytime functioning and partner involvement in OSA treatment. Methods: MEDLINE, EMBASE, and CINAHL searches yielded 38 pertinent quantitative and qualitative studies that described sleep and/or daytime functioning assessed in partners of patients with untreated OSA, sleep and/or daytime functioning assessed in partners who were referred for OSA treatment, including continuous positive airway pressure (CPAP) therapy, oral appliance (OA), or surgery, and/or associations between partner involvement and OSA treatment use. Results:The majority of studies found untreated OSA to have a negative impact on partners' objective and subjective sleep and daytime functioning, in particular mood, quality of life, and relationship quality. Improvements in partner-assessed sleep quality were reported for CPAP, OA, and surgery. Conflicting results were reported for partners' mood, quality of life, daytime sleepiness, and relationship quality. Perceived partner support was associated with greater CPAP use. Conclusions: Symptoms associated with OSA can negatively impact partners' sleep and daytime functioning. Treatment of OSA with CPAP, OA, or surgery can have health benefits for not only patients but also partners. Collaborative partner involvement may be a useful strategy for interventions promoting CPAP adherence. Keywords: continuous positive airway pressure, obstructive sleep apnea, oral appliance, partner, spouse Citation: Luyster FS. Impact of obstructive sleep apnea and its treatments on partners: a literature review.

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“…In contrast to work by Lo Bue [69] and Sedkaoui [73], this study incorporated a multidisciplinary team approach where not only CPAP nurses and sleep physicians were involved in the delivery of both telephone and face-to-face support but patients' partners and/or family members were required to attend all follow-up care activities, again highlighting the importance of family support and involvement [28,84]. Another nurse-led intensive intervention resulted in higher CPAP use compared to a standard care programme at 1-year follow-up [72], and similar to Bouloukaki [70], this intervention involved both telephone and face-to-face support.…”

Section: Combined 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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Spousal involvement and CPAP adherence: A dyadic perspective

Cited by 50 publications

References 96 publications

Couples' experiences with continuous positive airway pressure treatment: a dyadic perspective

Couples' experiences with continuous positive airway pressure treatment: a dyadic perspective

Impact of Obstructive Sleep Apnea and Its Treatments on Partners: A Literature Review

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

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