Differences in Perceptions of the Diagnosis and Treatment of Obstructive Sleep Apnea and Continuous Positive Airway Pressure Therapy Among Adherers and Nonadherers

Datos Bibliográficos

ID4662804
AutoresAmy M Sawyer (0000-0002-0906-0793, University of Pennsylvania, Philadelphia, Pennsylvania, USA,, autor de correspondencia), Janet A Deatrick (0000-0002-6447-3259, University of Pennsylvania, Philadelphia, Pennsylvania, USA), Samuel T Kuna (0000-0001-8907-1064, Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania, USA), Terri E Weaver (0000-0002-4680-5766, University of Pennsylvania, Philadelphia, Pennsylvania, USA)
Año2010
Volumen20
Número7
Páginas873-892
Fecha de publicación2010-07-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaQualitative Health Research (JOURNAL)
Identificadores de la revistaISSN: 1049-7323 • E-ISSN: 1552-7557
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732310365502
PMID20354236
PMCIDPMC2978511
OpenAlexW2125716020
IdiomaEN
Citas recibidas5
Referencias citadas56

Obstructive sleep apnea (OSA) patients' consistent use of continuous positive airway pressure (CPAP) therapy is critical to realizing improved functional outcomes and reducing untoward health risks associated with OSA. We conducted a mixed methods, concurrent, nested study to explore OSA patients' beliefs and perceptions of the diagnosis and CPAP treatment that differentiate adherent from nonadherent patients prior to and after the first week of treatment, when the pattern of CPAP use is established. Guided by social cognitive theory, themes were derived from 30 interviews conducted postdiagnosis and after 1 week of CPAP use. Directed content analysis, followed by categorization of participants as adherent/nonadherent from objectively measured CPAP use, preceded across-case analysis among 15 participants with severe OSA. Beliefs and perceptions that differed between adherers and nonadherers included OSA risk perception, symptom recognition, self-efficacy, outcome expectations, treatment goals, and treatment facilitators/ barriers. Our findings suggest opportunities for developing and testing tailored interventions to promote CPAP use

Airway · Anesthesia · Apnea · Continuous positive airway pressure · Intensive care medicine · Obstructive sleep apnea · Perception · Physical therapy · Positive airway pressure · Sleep apnea · Clinical Psychology · Medicine · Neuroscience of respiration and sleep · Obstructive Sleep Apnea Research · Psychology · Sleep and Wakefulness Research