Trial reportPatient education and counseling2009
Patient education combined in a music and habit-forming intervention for adherence to continuous positive airway (CPAP) prescribed for sleep apnea.
Trial report in Patient education and counseling, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea.The Cochrane database of systematic reviews · 2020Pooled it
- A systematic review of CPAP adherence across age groups: clinical and empiric insights for developing CPAP adherence interventions.Sleep medicine reviews · 2011Pooled it
- Efficiency of a phone coaching program on adherence to continuous positive airway pressure in sleep apnea hypopnea syndrome: a randomized trial.BMC pulmonary medicine · 2015Trial
- Effects of patient education and progressive muscle relaxation alone or combined on adherence to continuous positive airway pressure treatment in obstructive sleep apnea patients.Sleep & breathing = Schlaf & Atmung · 2012Trial
- Effects of Nurse-Led Interventions on Adherence and Clinical Outcomes Among Adults Receiving Noninvasive Ventilation: A Systematic Review of Randomized Controlled Trials.Nursing research and practice · 2026Review
- Evaluating changes in hypoglossal nerve stimulator use over time and long-term adherence.Sleep & breathing = Schlaf & Atmung · 2025Article
- eHealth mindfulness-based music therapy for patients undergoing allogeneic hematopoietic stem cell transplantation: A pilot randomized controlled trial protocol.Contemporary clinical trials · 2024Article
- A telemonitoring system to support CPAP therapy in patients with obstructive sleep apnea: a participatory approach in analysis, design, and evaluation.BMC medical informatics and decision making · 2022Article
- Verifying intervention fidelity procedures for a palliative home care intervention with pilot study results.Research in nursing & health · 2021Article
- Adherence to Positive Airway Therapy After Switching From CPAP to ASV: A Big Data Analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2018Article
- Telemedicine-based proactive patient management during positive airway pressure therapy: Impact on therapy termination rate.Somnologie : Schlafforschung und Schlafmedizin = Somnology : sleep research and sleep medicine · 2017Article
- A Clinical Trial of Translation of Evidence Based Interventions to Mobile Tablets and Illness Specific Internet Sites.International journal of sensor networks and data communications · 2016Article
- Is inconsistent pre-treatment bedtime related to CPAP non-adherence?Research in nursing & health · 2014Article
- Creating patient and family education web sites: design and content of the home parenteral nutrition family caregivers web site.Computers, informatics, nursing : CIN · 2011Article
- Adherence to continuous positive airway pressure treatment for obstructive sleep apnoea: implications for future interventions.The Indian journal of medical research · 2010Review
- Patient-Provider Communication With Older Adults About Sleep Apnea Diagnosis and Treatment.Behavioral sleep medicineArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveAs many as 50% of patients diagnosed with obstructive sleep apnea stop adhering to the prescribed medical treatment of continuous positive airway pressure (CPAP) within 1-3 weeks of onset. Thus, a theory-based intervention using music to support habit formation was designed to improve CPAP adherence at onset. The intervention materials included directions for CPAP nightly use, a diary for recording nightly use and writing about CPAP benefits or problems. In addition, an audiotape with softly spoken instructions for placing the CPAP mask comfortably, using deep breathing and muscle relaxation along with the slowly decreasing music tempo was provided to listen to at bedtime each night.
methodsEffects of this music intervention were tested in a randomized, placebo-controlled trial of 97 patients with 53 males (55%) and 44 females (45%). Moderate to severe apnea/hyponea scores (per sleep laboratory data) and medical diagnosis of OSA were required for study inclusion.
resultsCompared to placebo controls, a greater proportion of experimental patients were adhering (chi(2)=14.67, p<0.01; a large difference, Phi=0.39) at the end of the first month of CPAP onset. There were no differences in CPAP adherence at 3 (X(2)=0.065, p=0.79) and 6 (X(2)=.118, p=0.73) months. Patients' diary data and satisfaction survey results indicated the intervention was rated as helpful and guided formation of a relaxing, habitual routine of CPAP nightly use.
conclusionThe intervention had a strong effect for improving adherence to CPAP at 1 month. PRACTICE IMPLICATIONS: Adherence at the onset of treatment is critical and the audio music intervention was easily administered. Other interventions that target problems interfering with longer-term CPAP adherence are needed.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.