Evidence map›Paper›PMID 21652236›Full record

SynthesisSleep medicine reviews2011

A systematic review of CPAP adherence across age groups: clinical and empiric insights for developing CPAP adherence interventions.

Amy M Sawyer, Nalaka S Gooneratne, Carole L Marcus, Dafna Ofer, Kathy C Richards, Terri E Weaver

5 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in Sleep medicine reviews, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 408 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
408citing papers in PubMed, 7 pooled it
17.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT01454830 phase1completednot on this map

Phase I Double-blind Randomized Controlled Trial: Sociocultural and Cognitive Perception Intervention to Promote Positive Airway Pressure Adherence

TypeinterventionalSponsorMilton S. Hershey Medical CenterRan2011 to 2014Enrolled118ConditionsSleep Apnea, Obstructive, Patient ComplianceArmsTailored, Usual care
NCT01482351 nacompletednot on this mapstarted 2012, after this paper: background citation

Mild Cognitive Impairment and Obstructive Sleep Apnea

TypeinterventionalSponsorGeorge Mason UniversityRan2012 to 2014Enrolled54ConditionsObstructive Sleep Apnea, Mild Cognitive ImpairmentArmsCPAP adherence intervention, Attention control intervention
NCT04124471 nacompletednot on this mapstarted 2019, after this paper: background citation

Positive Airway Pressure for the Treatment of the Obstructive Sleep Apnea Syndrome in Children With Down Syndrome (Stage 1)

TypeinterventionalSponsorChildren's Hospital of PhiladelphiaRan2019 to 2022Enrolled42ConditionsDown Syndrome, Obstructive Sleep ApneaArmsOpen-ended semi-structured interviews
NCT05440279 nacompletednot on this mapstarted 2019, after this paper: background citation

Effects of an Early Combination of Automated Electronic and Telemedical Support on the Therapeutic Results of CPAP and APAP Patients and as a Supplement to (Tele-) Medical Care

TypeinterventionalSponsorFacharztzentrum Sonneberg-Coburg uBAGRan2019 to 2022Enrolled100ConditionsObstructive Sleep Apnea, Adherence, TreatmentArmsdigital patient support
NCT06292325 completednot on this mapstarted 2023, after this paper: background citation

Psychological Aspects in Modifying Apnea/Hypopnea Indices and Nadir of Saturation in Obstructive Sleep Apnea Syndrome (OSA)

TypeobservationalSponsorFondazione Don Carlo Gnocchi ETSRan2023 to 2024Enrolled246ConditionsOsa SyndromeArmsContinuous Positive Airway Pressure (CPAP)
3 · Its place in the literature

Who cites it

408 citing papers in PubMed, 7 syntheses or guidelines pooled it, 887 citations in OpenAlex.

  1. Efficacy of advancement treatments of the stomatognathic system on objective sleepiness in OSA: a systematic review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
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  7. Obstructive sleep apnea in patients with head and neck cancer: a systematic review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
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  15. The impact of obstructive sleep apnea treatment on microvascular complications in patients with type 2 diabetes: a feasibility randomized controlled trial.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
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348 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Amy M SawyerUniversity of Pennsylvania School of Nursing, Biobehavioral Health Sciences Division, USA. ams24@psu.edu
Nalaka S Gooneratne
Carole L Marcus
Dafna Ofer
Kathy C Richards
Terri E Weaver
Children's Hospital of Philadelphia · USNeurobehavioral Systems · USUniversity of Illinois Chicago · USUniversity of Pennsylvania · USVeterans Health Administration · US

Funding

Risk Assessment and Tailored Intervention to Improve CPAP AdherenceR00NR011173 · NINR · PENNSYLVANIA STATE UNIVERSITY, THE · PI SAWYER, AMY M · 2011 to 2013
$727k
Risk Assessment and Tailored Intervention to Improve CPAP AdherenceK99NR011173 · NINR · UNIVERSITY OF PENNSYLVANIA · PI SAWYER, AMY M · 2009 to 2010
$180k
NINR NIH HHS K99 NR011173NINR NIH HHS K99NR011173NINR NIH HHS R00 NR011173
6 · The paper itself

Abstract

Continuous positive airway pressure (CPAP) is a highly efficacious treatment for obstructive sleep apnea (OSA) but adherence to the treatment limits its overall effectiveness across all age groups of patients. Factors that influence adherence to CPAP include disease and patient characteristics, treatment titration procedures, technological device factors and side effects, and psychological and social factors. These influential factors have guided the development of interventions to promote CPAP adherence. Various intervention strategies have been described and include educational, technological, psychosocial, pharmacological, and multi-dimensional approaches. Though evidence to date has led to innovative strategies that address adherence in CPAP-treated children, adults, and older adults, significant opportunities exist to develop and test interventions that are clinically applicable, specific to sub-groups of patients likely to demonstrate poor adherence, and address the multi-factorial nature of CPAP adherence. The translation of CPAP adherence promotion interventions to clinical practice is imperative to improve health and functional outcomes in all persons with CPAP-treated OSA.

Indexed as

Patient ComplianceAdultAge FactorsContinuous Positive Airway PressureHumansPsychologySeverity of Illness IndexSleep Apnea, Obstructive

Identifiers

PMID21652236
PMCPMC3202028
OpenAlexW2167330814

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.