Trial reportSleep & breathing = Schlaf & Atmung2012
Effects of patient education and progressive muscle relaxation alone or combined on adherence to continuous positive airway pressure treatment in obstructive sleep apnea patients.
Trial report in Sleep & breathing = Schlaf & Atmung, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled 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.
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
17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- The effects of progressive muscle relaxation on sleep quality in adults: a systematic review and meta-analysis of randomized controlled trials.Frontiers in public health · 2026Pooled it
- Excessive Daytime Sleepiness in Depression and Obstructive Sleep Apnea: More Than Just an Overlapping Symptom.Frontiers in psychiatry · 2021Pooled it
- 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
- Treatment of Adult Obstructive Sleep Apnea With Positive Airway Pressure: An American Academy of Sleep Medicine Systematic Review, Meta-Analysis, and GRADE Assessment.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019Pooled it
- Effectiveness of an Intervention Providing Digitally Generated Personalized Feedback and Education on Adherence to Continuous Positive Airway Pressure: Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- The effects of integrated nursing education on quality of life and health-related outcomes among obstructive sleep apnea patients receiving continuous positive airway pressure therapy.Sleep & breathing = Schlaf & Atmung · 2017Trial
- Effectiveness of a group education session on adherence with APAP in obstructive sleep apnea--a randomized controlled study.Sleep & breathing = Schlaf & Atmung · 2013Trial
- Adherence to continuous positive airway pressure therapy in obstructive sleep apnea syndrome: effect of visual education.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
- Exploring the treatment journey of obstructive sleep apnoea: a scoping review on the perspectives of Chinese patients.Journal of thoracic disease · 2025Review
- International Consensus Statement on Obstructive Sleep Apnea.International forum of allergy & rhinology · 2023Review
- Improving adherence to a web-based cognitive-behavioural therapy program for social anxiety with group sessions: A randomised control trial.Internet interventions · 2022Article
- The Effects of Mind-Body Interventions on Sleep Quality: A Systematic Review.Evidence-based complementary and alternative medicine : eCAM · 2015Review
- Progressive muscle relaxation improves anxiety and depression of pulmonary arterial hypertension patients.Evidence-based complementary and alternative medicine : eCAM · 2015Article
- Nurse-led intensive interventions improve adherence to continuous positive airway pressure therapy and quality of life in obstructive sleep apnea patients.Patient preference and adherence · 2015Article
- Acceptance and Adherence to Continuous Positive Airway Pressure Therapy in patients with Obstructive Sleep Apnea (OSA) in a Southeast Asian privately funded healthcare system.Sleep science (Sao Paulo, Brazil)Article
- Psychological predictors of CPAP therapy adherence in obstructive sleep apnea patients: insights from the predisposing, precipitating, and perpetuating factors model.International journal of clinical and health psychology : IJCHPArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study is to explore the effects of patient education and progressive muscle relaxation (PMR) alone or combined on adherence to continuous positive airway pressure (CPAP) treatment in obstructive sleep apnea (OSA) patients.
methodsOne hundred and fifty-two Han Chinese OSA patients were randomly assigned to a control group (C), an education group (E), a PMR group (P), and an education + PMR group (E + P), with 38 patients each group. The adherence to CPAP was defined as 4 or more hours of CPAP usage per night and at least 9 of each 14 nights of ventilator use. The CPAP adherence rates, cumulative patient dropout rates, CPAP usage, and scores of daytime sleepiness, sleep quality, anxiety, and depression were compared among the groups at 4, 8, and 12 weeks of intervention.
resultsAll study groups were comparable in baseline characteristics. Group E + P showed significant improvement in CPAP adherence, daytime sleepiness, and sleep quality compared with group C at 4, 8, and 12 weeks of intervention. Compared with group C, group E only showed significant improvement in CPAP adherence, daytime sleepiness, and sleep quality at 4 weeks of intervention, while group P showed no significant improvement over time. Scores of anxiety and depression were significantly improved in group E + P compared with group C at 12 weeks of intervention.
conclusionsCombined intervention with patient education and PMR can significantly improve CPAP adherence in OSA patients for at least 12 weeks. The intervention paradigm may serve as an important reference for future studies on CPAP adherence.
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What OpenQuestion holds
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.