ArticleSleep & breathing = Schlaf & Atmung2013
Determinants of continuous positive airway pressure adherence in a sleep clinic cohort of South Florida Hispanic veterans.
Article in Sleep & breathing = Schlaf & Atmung, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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.
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Who cites it
29 citing papers in PubMed, 59 citations in OpenAlex.
- Trial
- Evaluating the treatment of obstructive sleep apnea comorbid with insomnia disorder using an incomplete factorial design.Contemporary clinical trials · 2016Trial
- Does obstructive sleep apnoea surgery improve perceived insomnia severity in patients suffering from co-morbid insomnia and sleep apnoea (COMISA)?European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025Article
- Predictors of Continuous Positive Airway Pressure Adherence and Comparison of Clinical Factors and Polysomnography Findings Between Compliant and Non-Compliant Korean Adults With Obstructive Sleep Apnea.Psychiatry investigation · 2024Article
- Clinical Characteristics of Older Adults Seeking Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea.Ear, nose, & throat journal · 2024Article
- Improving adherence to PAP therapy: A brief PAP coaching intervention for health care providers.PEC innovation · 2023Article
- Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA study.Frontiers in neurology · 2023Article
- Article
- Benefits of Community-Based Approaches in Assessing and Addressing Sleep Health and Sleep-Related Cardiovascular Disease Risk: a Precision and Personalized Population Health Approach.Current hypertension reports · 2020Review
- Do symptoms of sleepiness and insomnia in US veterans with obstructive sleep apnea vary by age?Sleep & breathing = Schlaf & Atmung · 2020Article
- Co-Morbid Insomnia and Sleep Apnea (COMISA): Prevalence, Consequences, Methodological Considerations, and Recent Randomized Controlled Trials.Brain sciences · 2019Review
- A review of psychosocial factors and personality in the treatment of obstructive sleep apnoea.European respiratory review : an official journal of the European Respiratory Society · 2019Review
- A French update on the Self-Efficacy Measure for Sleep Apnea (SEMSA) to assess continuous positive airway pressure (CPAP) use.Sleep & breathing = Schlaf & Atmung · 2019Article
- Adherence to positive airway pressure treatment among minority populations in the US: A scoping review.Sleep medicine reviews · 2018Article
- Comorbid insomnia and sleep apnea in Veterans with post-traumatic stress disorder.Sleep & breathing = Schlaf & Atmung · 2018Article
- Comorbid insomnia symptoms predict lower 6-month adherence to CPAP in US veterans with obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2018Article
- Specific insomnia symptoms and self-efficacy explain CPAP compliance in a sample of OSAS patients.PloS one · 2018Article
- Comorbid depression in obstructive sleep apnea: an under-recognized association.Sleep & breathing = Schlaf & Atmung · 2016Review
- Reducing cardiovascular risk through treatment of obstructive sleep apnea: 2 methodological approaches.American heart journal · 2016Review
- Sleep disparity, race/ethnicity, and socioeconomic position.Sleep medicine · 2016Review
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere are little existing data on continuous positive airway pressure (CPAP) adherence in US Hispanic veterans with obstructive sleep apnea (OSA). Our aim was to describe determinants of 1-month adherence in a sleep clinic cohort of South Florida Hispanic veterans.
methodsHispanic veterans referred to the Miami VA sleep clinic were recruited and completed questionnaires about sleep apnea risk, sleep quality, insomnia symptoms, sleepiness, depression/anxiety, acculturation, personality traits, and cognitions about OSA and CPAP. Individuals at risk for OSA were scheduled for baseline polysomnography (PSG), followed by in-lab CPAP titration or a trial of auto-CPAP. Participants with OSA accepting CPAP therapy were asked to return after 7 and 30 days of treatment for adherence verification and to repeat questionnaires.
resultsOne hundred twenty-four participants (94 % men) were enrolled with 114 completing overnight PSG. Eighty-six out of 95 participants (91 %) with sleep apnea syndrome or moderate to severe OSA accepted CPAP treatment. Fifty-nine participants completed both follow-up visits with a mean CPAP use at 30 days of 3.6 ± 2.0 h. The only independent predictor of 7-day mean daily CPAP use was the baseline Insomnia Severity Index while the best predictor of 30-day mean daily CPAP use was the 7-day mean daily use.
conclusionsOur study suggests that South Florida Hispanic veterans with OSA evaluated in a sleep clinic show poor CPAP adherence. Insomnia and poor early use predicted poor adherence overall. Larger prospective studies with other race-ethnic groups are needed to determine the role of ethnicity and race in CPAP adherence among US veterans with OSA.
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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.