ArticleSleep & breathing = Schlaf & Atmung2014
Risk assessment for CPAP nonadherence in adults with newly diagnosed obstructive sleep apnea: preliminary testing of the Index for Nonadherence to PAP (I-NAP).
Article in Sleep & breathing = Schlaf & Atmung, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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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
17 citing papers in PubMed.
- Insomnia complaints in lean patients with obstructive sleep apnea negatively affect positive airway pressure treatment adherence.Journal of sleep research · 2017Trial
- Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA study.Frontiers in neurology · 2023Article
- The relationship between CPAP and health literacy: A prospective observational study.Journal of general and family medicine · 2022Article
- Does race-ethnicity affect upper airway stimulation adherence and treatment outcome of obstructive sleep apnea?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Improving CPAP Adherence in Adults With Obstructive Sleep Apnea Syndrome: A Scoping Review of Motivational Interventions.Frontiers in psychology · 2021Article
- The PAP-NAP one decade later: patient risk factors, indications, and clinically relevant emotional and motivational influences on PAP use.Sleep & breathing = Schlaf & Atmung · 2020Article
- A survey of positive airway pressure therapy preparedness and outcomes following Hurricane Irma in patients with obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020Article
- 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
- Treatments for Obstructive Sleep Apnea.Journal of clinical outcomes management : JCOM · 2016Article
- Modelling Adherence Behaviour for the Treatment of Obstructive Sleep Apnoea.European journal of operational research · 2016Article
- Is inconsistent pre-treatment bedtime related to CPAP non-adherence?Research in nursing & health · 2014Article
- Innovative treatments for adults with obstructive sleep apnea.Nature and science of sleep · 2014Review
- A Tailored Intervention for PAP Adherence: The SCIP-PA Trial.Behavioral sleep medicineArticle
- Coping Processes, Self-Efficacy, and CPAP Use in Adults With Obstructive Sleep Apnea.Behavioral sleep medicineArticle
- Claustrophobic tendencies and continuous positive airway pressure therapy non-adherence in adults with obstructive sleep apnea.Heart & lung : the journal of critical careArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeIdentification of risk for continuous positive airway pressure therapy (CPAP) nonadherence prior to home treatment is an opportunity to deliver targeted adherence interventions. Study objectives included the following: (1) test a risk screening questionnaire to prospectively identify CPAP nonadherence risk among adults with newly diagnosed obstructive sleep apnea (OSA), (2) reduce the questionnaire to a minimum item set that effectively identifies 1-month CPAP nonadherence, and (3) examine the diagnostic utility of the screening index.
methodsA prospective, longitudinal study at two clinical sleep centers in the USA included adults with newly diagnosed OSA (n=97; AHI≥5 events/h) by polysomnogram (PSG) consecutively recruited to participate. After baseline participant and OSA characteristics were collected, a risk screening questionnaire was administered immediately following CPAP titration polysomnogram. One-month objective CPAP use was collected.
resultsPredominantly, white (87%), males (55%), and females (45%) with obesity (BMI 38.3 kg/m2; SD 9.3) and severe OSA (AHI 36.8; SD 19.7) were included. One-month CPAP use was 4.25 h/night (SD 2.35). Nineteen questionnaire items (I-NAP) reliably identified nonadherers defined at <4 h/night CPAP use (Wald X2[8]=34.67, p<0.0001) with ROC AUC 0.83 (95% CI 0.74-0.91). Optimal score cut point for the I-NAP screening questionnaire were determined to maximize sensitivity (87%) while maintaining specificity>60% (63%).
conclusionA risk screening questionnaire employed immediately after titration PSG may reliably identify CPAP nonadherers and permit the delivery of targeted interventions to prevent or reduce nonadherence. This novel approach may enhance cost-effectiveness of care and permit appropriate allocation of resources for CPAP adherence.
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