Trial reportSleep & breathing = Schlaf & Atmung2015
Adherence to APAP in obstructive sleep apnea syndrome: effectiveness of a motivational intervention.
Trial report in Sleep & breathing = Schlaf & Atmung, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis 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
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 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
- Randomised short-term trial of high-span versus low-span APAP for treating sleep apnoea.Sleep & breathing = Schlaf & Atmung · 2016Trial
- International Consensus Statement on Obstructive Sleep Apnea.International forum of allergy & rhinology · 2023Review
- 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
- Study protocol of a randomized controlled trial of motivational interviewing-based intervention to improve adherence to continuous positive airway pressure in patients with obstructive sleep apnea syndrome: The MotivAir study.Frontiers in psychology · 2022Article
- Assessing the needs and perspectives of patients with obesity and obstructive sleep apnea syndrome following continuous positive airway pressure therapy to inform health care practice: A focus group study.Frontiers in psychology · 2022Article
- Improving CPAP Adherence in Adults With Obstructive Sleep Apnea Syndrome: A Scoping Review of Motivational Interventions.Frontiers in psychology · 2021Article
- Novel Aspects of CPAP Treatment and Interventions to Improve CPAP Adherence.Journal of clinical medicine · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObstructive sleep apnea syndrome (OSAS) is a serious disorder with significant health consequences. Treatment adherence to auto-titrating positive airway pressure (APAP) is often below expectations. We investigated the effectiveness of a brief educational intervention using motivational strategies in treatment adherence among patients with OSAS.
methodsThe study followed a randomized, controlled design and included 61 patients diagnosed with OSAS, meeting the criteria for APAP therapy. Patients recruited from a Sleep Disorders Unit were randomly allocated to an intervention group (IG) and two control groups (CG1 and CG2). In the IG motivational strategies were applied according to patient's motivation, assessed by the degree of confidence and conviction. In the CG1, participants received exclusively standardized information, and in the CG2, routine procedures were followed. Assessment included the Apnea Hypopnea Index (AHI), the Epworth Sleepiness Scale (ESS), and sociodemographic and clinical information. Adherence to treatment was measured after 1 (T1) and 2 months (T2) through the APAP software.
resultsThe IG presented higher adherence to APAP-percentage of days of use >4 h (89.8 % p = 0.013), mean effective use per effective day (6.2 p = 0.000), and lower AHI (2.7 p = 0.019) at T2 when compared with the other two groups. Confidence was higher in the IG group at T2 than at T1 (p = 0.000). The ESS presented a significant reduction (p = 0.000) in the IG and in the CG1 (p = 0.008), but was higher in the CG2 (p = 0.015).
conclusionsBrief interventions using motivational strategies can improve a patient's adherence to APAP.
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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.