ArticleResearch in nursing & health2014
Is inconsistent pre-treatment bedtime related to CPAP non-adherence?
Article in Research in nursing & health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 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
11 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
- Exploring nightly variability and clinical influences on sleep measures: insights from a digital brain health platform.Sleep medicine · 2025Article
- The association between irregularity in sleep-wake rhythm and CPAP adherence.Npj biological timing and sleep · 2024Article
- Article
- 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
- Barriers to positive airway pressure adherence among veterans with sleep apnea: a mixed methods study.Translational behavioral medicine · 2022Article
- Circadian factors in comorbid insomnia and sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- Obstructive sleep apnea treatment disparities among older adults with neurological disorders.Sleep health · 2020Article
- Adherence to positive airway pressure treatment among minority populations in the US: A scoping review.Sleep medicine reviews · 2018Article
- Comorbid insomnia symptoms predict lower 6-month adherence to CPAP in US veterans with obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2018Article
- Practice recommendations for the role of physiotherapy in the management of sleep disorders: the 2022 Brazilian Sleep Association Guidelines.Sleep science (Sao Paulo, Brazil)Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Lack of adherence to continuous positive airway pressure therapy (CPAP) limits the effectiveness of treatment of obstructive sleep apnea (OSA). We hypothesized that an irregular bedtime would be negatively related to regular use of CPAP treatment. If so, modifying bedtime schedule may address the persistent problem of inconsistent CPAP use in adults with OSA. In a prospective longitudinal study, we examined whether inconsistent self-reported bedtime before initiation of CPAP treatment, operationalized as bedtime variability, was (1) different among those adherent (≥4 hours per night) and non-adherent to CPAP treatment at 1 week and 1 month; and/or (2) was related to 1-week and 1-month CPAP use when other variables were accounted for. Consecutively recruited newly diagnosed OSA adults (n = 79) completed sleep diaries prior to CPAP treatment. One-week and 1-month objective CPAP use data were collected. Pre-treatment bedtime variability was different among CPAP non-adherers and adherers at 1 month and was a significant predictor of non-adherence at 1 month in multi-variable analyses. The odds of 1-month CPAP non-adherence were 3.5 times greater in those whose pre-treatment bedtimes varied by >75 minutes. Addressing sleep schedule prior to CPAP initiation may be an opportunity to improve CPAP adherence.
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Registered trials
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