Evidence map›Paper›PMID 28364429›Full record

ArticleSleep2017

Patient-Reported Usability of Positive Airway Pressure Equipment Is Associated With Adherence in Older Adults.

Constance H Fung, Jennifer L Martin, Ron D Hays, Emily S Patterson, Ravi Aysola, Nananda Col, Michael N Mitchell, Cindy Truong, Joseph M Dzierzewski, Stella Jouldjian and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Sleep, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 35% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Constance H FungGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Jennifer L MartinGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Ron D HaysDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California.
Emily S PattersonSchool of Health and Rehabilitation Sciences, Ohio State University, Columbus, Ohio.
Ravi AysolaDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California.
Nananda ColUniversity of New England, Biddeford, Maine.
Michael N MitchellGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Cindy TruongGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Joseph M DzierzewskiGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Stella JouldjianGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Yeonsu SongGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Juan Carlos RodriguezDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California.
Karen JosephsonGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Cathy AlessiGeriatric Research, Education and Clinical Center, VA Greater Los Angeles Healthcare System, Los Angeles, California.
Geriatric Research Education and Clinical Center · USUniversity of California, Los Angeles · USVA Greater Los Angeles Healthcare System · USPontificia Universidad Católica de Chile · CLThe Ohio State University · USUniversity of New England · US

Funding

Cognitive and inflammatory consequences of sleep disorders in older adultsK23AG049955 · NIA · VIRGINIA COMMONWEALTH UNIVERSITY · PI DZIERZEWSKI, JOSEPH MICHAEL · 2016 to 2020
$794k
Improving Older Adults' Decision Making For Obstructive Sleep Apnea TreatmentK23AG045937 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI FUNG, CONSTANCE · 2013 to 2017
$786k
NIA NIH HHS K23 AG045937NIA NIH HHS K23 AG049955
6 · The paper itself

Abstract

Study objectives: To examine the usability of positive airway pressure (PAP) devices and its association with PAP adherence among older adults with sleep-disordered breathing. Methods: We mailed questionnaires to patients aged ≥65 years prescribed PAP therapy during the prior 36 months from two large healthcare systems. Survey participants completed the Usability of Sleep Apnea Equipment-Positive Airway Pressure (USE-PAP) questionnaire, which assessed the usability of their PAP device. Other questionnaire items included demographics and self-rated health. We also abstracted adherence data (mean nightly hours of PAP use available from one site) and interface type from the electronic health record. Results: Five hundred sixty-four patients completed the survey (response rate = 33%). The mean USE-PAP score (0 = best to 100 = worst) was 20 (SD ± 20). Mean duration of PAP use (available in 189 respondents) was 5.2 hours per night (SD ± 2.0). In a nested regression model predicting nightly hours of PAP use, a 10-point (0.5 SD) increase in USE-PAP score corresponded to a 0.37 hour/night reduction in PAP use. The model including the USE-PAP score explained a significant proportion (R2 = 15%) of the variation in nightly hours of PAP use above and beyond demographics, self-reported health, and interface type (∆R2 = 12%). Conclusions: Our results demonstrate that PAP usability varies among older patients and is associated with PAP adherence, above and beyond other predictors of adherence. These results support measuring and improving PAP usability to further improve PAP adherence for older patients.

Indexed as

AgedContinuous Positive Airway PressureElectronic Health RecordsFemaleHumansMaleMiddle AgedPatient ComplianceSelf CareSelf ReportSleep Apnea SyndromesSurveys and Questionnairesadherencepredictive modeling.sleep apneausability

Identifiers

PMID28364429
PMCPMC5806579
OpenAlexW2593283190

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.