ArticleAnnals of the American Thoracic Society2018
Facilitators and Barriers to Positive Airway Pressure Adherence for Adolescents. A Qualitative Study.
Article in Annals of the American Thoracic Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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Who cites it
20 citing papers in PubMed.
- Heated High-Flow Nasal Cannula Therapy for Pediatric Obstructive Sleep Apnea: Physiology, Clinical Evidence, and Future Directions.Children (Basel, Switzerland) · 2026Review
- Caregivers' outcome prioritization for home positive airway pressure in children: a mixed-methods study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Article
- The lived experience of positive airway pressure therapy in patients with obstructive sleep apnea across the lifespan: a qualitative study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- The experience of children using long-term non-invasive ventilation: a qualitative study.Frontiers in sleep · 2024Article
- Behavioral and emotional characteristics of Canadian children with obesity and moderate-severe sleep-disordered breathing treated with positive airway pressure: longitudinal changes and associations with adherence.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023Article
- Adherence to Continuous Positive Airway Pressure Therapy in Pediatric Patients with Obstructive Sleep Apnea: A Meta-Analysis.Therapeutics and clinical risk management · 2023Review
- A social media intervention for the families of young Black men with obstructive sleep apnoea.Health education journal · 2022Article
- Positive airway pressure for the treatment of the childhood obstructive sleep apnea syndrome.Pediatric pulmonology · 2022Review
- The impact of the COVID-19 pandemic on positive airway pressure usage in children with sleep-disordered breathing.Sleep & breathing = Schlaf & Atmung · 2022Article
- Clinical utility of repeated positive airway pressure titrations in children with obstructive sleep apnea syndrome.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Comparing Adherence of Continuous and Automatic Positive Airway Pressure (CPAP and APAP) in Obstructive Sleep Apnea (OSA) Children.Frontiers in pediatrics · 2022Article
- To Wear or Not Wear the Mask: Decline in Positive Airway Pressure Usage in Children with Sleep Disordered Breathing During the COVID-19 Pandemic.Nature and science of sleep · 2022Article
- Positive Airway Pressure Therapy for Pediatric Obstructive Sleep Apnea.Children (Basel, Switzerland) · 2021Review
- Clinical predictors of nonadherence to positive airway pressure therapy in children: a retrospective cohort study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- Caregiver support and positive airway pressure therapy adherence among adolescents with obstructive sleep apnea.Paediatrics & child health · 2020Article
- Positional obstructive sleep apnea in an obese pediatric population.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020Article
- Positive airway pressure adherence in pediatric obstructive sleep apnea: A systematic scoping review.Sleep medicine reviews · 2020Article
- Transition to Adult Care for Obstructive Sleep Apnea.Journal of clinical medicine · 2019Review
- Long-term adherence to ambulatory initiated continuous positive airway pressure in non-syndromic OSA children.Sleep & breathing = Schlaf & Atmung · 2019Article
- Fitting Positive Airway Pressure Adherence into Teenage Life: Don't Push It!Annals of the American Thoracic Society · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
rationaleLow adherence to positive airway pressure (PAP) treatment for adolescents with obstructive sleep apnea (OSA) can have long-term cardiometabolic and developmental impact.
objectivesTo explore the facilitators and barriers to PAP use in adolescents with OSA.
methodsWe conducted a qualitative study using a descriptive thematic analysis approach. A total of 21 interviews were conducted in the clinical setting with adolescents prescribed PAP to treat OSA within the previous 12 months. Interview audio recordings were transcribed verbatim for analysis. Transcripts were reviewed, and data were categorized using a coding framework developed by the research team. Codes were structured into themes related to the barriers and facilitators to using PAP.
resultsParticipants described numerous challenges with the physical design of the PAP machine, including the restriction of the tubing, the discomfort of the mask, and concerns with its size and weight. A period of adjustment to wearing and preparing the PAP machine was described whereby participants had to develop their own strategies to improve comfort. After initiating the therapy, the challenges experienced by participants were cited more often than the perceived benefits, particularly for those who were less adherent. Finally, the unique needs of adolescents were highlighted, which impacted the amount of family support desired in using PAP.
conclusionsThis study identifies factors affecting PAP adherence when prescribed in adolescence and highlights the need for ongoing dialogue between adolescents and their clinical team with respect to challenges encountered, troubleshooting, adherence strategies, and parental engagement.
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