Evidence map›Paper›PMID 31019856›Full record

ArticleCureus2019

Adapting Continuous Positive Airway Pressure Therapy to Where Patients Live: A Comparative Case Study.

Edward J Miech, Dawn M Bravata, H Klar Yaggi, Charles Austin, Lauren A Tobias, Jared Ferguson, Marianne S Matthias

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

7 authors at 3 institutions in 1 country.

Edward J MiechInternal Medicine, Roudebush VA Medical Center, Indianapolis, USA.
Dawn M BravataInternal Medicine, Roudebush VA Medical Center, Indianapolis, USA.
H Klar YaggiInternal Medicine, Yale University School of Medicine, New Haven, USA.
Charles AustinInternal Medicine, Roudebush VA Medical Center, Indianapolis, USA.
Lauren A TobiasInternal Medicine, Yale University School of Medicine, New Haven, USA.
Jared FergusonInternal Medicine, Roudebush VA Medical Center, Indianapolis, USA.
Marianne S MatthiasInternal Medicine, Roudebush VA Medical Center, Indianapolis, USA.
Indiana University – Purdue University Indianapolis · USYale University · USRichard L. Roudebush VA Medical Center · US

Funding

Mentoring in Sleep Research and Sleep Interventions in Heart Disease, and StrokeK24HL132093 · NHLBI · YALE UNIVERSITY · PI YAGGI, HENRY KLAR · 2016 to 2020
$336k
NHLBI NIH HHS K24 HL132093
6 · The paper itself

Abstract

Objectives Continuous positive airway pressure (CPAP) therapy has been demonstrated to effectively reverse the abnormal physiology of sleep apnea and improve a variety of patient outcomes, yet helping patients adapt and adhere to CPAP has proven to be a challenging issue in the effective treatment of obstructive sleep apnea (OSA). As a home-based intervention trial, the "Sleep Apnea in Transient Ischemic Attack and Stroke: Reducing Cardiovascular Risk with Positive Airway Pressure" ("sleep tight") study was uniquely positioned to capture and evaluate challenges faced by patients over time during their introduction to CPAP therapy.  Methods A comparative case study design was used to better understand the process whereby patients adapted CPAP therapy in order to fit their own personal set of circumstances. Cases were identified from patients enrolled in the "enhanced intervention" group of the sleep tight trial.  Results These comparative case studies illustrated how adherence to CPAP therapy is an adaptive process where personal context matters. The case studies also demonstrated how some patients overcame challenges and barriers by themselves to integrate CPAP therapy into their own lives, while others required help from study staff to overcome these barriers and some were never able to successfully adapt CPAP therapy in order to fit their personal contexts, despite study staffs' best efforts.  Conclusions A major opportunity to improve CPAP adherence appears to exist in placing greater emphasis on supporting patients in adapting CPAP therapy for "where they live."

Indexed as

adherencecomparative case studycpaphome-based therapypatient experiencesleep apnea

Identifiers

PMID31019856
PMCPMC6464984
OpenAlexW2913781884

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.