Evidence map›Paper›PMID 33314386›Full record

ArticleJournal of sleep research2021

Communication during the initial visit to a CPAP clinic Practitioners' experiences of facilitators and barriers when talking to patients with obstructive sleep apnea.

Anders Broström, Bengt Fridlund, Bjöörn Fossum, Amir Pakpour, Per Nilsen, Martin Ulander

Open access · hybridAbstract read
In one paragraph

Article in Journal of sleep research, 2021. 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
0.1field-weighted citation impact, top 49% 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, 3 citations in OpenAlex.

  1. Article
  2. Review
  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

6 authors at 5 institutions in 2 countries.

Anders BroströmDepartment of Clinical Neurophysiology, University Hospital, Linköping, Sweden.ORCID 0000-0002-0433-0619
Bengt FridlundCentre for Interprofessional Collaboration within Emergency care (CICE), Linnaeus University, Växjö, Sweden.
Bjöörn FossumSophiahemmet University, Stockholm, Sweden.
Amir PakpourDepartment of Nursing, School of Health and Welfare, Jönköping University, Jönköping, Sweden.ORCID 0000-0002-8798-5345
Per NilsenDepartment of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, Linköping, Sweden.
Martin UlanderDepartment of Clinical Neurophysiology, University Hospital, Linköping, Sweden.
Linköping University · SELinköping University Hospital · SELinnaeus University · SEQazvin University of Medical Sciences · IRSophiahemmet University College · SE

Funding

Medical Research Council of Southeast Sweden 376541Medical Research Council of Southeast Sweden 566401
6 · The paper itself

Abstract

Adherence to continuous positive airway pressure treatment for obstructive sleep apnea tends to be poor. Communication influences adherence but has not previously been investigated from a practitioner perspective, although shared decision-making is known to be of great importance. The aim was to describe how practitioners experience communication with patients with obstructive sleep apnea during the initial visit at a continuous positive airway pressure treatment clinic, with focus on facilitators and barriers related to the 4 Habits Model, a communication model comprised of four types of interrelated skills to make encounters more patient-centred: investing in the beginning; exploring the patient perspective; showing empathy; and investing in the end. A descriptive design with qualitative content analysis was used. A deductive analysis was carried out based on interviews with 24 strategically selected practitioners from seven continuous positive airway pressure treatment clinics. The 4 Habits Model was used as a framework for identifying facilitators and barriers to communication. Investments in the beginning was described as creating contact, showing the agenda and being adaptive, while explore the patient perspective included showing awareness, being explorative and creating a participating climate. Show empathy consisted of showing openness, being confirmative and creating acceptance, while showing a structured follow-up plan, being open minded and invitational and creating motivation to build on were descriptions of invest in the end. Awareness of potential facilitators and barriers for patient-centred communication during the beginning, middle and end of a continuous positive airway pressure treatment consultation can be used to improve contextual conditions and personal communication competences among practitioners working with continuous positive airway pressure treatment initiation.

Indexed as

CommunicationContinuous Positive Airway PressurePhysician-Patient RelationsAdultFemaleHumansMaleMiddle AgedMotivationPatient ComplianceSleep Apnea, Obstructiveadherencecommunicationcontinuous positive airway pressureobstructive sleep apneashared decision-making

Identifiers

PMID33314386
PMCPMC8365721
OpenAlexW3111325016

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.