Evidence map›Paper›PMID 35583497›Full record

ArticleBehavioral sleep medicine

Experiences with Continuous Positive Airway Pressure Among African American Patients and their Bed Partners.

Kristen A Berg, Marquisha Marbury, Morgan A Whaley, Adam T Perzynski, Sanjay R Patel, J Daryl Thornton

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Behavioral sleep medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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 2 institutions in 1 country.

Kristen A BergCenter for Health Care Research and Policy, The MetroHealth Campus of Case Western Reserve University, Cleveland, Ohio, USA.
Marquisha MarburyPopulation Health Research Institute, The MetroHealth Campus of Case Western Reserve University, Cleveland, Ohio, USA.
Morgan A WhaleyPopulation Health Research Institute, The MetroHealth Campus of Case Western Reserve University, Cleveland, Ohio, USA.
Adam T PerzynskiCenter for Health Care Research and Policy, The MetroHealth Campus of Case Western Reserve University, Cleveland, Ohio, USA.
Sanjay R PatelCenter for Sleep and Cardiovascular Outcomes Research, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0002-9142-5172
J Daryl ThorntonPopulation Health Research Institute, The MetroHealth Campus of Case Western Reserve University, Cleveland, Ohio, USA.ORCID 0000-0002-1356-0280
MetroHealth Medical Center · USUniversity of Pittsburgh · US

Funding

Clinical and Translational Science Collaborative of ClevelandUL1TR002548 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2018 to 2022
$35.5M
Transplant navigator interventuon to overcome barriers to kidney transplantionP60MD002265 · NIMHD · CASE WESTERN RESERVE UNIVERSITY · PI SEHGAL, ASHWINI · 2007 to 2016
$10.5M
Using Lay Health Advisors to Help African American Patients Address the Social Context of HypertensionU54MD002265 · NIMHD · CASE WESTERN RESERVE UNIVERSITY · PI SEHGAL, ASHWINI · 2017 to 2021
$7.1M
NCATS NIH HHS UL1 TR002548NIMHD NIH HHS P60 MD002265NIMHD NIH HHS U54 MD002265
6 · The paper itself

Abstract

rationaleDespite having a higher prevalence and severity of obstructive sleep apnea (OSA), African Americans have lower adherence to continuous positive airway pressure (CPAP) compared to other groups. Information regarding challenges faced by African Americans prescribed CPAP are lacking.

objectivesTo determine the barriers and facilitators to optimal management of OSA with CPAP among African Americans and to understand the role bed partners may play.

methodsWe conducted semi-structured in-depth interviews via video conferencing with African American patients of an urban safety-net health care system with OSA prescribed CPAP and their bed partners. Recruitment continued until theoretical saturation was achieved. Verbatim transcripts were analyzed using the principles of thematic analysis.

results15 patients (12 women) diagnosed with OSA and prescribed CPAP a mean 2.6 years prior along with 15 bed partners (3 women) were individually interviewed. Four themes emerged regarding impediments to CPAP use: 1) inadequate education and support, 2) CPAP maintenance and hygiene, 3) inconvenient design of CPAP interfaces, and 4) impediment to intimacy. Four themes emerged as facilitators to CPAP use: 1) provider and technical support, 2) properly fitted CPAP masks, 3) active support from partner and family, and 4) experiencing positive results from CPAP.

conclusionsAfrican American patients with OSA and their bed partners identified several unique barriers and facilitators to CPAP use. Active involvement by bed partners was considered by both patients and partners as helpful in improving CPAP adherence. Interventions to improve OSA outcomes in this population should focus on patients and their bed partners.

Indexed as

Black or African AmericanContinuous Positive Airway PressurePatient ComplianceSexual PartnersSleep Apnea, ObstructiveFemaleHumansSocial Support

Identifiers

PMID35583497
PMCPMC9672138
OpenAlexW4280493845

What OpenQuestion holds

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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.