Evidence map›Paper›PMID 35716543›Full record

ArticleSleep medicine2022

Novel and modifiable factors associated with adherence to continuous positive airway pressure therapy initiated during stroke rehabilitation: An exploratory analysis of a prospective cohort study.

Sandeep P Khot, Heather M Barnett, Arielle P Davis, Eeeseung Byun, Barbara S McCann, Charles H Bombardier, Korren Rappisi, W T Longstreth, Martha E Billings, Devin L Brown and 1 more

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sleep medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02809430 (Maximizing Use of Continuous Positive Airway Pressure in Stroke Rehabilitation Patients With Obstructive Sleep Apnea), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 29% 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.

NCT02809430 nacompletednot on this map

Maximizing Use of Continuous Positive Airway Pressure in Stroke Rehabilitation Patients With Obstructive Sleep Apnea

TypeinterventionalSponsorUniversity of WashingtonRan2016 to 2018Enrolled90ConditionsSleep Apnea, Obstructive, Stroke, Patient AdherenceArmsContinuous Positive Airway Pressure
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  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

11 authors at 4 institutions in 1 country.

Sandeep P KhotDepartment of Neurology, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98195, USA. Electronic address: skhot@uw.edu.
Heather M BarnettDepartment of Rehabilitation Medicine, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98195, USA.
Arielle P DavisDepartment of Neurology, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98195, USA.
Eeeseung ByunDepartment of Biobehavioral Nursing and Health Informatics, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98195, USA.
Barbara S McCannDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98195, USA.
Charles H BombardierDepartment of Rehabilitation Medicine, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98195, USA.
Korren RappisiDepartment of Rehabilitation Medicine, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98195, USA.
W T LongstrethDepartment of Neurology, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98195, USA.
Martha E BillingsDepartment of Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98195, USA.
Devin L BrownDepartment of Neurology, University of Michigan Medical School, 1500 E Medical Center Dr., Ann Arbor, MI, 48109, USA.
Michelle M GarrisonDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98195, USA; Department of Health Services, University of Washington School of Medicine, 1959 NE Pacific St., Seattle, WA, 98195, USA.
Seattle Pacific University · USUniversity of Washington · USNeurobehavioral Systems · USUniversity of Michigan · US

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR002319
6 · The paper itself

Abstract

OBJECTIVE/

backgroundContinuous positive airway pressure (CPAP) for the treatment of sleep apnea may improve stroke recovery but is limited by poor adherence. We evaluated baseline features and psychosocial factors associated with CPAP adherence among stroke patients enrolled in a pilot study of an intensive CPAP adherence protocol initiated during inpatient rehabilitation. PATIENTS/

methodsIn a retrospective analysis of a prospective cohort study, we compared participants adherent to CPAP (≥4 h for ≥70% of nights over 3 months) to non-adherent participants. Using mixed methods, we quantitatively compared baseline demographic and stroke-related factors associated with adherence and qualitatively compared facilitators and barriers to adherence.

resultsThere were 32 adherent and 20 non-adherent participants. Quantitative analysis revealed more severe stroke, aphasia and white race were associated with adherence. Adherent compared to non-adherent participants also had fewer early CPAP complaints, especially claustrophobia. In a thematic qualitative analysis, facilitators of adherence included improvement in sleep and stroke symptoms, confidence in CPAP use, and positive treatment expectations. Conversely, barriers to adherence included both potentially modifiable factors (lack of confidence in CPAP use, discomfort with a new health technology, and common CPAP-related complaints), and less modifiable factors (social stressors, sleep disturbance, and lack of home social support). DISCUSSION: Adherence programs for CPAP use after stroke should address modifiable barriers, with early desensitization to improve CPAP-related complaints and claustrophobia, and training to address perceived self-efficacy with CPAP. Future studies should explore individual goals and barriers associated with CPAP use among stroke survivors to improve long-term CPAP adherence. CLINICAL TRIAL REGISTRATION NUMBER: NCT02809430.

Indexed as

Sleep Apnea, ObstructiveStrokeStroke RehabilitationContinuous Positive Airway PressureHumansPatient CompliancePilot ProjectsProspective StudiesRetrospective StudiesBehaviorContinuous positive airway pressureRehabilitationSleep apneaStroke

Identifiers

PMID35716543
PMCPMC9327426
OpenAlexW4281569929

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.