Evidence map›Paper›PMID 41953147›Full record

ArticleNursing research and practice2026

Beyond the Mask-Psychological Discomfort as a Predictor of Early CPAP Nonadherence in Moderate-to-Severe OSA Patients: A Prospective Mixed-Methods Study.

Yen-Chin Chen, Cristina Frange, Shin-Shan Pan, Cheng-Man Ng, Yen-Hsu Chen, Cheng-Yu Lin

Abstract read
In one paragraph

Article in Nursing research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Yen-Chin ChenDepartment of Nursing, College of Medicine, National Sun Yat-sen University, Taiwan/ No.70 Lien-hai Road, Kaohsiung, 804201, Taiwan, nsysu.edu.tw.ORCID https://orcid.org/0000-0001-7353-3383
Cristina FrangeSleep Health Physiotherapy Center, Brazil/Avenida Onze de Junho, 1070, Conjunto 510, Vila Clementino, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-5435-3579
Shin-Shan PanDepartment of Otolaryngology, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Taiwan/ No.138, Sheng Li Road, North Dist., Tainan City, 704, Taiwan, ncku.edu.tw.ORCID https://orcid.org/0009-0003-1047-295X
Cheng-Man NgDepartment of Nursing, College of Medicine, National Sun Yat-sen University, Taiwan/ No.70 Lien-hai Road, Kaohsiung, 804201, Taiwan, nsysu.edu.tw.ORCID https://orcid.org/0009-0005-0880-6978
Yen-Hsu ChenDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan, kmu.edu.tw.ORCID https://orcid.org/0000-0002-8667-4844
Cheng-Yu LinDepartment of Otolaryngology, College of Medicine, National Cheng Kung University Hospital, National Cheng Kung University, Taiwan/ No.138, Sheng Li Road, North Dist., Tainan City, 704, Taiwan, ncku.edu.tw.ORCID https://orcid.org/0000-0001-6586-1053

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objective: Early adherence to CPAP therapy is a critical determinant of long-term treatment adherence, but it is frequently compromised by patient-reported adverse effects. This study aimed to systematically identify CPAP-related adverse symptoms and evaluate their associations with early treatment adherence among patients with moderate-to-severe OSA. Methods: A prospective mixed-methods study was conducted at a tertiary sleep center between August 2021 and February 2025. A total of 121 adults with newly diagnosed moderate-to-severe OSA were enrolled. CPAP-related symptoms ( Results: Among 121 participants (mean age 50.8 years; 84.3% male), 60.3% demonstrated good adherence. Psychological symptoms were the only domain significantly associated with reduced adherence ( Conclusion: Psychological discomfort significantly impairs early CPAP adherence among patients with OSA. Routine assessment and timely intervention targeting psychological and interface-related complaints during the initial treatment period may help support continued CPAP use in clinical practice.

Indexed as

adherencecontinuous positive airway pressure (CPAP)mixed-methods researchobstructive sleep apnea (OSA)symptoms

Identifiers

PMID41953147
PMCPMC13053947

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Registered trials

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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.