The relationship between positive airway pressure tolerance and adherence: defining a new metric.
J Clin Sleep Med
; 20(7): 1033-1038, 2024 Jul 01.
Article
in En
| MEDLINE
| ID: mdl-38305783
ABSTRACT
STUDY OBJECTIVES:
Positive airway pressure (PAP) therapy adherence rates range from 30% to 60%, yet adherent patients may still express dissatisfaction with treatment. The identification of factors affecting PAP tolerance could provide insight into its impact on adherence.METHODS:
Patients with obstructive sleep apnea presenting for first follow-up visit after newly initiating PAP therapy were given a 10-question PAP tolerance survey encompassing domains of psychosocial perception, practical issues, and side effects, utilizing 10-point visual analog scales. Relationships between adherence data, tolerance scores, and patient variables (demographics, sleep-related factors, comorbidities, usage data) were explored via 2-tailed t tests, multivariable regression analysis, and recursive partitioning regression trees with a significance level of P ≤ .05.RESULTS:
For 105 patients, tolerance scores were higher in patients considered adherent to therapy (P = .033), as were scores for individual survey questions addressing the ability to fall asleep (P = .013) and sleep through the night (P = .020). Depression positively (P = .006) and insomnia medication use negatively (P = .010) predicted tolerance score. Data-driven tolerance score cutoffs were identified to correlate with PAP adherence, with higher tolerance scores correlating with greater adherence rates.CONCLUSIONS:
PAP tolerance may play an important role in therapy adherence. Tolerance can be statistically defined and categorized based on prior adherence data. Its utility as a predictive tool in assessing future adherence is warranted. CITATION Tekumalla S, Plawecki A, Kaffenberger T, et al. The relationship between positive airway pressure tolerance and adherence defining a new metric. J Clin Sleep Med. 2024;20(7)1033-1038.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Compliance
/
Sleep Apnea, Obstructive
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Continuous Positive Airway Pressure
Type of study:
Prognostic_studies
Limits:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
J Clin Sleep Med
Year:
2024
Document type:
Article
Country of publication:
Estados Unidos