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Cited by 88Obstructive Sleep Apnea ResearchSleep and related disordersMedication Adherence and Compliance

Spousal involvement in CPAP adherence among patients with obstructive sleep apnea

Baron, Kelly Glazer, Smith, Timothy W., Berg, Cynthia A., Czajkowski, Laura A., Gunn, Heather, Jones, Christopher R.·2011·Sleep And Breathing
DOI 10.1007/s11325-010-0374-z
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Abstract

Purpose To determine the effects of spousal involvement on continuous positive airway pressure (CPAP) adherence and response to CPAP problems in male patients with obstructive sleep apnea (OSA).Methods Wives' involvement (pressure, support, and collaboration), CPAP adherence and CPAP problems (e.g., mask leaks) were assessed for 10 days in 31 male OSA patients. Disease severity and pre-treatment ratings of relationship quality were tested as moderators of daily associations in multilevel models. Effects of wives' involvement were tested as predictors of day-to-day adherence and average nightly adherence at 3 months.Results Perception of wives' support predicted increased adherence only in patients with high disease severity. Collaboration increased following nights with lower adherence and greater CPAP problems. Patients with lower conflict in the relationship reported a greater increase in collaboration associated with CPAP problems. Patients with lower support in the relationship reported increased next-day support following nights with CPAP problems. Perceived pressure from the wife was not associated with increased adherence in day-to-day analyses and associated with poorer adherence at 3 months.Conclusions The relationship between wives' involvement and adherence was bidirectional and influenced by disease and relationship context. The majority of findings demonstrated increased positive wife involvement as a reaction to adherence and problems with CPAP. Supportive and collaborative interventions have the potential to improve CPAP adherence and response to CPAP-related problems, particularly in patients with high disease severity. Pressure to use CPAP from the wife was not beneficial for adherence that day and predicted poorer adherence at 3 months. Further research is needed to test supportive spousal involvement as an adherence intervention.

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  • Men are more likely to have obstructive sleep apnea, more likely to have difficulty adhering to sleep apnea treatment, and more likely to die as a result of complications or consequences of sleep apnea.

    “For example, men are more likely to have obstructive sleep apnea,139 are more likely to have difficulty adhering to sleep apnea treatment,165,166 and are more likely to die as a result of complications or consequences of sleep apnea.167”

    From Sleep, Health, and Society (2017) · cites this paper as [165]

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Authors
Baron, K. G., Smith, T. W., Berg, C. A., Czajkowski, L. A., Gunn, H., & Jones, C. R.
Affiliations
  • Northwestern University (US)
  • University of Utah (US)
Corresponding author
Baron, Kelly Glazer
ORCID
Venue
Sleep And Breathing
Publisher
Springer Science and Business Media LLC
Published
2010-06-15
Volume
15
Issue
3
Pages
525-534
ISSN
  • 1520-9512 (ISSN-L)
  • 1522-1709
DOI
10.1007/s11325-010-0374-z
OpenAlex
W2068030977
Cited by
88
References
80
Citations by year
2026: 2 · 2025: 6 · 2024: 4 · 2023: 6 · 2022: 9 · 2021: 4 · 2020: 6 · 2019: 2 · 2018: 6 · 2017: 12 · 2016: 6 · 2015: 2 · 2014: 7 · 2013: 7 · 2012: 6
FWCI
3.47
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Sleep And Breathing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Keywords
obstructive sleep apnea, CPAP adherence, spousal involvement, relationship quality, relationship conflict, mask leak, disease severity, bidirectional relationship, male patients
MeSH terms
Adult, Cooperative Behavior, Humans, Male, Middle Aged, Patient Compliance, Surveys and Questionnaires, Social Support, Health Behavior, Spouses, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure

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