Cited by 900Obstructive Sleep Apnea ResearchSleep and related disordersMedication Adherence and Compliance

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A systematic review of CPAP adherence across age groups: Clinical and empiric insights for developing CPAP adherence interventions

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Sawyer, Amy M., Gooneratne, Nalaka S., Marcus, Carole L., Ofer, Dafna, Richards, Kathy C., Weaver, Terri E.·2011·Sleep Medicine Reviews

DOI 10.1016/j.smrv.2011.01.003PMC PMC3202028

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Abstract

Continuous positive airway pressure (CPAP) is a highly efficacious treatment for obstructive sleep apnea (OSA) but adherence to the treatment limits its overall effectiveness across all age groups of patients. Factors that influence adherence to CPAP include disease and patient characteristics, treatment titration procedures, technological device factors and side effects, and psychological and social factors. These influential factors have guided the development of interventions to promote CPAP adherence. Various intervention strategies have been described and include educational, technological, psychosocial, pharmacological, and multi-dimensional approaches. Though evidence to date has led to innovative strategies that address adherence in CPAP-treated children, adults, and older adults, significant opportunities exist to develop and test interventions that are clinically applicable, specific to subgroups of patients likely to demonstrate poor adherence, and address the multifactorial nature of CPAP adherence. The translation of CPAP adherence promotion interventions to clinical practice is imperative to improve health and functional outcomes in all persons with CPAP-treated OSA.

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Authors: Sawyer, A. M., Gooneratne, N. S., Marcus, C. L., Ofer, D., Richards, K. C., & Weaver, T. E.
Affiliations: Philadelphia VA Medical Center (US)
University of Pennsylvania (US)
Children's Hospital of Philadelphia (US)
University of Illinois Chicago (US)
Corresponding author: Sawyer, Amy M.
ORCID: Sawyer, Amy M.
Gooneratne, Nalaka S.
Richards, Kathy C.
Weaver, Terri E.
Venue: Sleep Medicine Reviews
Publisher: Elsevier BV
Published: 2011-12
Volume: 15
Issue: 6
Pages: 343-356
ISSN: 1087-0792 (ISSN-L)
DOI: 10.1016/j.smrv.2011.01.003
PMC: PMC3202028
OpenAlex: W2167330814
Semantic Scholar: eedb56e378d918132bc2ebe49ba94e0614e78a04
Cited by: 900
References: 98
Citations by year: 2026: 36 · 2025: 59 · 2024: 72 · 2023: 70 · 2022: 88 · 2021: 89 · 2020: 89 · 2019: 70 · 2018: 70 · 2017: 63 · 2016: 61 · 2015: 33 · 2014: 44 · 2013: 36 · 2012: 15
FWCI: 3.44
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Sleep Medicine Reviews (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health
National Institute of Nursing Research (K99NR011173, R00NR011173)
Topics: Health Sciences › Medicine › Physiology (medical) › 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: CPAP adherence, continuous positive airway pressure, obstructive sleep apnea, adherence interventions, children, older adults, treatment side effects, CPAP titration, psychosocial factors, patient education, device technology, pharmacological interventions
MeSH terms: Adult, Age Factors, Humans, Patient Compliance, Psychology, Severity of Illness Index, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure

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A systematic review of CPAP adherence across age groups: Clinical and empiric insights for developing CPAP adherence interventions

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