Compliance With Nasal CPAP Can Be Improved by Simple Interventions
Abstract
Effectiveness of continuous positive airway pressure (CPAP) as a treatment of obstructive sleep apnea can be limited by poor compliance, but little is known about how to improve compliance. We performed a randomized, controlled clinical trial among 33 subjects of two interventions to improve compliance. One group of subjects received weekly phone calls to uncover any problems and encourage use, another received written information about sleep apnea and the importance of regular CPAP use, and a third served as control subjects. We found that intervention improved CPAP compliance (p = 0.059) and that the effect was particularly strong when intervention occurred during the first month of CPAP treatment (p = 0.004). Although the sample size did not allow definitive investigation of other explanatory variables, subjects with lower levels of education or those with relatives who used CPAP may have benefited from intervention more than other subjects. We conclude that simple, inexpensive efforts to improve compliance with CPAP can be effective, especially when applied at the start of CPAP treatment, but optimal intervention may vary with certain patient characteristics.
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Overall, there were 7 RCTs identified that compared a pure educational intervention versus usual care, 6 RCTs that compared a behavioral intervention versus usual care, and 9 RCTs that compared a troubleshooting with education intervention versus usual care.
“Overall, there were 7 RCTs 207,214,215,220,221,229,230 identified that compared a pure educational intervention versus usual care, 6 RCTs 214-219 that compared a behavioral intervention versus usual care, and 9 RCTs 207,220,222-228 that compared a troubleshooting with education intervention versus usual care.”
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- Authors
- Chervin, R. D., Theut, S., Bassetti, C., & Aldrich, M. S.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Chervin, Ronald D.
- Venue
- Sleep
- Publisher
- Oxford University Press (OUP)
- Published
- 1997-04
- Volume
- 20
- Issue
- 4
- Pages
- 284-289
- ISSN
- 0161-8105 (ISSN-L)
- 1550-9109
- OpenAlex
- W200005497
- Semantic Scholar
- 7ddc04b8b22f58d0bcd0c471b038569f6aa17796
- Cited by
- 242
- References
- 0
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 7 · 2020: 5 · 2019: 4 · 2018: 3 · 2017: 11 · 2016: 7 · 2015: 4 · 2014: 11 · 2013: 8 · 2012: 12
- FWCI
- 5.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- SLEEP (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
- CPAP adherence, continuous positive airway pressure, obstructive sleep apnea, telephone follow-up, patient education, adherence interventions, patient education level
- MeSH terms
- Adult, Aged, Female, Follow-Up Studies, Humans, Lung Diseases, Obstructive, Male, Middle Aged, Motivation, Patient Compliance, Patient Education as Topic, Positive-Pressure Respiration, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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