Cited by 242Obstructive Sleep Apnea ResearchSleep and related disordersMedication Adherence and Compliance

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Compliance With Nasal CPAP Can Be Improved by Simple Interventions

Chervin, Ronald D., Theut, Sarah, Bassetti, Claudio, Aldrich, Michael S.·1997·Sleep

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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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Authors: Chervin, R. D., Theut, S., Bassetti, C., & Aldrich, M. S.
Affiliations: University of Michigan (US)
Corresponding author: Chervin, Ronald D.
ORCID: Chervin, Ronald D.
Bassetti, Claudio
Venue: Sleep
Publisher: Oxford University Press (OUP)
Published: 1997-04
Volume: 20
Issue: 4
Pages: 284-289
ISSN: 0161-8105 (ISSN-L)
1550-9109
DOI: 10.1093/sleep/20.4.284
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 (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, 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

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Compliance With Nasal CPAP Can Be Improved by Simple Interventions

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