The DOI matches its Crossref record.
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source says what the claim attributes to it.
In the citing paper
“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.”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Still being checked.
Cited by
Sorted by citations
Items 201–240 of 240
Mund und Maskenleckage bei Kontrolluntersuchungen
Nilius, G. (2008) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-008-0368-2
Diabetes and Hypertension in People with Sleep Apnea: Risk Evaluation and Therapeutic Rationale
Pandey, A. K., Olafiranye, O., Adedayo, M., Zizi, F., McFarlane, S. I., & Jean‐Louis, G. (2012) · Humana Press eBooks · doi:10.1007/978-1-60327-357-2_5
A daytime “PAP-Nap” can help new patients adjust to the use of continuous positive airway pressure
Peters, M. D., & Shamim-Uzzaman, Q. A. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9781139583848.025
The future of sleep medicine and the business of sleep
Farrell, P. C. (2006) · Sleep And Breathing · doi:10.1007/s11325-006-0066-x
Williams, S. G., Lettieri, C. J., & Dombrowsky, J. W. (2012) · Current Respiratory Care Reports · doi:10.1007/s13665-012-0015-z
Expiratory Pressure Modulation
Chu, M.-K. (2007) · Journal of Korean Sleep Research Society · doi:10.13078/jksrs.07005
Éducation thérapeutique et syndrome d’apnées du sommeil
Orvoën-Frija, E. (2009) · Revue des Maladies Respiratoires Actualités · doi:10.1016/s1877-1203(09)75269-3
Dimitrova, P. (2014) · Universitätsbibliothek der FU Berlin Hochschulschriftenstelle u. Dokumentenserver · doi:10.17169/refubium-17448
OBSTRÜKTİF UYKU APNE SENDROMU’NDA NCPAP TEDAVİSİNE UYUMA GÖRSEL AĞIRLIKLI EĞİTİMİN KATKISI
Öztürk, L., Pelin, Z., Kaynak, D., Salbacak, L., Özgür, C., Mutlu, A., & Kaynak, H. (2001) · DergiPark (Istanbul University)
Block, A. J. (1999) · CHEST Journal · doi:10.1378/chest.116.6.1501
Pertelle, V. R., & Fary, R. (2005)
Obstructive Sleep Apnea: Considerations for the Primary Care Practitioner
Hedges, M. J. (2012) · Research Exchange (Washington State University)
Compliance bei nasaler kontinuierlich-positiver Atemwegsdruck-Therapie
Schönhofer, B. (1999) · Somnologie - Schlafforschung und Schlafmedizin · doi:10.1007/s11818-999-0012-9
Link, H., & Roux, F. (2011) · Journal of Asthma & Allergy Educators · doi:10.1177/2150129711410546
Aguiar, M., Cruz, C., & Esquinas, A. M. (2016) · The Clinical Respiratory Journal · doi:10.1111/crj.12482
Presión respiratoria positiva en el tratamiento de la apnea-hipopnea del sueño*
SANDERS, M. H., Strollo, P. J., Atwood, C. W., Stiller, R. A., & O'Donnell, C. P. (2011) · Elsevier eBooks · doi:10.1016/b978-84-8086-733-7.00025-5
Behavioral and psychiatric treatments for sleepiness
Harris, S. F., & Thorpy, M. J. (2011) · Cambridge University Press eBooks · doi:10.1017/cbo9780511762697.042
Positive airway pressure to treat obstructive sleep apnea
Chervin, R. D. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9781139583848.078
Self-citationPositive Airway Pressure in the Treatment of Sleep Apnea–Hypopnea
Atwood, C. W., & Strollo, P. J. (2017) · Springer eBooks · doi:10.1007/978-1-4939-6578-6_34
Intervention for CPAP adherence in OSAS: a choice to patient or technique?
Pazarlı, A. C., & Esquinas, A. M. (2017) · Sleep And Breathing · doi:10.1007/s11325-017-1522-5
Yagihara, F. (2017) · Digital Library of Theses and Dissertations (Universidade de São Paulo) · doi:10.11606/t.5.2017.tde-06092017-134606
The ABCs of Sleep Apnea Management
Turino, C., Barbé, F., & Sánchez‐de‐la‐Torre, M. (2015) · Barcelona Respiratory Network · doi:10.23866/brnrev:2015-m0006
Family History of Successful CPAP Treatment is Associated with Improved CPAP Compliance
Stanley, J. J. (2018) · Journal of Sleep Disorders & Therapy · doi:10.4172/2167-0277.1000298
Positive airway pressure therapy in sleep related breathing disorders
Sharma, S., & Franco, R. (2006) · Indian Journal of Sleep Medicine · doi:10.5005/ijsm-1-1-6
Galeano, S. A., & Henao, J. V. (2018) · ACTA DE OTORRINOLARINGOLOGÍA & CIRUGÍA DE CABEZA Y CUELLO · doi:10.37076/acorl.v39i3.243
Non-Invasive Positive Airway Pressure Treatment
Sivan, Y., & Gut, G. (2014) · Elsevier eBooks · doi:10.1016/b978-1-4557-0318-0.00035-8
한국인 폐쇄성수면무호흡증 환자들의 자동적정 비강기도 양압기 사용의 순응도
Chung, Y. S., 왕종환, 김영란, Jang, Y. J., & 이봉재 (2006)
Chawla, S., & Salzman, S. H. (2016) · Springer eBooks · doi:10.1007/978-3-319-20797-1_37-1
Chawla, S., & Salzman, S. H. (2017) · Springer eBooks · doi:10.1007/978-3-319-18741-9_37
Soft Styles of Motivating Patients to Adopt CPAP
Khullar, A. (2022) · Springer eBooks · doi:10.1007/978-3-030-93146-9_4
Contemporary Sleep Surgery: From Reconstruction to Restoration
Liu, S. Y., & Gupta, R. J. (2021) · Journal of the California Dental Association · doi:10.1080/19424396.2021.12222684
The acute effects of the PAP treatment on nasal mucosa in patients with OSAS
Oğuz, O., & İriz, A. (2024) · Romanian Journal of Rhinology · doi:10.2478/rjr-2024-0027
Veys, F., Schyvens, A.-M., Volder, I. D., Gastel, A. V., Dieltjens, M., Vroegop, A. V. M. T., Vanderveken, O. M., & Verbraecken, J. A. (2025) · ERJ Open Research · doi:10.1183/23120541.00714-2025
Tallamraju, H., Newton, J. T., Fleming, P. S., & Johal, A. (2021) · Figshare · doi:10.6084/m9.figshare.16807550
Positive Pressure Therapy: Compliance and Partnering with Home Care
Studnicki, K. (1998) · Respiratory Care · doi:10.1177/002013249804300409
Sleep Testing: Center- and Home-Based
Minkley, P. (1998) · Respiratory Care · doi:10.1177/002013249804300407
Metadata
- 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 (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
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 ›
Are you an author, or do you see a problem with this page? Request a review
