A Pilot Study of CPAP Adherence Promotion by Peer Buddies with Sleep Apnea
Open accessAbstract
Study objectives To evaluate patient ratings of the acceptability of a peer buddy system (PBS). To promote continuous positive airway pressure (CPAP) therapy adherence in patients with obstructive sleep apnea (OSA). To obtain preliminary data on the effectiveness of PBS on sleep-specific health-related quality of life and CPAP adherence.Design Prospective, randomized, and controlled study.Setting Academic Center.Participants Thirty-nine patients with OSA and 13 patients with OSA who were experienced CPAP users.Interventions Recently diagnosed patients with OSA were randomly assigned to either the PBS to promote CPAP adherence (intervention group) or usual care (control group).Measurements Patient satisfaction, Functional Outcomes of Sleep Questionnaire (FOSQ), CPAP adherence, vigilance, self-efficacy, and patient activation were measured.Results Ninety-one percent of the subjects rated the PBS as very satisfactory (68%) or satisfactory (23%). During the 90 days of therapy, weekly CPAP adherence was greater in the intervention than the usual care group (MANOVA; F = 2.29; p = 0.04). Patient satisfaction was positively correlated with CPAP adherence (R(2) = 0.14; p = 0.02). We did not find any group differences for FOSQ, vigilance, self-efficacy, or patient activation in this pilot study.Conclusion Our pilot study suggests that the PBS intervention is feasible and received high patient satisfaction ratings. CPAP adherence may be improved by peer-driven intervention, but a larger, adequately powered study is needed.Clinical trial information ClinicalTrials.gov identifier: NCT01164683.Commentary A commentary on this article appears in this issue on page 551.Citation Parthasarathy S; Wendel C; Haynes PL; Atwood C; Kuna S. A pilot study of CPAP adherence promotion by peer buddies with sleep apnea. J Clin Sleep Med 2013;9(6):543-550.
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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.”
From Treatment of Adult Obstructive Sleep Apnea With Positive Airway Pressure: An American Academy of Sleep Medicine Systematic Review, Meta-Analysis, and GRADE Assessment (2019) · cites this paper as [218]
The Design and Setting passage identifies this as a randomized trial of a peer-buddy intervention versus usual care, supporting its inclusion among behavioral-intervention trials. It does not support counting the study as a pure educational intervention versus usual care: both groups received usual care, and the intervention group additionally interacted with peer buddies. The paper does not establish the sentence’s overall counts of 7, 6, and 9 RCTs. (LLM, conf=0.90)
Experimental — accuracy not yet measuredCPAP adherence was greater in the peer buddy system group after 3 months.
“CPAP adherence was greater in the peer buddy system group after 3 months.1142”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [1142]
Experimental — accuracy not yet measured
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- Authors
- Parthasarathy, S., Wendel, C., Haynes, P. L., Atwood, C., & Kuna, S.
- Affiliations
- University of Arizona (US)
- University of Pittsburgh (US)
- Philadelphia VA Medical Center (US)
- Corresponding author
- Parthasarathy, Sairam
- Venue
- Journal of Clinical Sleep Medicine
- Published
- 2013-06-15
- Volume
- 9
- Issue
- 6
- Pages
- 543-550
- ISSN
- 1550-9389 (ISSN-L)
- 1550-9397
- PMC
- PMC3659373
- OpenAlex
- W2045452030
- Semantic Scholar
- 05308869b029d0105ff56aee3bb1bf67c70d391d
- Cited by
- 77
- References
- 29
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 13 · 2023: 7 · 2022: 9 · 2021: 6 · 2020: 10 · 2019: 7 · 2018: 1 · 2017: 8 · 2016: 5 · 2015: 3 · 2014: 5 · 2013: 1
- FWCI
- 3.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Sleep Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL095748, HL095748)
- 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, obstructive sleep apnea, continuous positive airway pressure, peer support, patient satisfaction, health-related quality of life, self-efficacy, patient activation, sustained attention
- MeSH terms
- Feasibility Studies, Humans, Male, Middle Aged, Patient Compliance, Peer Group, Pilot Projects, Prospective Studies, Social Support, Multivariate Analysis, Linear Models, Patient Satisfaction, Sleep Apnea, Obstructive, Self Efficacy, Continuous Positive Airway Pressure
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