Patient Adherence to CPAP Therapy Elusive despite New Methods

By Jancin, Bruce | Clinical Psychiatry News, June 2006 | Go to article overview

Patient Adherence to CPAP Therapy Elusive despite New Methods


Jancin, Bruce, Clinical Psychiatry News


DENVER -- Continuous positive airway pressure is widely viewed as the treatment of choice for obstructive sleep apnea. When used correctly, it results in multiple benefits, including salutary changes in cognitive function, quality of life, blood pressure, and daytime sleepiness.

There's just one problem. Patient adherence with this nonpharmacologic therapy is, in a word: lousy.

At the annual meeting of the Associated Professional Sleep Societies, investigators described a variety of creative methods aimed at improving compliance with CPAP, ranging from a brief behavioral therapy to equipment refinements to psychologic profiling to assess patient readiness to change. None, however, succeeded in boosting nightly use of CPAP above the 6-hour minimum that sleep disorder specialists deem necessary to achieve optimal clinical results.

"Optimizing adherence with OSA [obstructive sleep apnea] treatment may require a multi-faceted strategy," concluded Mark S. Aloia, Ph.D., of Brown University, Providence, R.I.

He reported on 148 consecutive patients with moderate to severe OSA. The first 66 were placed on conventional CPAP. The next 82 in this nonrandomized study received CPAP machines equipped with C-Flex technology. C-Flex, developed by Respironics Inc., delivers positive air pressure variably in response to a patient's inhalation/exhalation pattern. The hypothesis was that C-Flex would improve adherence by reducing CPAP-users' common complaints of difficulty exhaling, air leak around the mask, and pressure intolerance. The same home health care company was used for all participants in order to maintain consistency.

Adherence data were gathered at 1 week and 1, 3, and 6 months. The good news was the C-Flex group did use their machines more hours per night than conventional CPAP users. Indeed, at 6 months' follow-up, they were three times as likely as CPAP users to be averaging 6 hours per night of PAP.

The bad news was the C-Flex group still averaged only 4.5 hours per night of PAP--well below the optimal 6 hours. Conventional CPAP users averaged a mere 3.2 hours.

Melanie K. …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Patient Adherence to CPAP Therapy Elusive despite New Methods
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.