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https://hdl.handle.net/1959.11/5388
Title: | Increased Adherence to CPAP With a Group Cognitive Behavioral Treatment Intervention: A Randomized Trial | Contributor(s): | Richards, Dianne (author); Bartlett, DJ (author); Wong, K (author); Malouff, John Michael (author); Grunstein, RR (author) | Publication Date: | 2007 | Handle Link: | https://hdl.handle.net/1959.11/5388 | Abstract: | Study Objective: To improve adherence to continuous positive airway pressure (CPAP) treatment in participants with obstructive sleep apnea (OSA) using a cognitive behavioral therapy (CBT) intervention. Design: A randomized controlled trial. Setting: A major teaching hospital in Sydney (2005). Participants: One hundred individuals (96 men), ranging in age from 32 to 81 years, diagnosed with OSA. Intervention: Two 1-hour CBT interventions (including a video of real CPAP users) plus treatment as usual (mask fitting and information) or treatment as usual only. Measurements and Results: Hours of CPAP usage was assessed at 7 nights and 28 nights. Adherence was defined as usage at least 4 hours per night. Questionnaires measuring self-efficacy, social support, and expectancy (mediators of adherence) were given after intervention or after usual treatment. A higher adherence to CPAP therapy was found in the CBT group (2.9 hours difference) relative to treatment as usual (P < 0.001) at 28 days. Only 4 participants in the CBT group did not initiate treatments after their titration study, compared with 15 in the treatment as usual group (P < 0.02) The CBT group had significantly higher scores for self-efficacy (P < 0.001) and social support P < 0.008) but not for expectancy. Conclusions : The CBT intervention resulted in both increased adherence and “uptake” of CPAP and therefore would be expected to reduce the social, economic, and health-related consequences of untreated OSA. | Publication Type: | Journal Article | Source of Publication: | Sleep, 30(5), p. 635-640 | Publisher: | American Academy of Sleep Medicine | Place of Publication: | United States of America | ISSN: | 1550-9109 0161-8105 |
Fields of Research (FoR) 2008: | 170106 Health, Clinical and Counselling Psychology | Socio-Economic Objective (SEO) 2008: | 920199 Clinical Health (Organs, Diseases and Abnormal Conditions) not elsewhere classified | HERDC Category Description: | C1 Refereed Article in a Scholarly Journal | Publisher/associated links: | http://www.journalsleep.org/ViewAbstract.aspx?pid=26833 |
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Appears in Collections: | Journal Article |
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