A Systematic Review of CPAP Adherence Across Age Groups: Clinical and Empiric Insights for Developing CPAP Adherence Interventions

By A. Sawyer, Nalaka Gooneratne, C. Marcus, D. Ofer, K. Richards, T. Weaver. Sleep Medicine Reviews, 2011

803 citations recorded by the source corpus.

Continuous positive airway pressure (CPAP) is a highly efficacious treatment for obstructive sleep apnea (OSA) but adherence to the treatment limits its overall effectiveness across all age groups of patients. Factors that influence adherence to CPAP include disease and patient characteristics, treatment titration procedures, technological device factors and side effects, and psychological and social factors. These influential factors have guided the development of interventions to promote CPAP adherence. Various intervention strategies have been described and include educational, technological, psychosocial, pharmacological, and multi-dimensional approaches. Though evidence to date has led to innovative strategies that address adherence in CPAP-treated children, adults, and older adults, significant opportunities exist to develop and test interventions that are clinically applicable, specific to subgroups of patients likely to demonstrate poor adherence, and address the multifactorial nature of CPAP adherence. The translation of CPAP adherence promotion interventions to clinical practice is imperative to improve health and functional outcomes in all persons with CPAP-treated OSA.

Subfields: Endocrine and Autonomic Systems, Physiology, Pulmonary and Respiratory Medicine

View Paper: https://www.semanticscholar.org/paper/eedb56e378d918132bc2ebe49ba94e0614e78a04

How researchers see this paper

The researchers whose trusted networks rank it highest, strongest advocate first. Every researcher gets a different order.

In Endocrine and Autonomic Systems

1. T. Young
2. Paul E. Peppard
3. K. Hla
4. Mari Palta
5. E. Hagen
6. J. Barnet
7. Naresh M. Punjabi
8. Atul Malhotra

In Physiology

1. T. Young
2. Paul E. Peppard
3. K. Hla
4. Mari Palta
5. E. Hagen
6. J. Barnet
7. Naresh M. Punjabi
8. Atul Malhotra

In Pulmonary and Respiratory Medicine

1. T. Young
2. Paul E. Peppard
3. Naresh M. Punjabi

Citations in the corpus

• Increased prevalence of sleep-disordered breathing in adults. (2013, background): “Unfortunately, like weight loss, high rates of long-term adherence to positive pressure therapy have been difficult to achieve (38).”