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Title: A randomized controlled trial of a multi-dimensional intervention to improve CPAP use and self-efficacy.
Austin Authors: Tolson, Julie ;Bartlett, Delwyn J;Barnes, Maree ;Rochford, Peter D ;Jordan, Amy S ;Jackson, Melinda L 
Affiliation: Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Australia.
Centre for Sleep and Chronobiology, Woolcock Institute of Medical Research, University of Sydney, Glebe, Australia.
Department of Medicine, The University of Melbourne, Parkville, Australia.
Institute for Breathing and Sleep
Melbourne School of Psychological Sciences, The University of Melbourne, Parkville, Australia; Institute for Breathing and Sleep, Heidelberg, Australia.
Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Australia.
Respiratory and Sleep Medicine
Issue Date: 3-Jul-2023
Date: 2023
Publication information: Sleep Medicine 2023-07-03; 109
Abstract: To assess the utility of a tailored intervention program to improve continuous positive airway pressure (CPAP) use and self-efficacy in individuals with obstructive sleep apnea (OSA). 81 participants (mean age 52.1 ± 11.6 years; 35 females) with OSA were randomized to either a multi-dimensional intervention (PSY CPAP, n = 38) or treatment as usual (TAU CPAP, n = 43). The intervention included a psychoeducation session prior to CPAP initiation, a booster psychoeducation session in the first weeks of commencing CPAP, follow-up phone calls on days 1 and 7, and a review appointment on day 14. CPAP use was compared between the PSY CPAP and TAU CPAP groups at 1 week, 1 month, and 4 months. Self-efficacy scores (risk perception, outcome expectancies, and CPAP self-efficacy) were compared between groups following the initial psychoeducation session and again at 1 month and 4 months. CPAP use was higher in the PSY CPAP group compared to the TAU CPAP group for all time points (p = .02). Outcome expectancies improved significantly over time in PSY CPAP participants (p = .007). Change in risk perception was associated with CPAP use at 1 week (p = .02) for PSY CPAP participants. However, risk perception did not mediate the effect between group and CPAP use at 1 week. Interventions designed to increase self-efficacy and administered prior to CPAP initiation, repeated in the early stages of CPAP therapy, and combined with a comprehensive follow-up regime are likely to improve CPAP use. Sustained improvement in CPAP use is the ultimate goal but remains to be investigated.
DOI: 10.1016/j.sleep.2023.06.024
Journal: Sleep Medicine
Start page: 202
End page: 210
PubMed URL: 37478656
ISSN: 1878-5506
Type: Journal Article
Subjects: Adherence
Continuous positive airway pressure
Obstructive sleep apnea
Psychoeducation intervention
Appears in Collections:Journal articles

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