Document Detail


Do cognitive perceptions influence CPAP use?
MedLine Citation:
PMID:  21071166     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Nonadherence to CPAP increases health and functional risks of obstructive sleep apnea. The study purpose was to examine if disease and treatment cognitive perceptions influence short-term CPAP use.
METHODS: A prospective longitudinal study included 66, middle-aged (56.7 ± 10.7 yr) subjects (34 [51.5%] Caucasians; 30 [45.4%] African Americans) with severe OSA (AHI 43.5 events/hr ± 24.6). Following full-night diagnostic/CPAP polysomnograms, home CPAP use was objectively measured at 1 week and 1 month. The Self Efficacy Measure for Sleep Apnea (SEMSA) questionnaire, measuring risk perception, outcome expectancies, and self-efficacy, was collected at baseline, post-CPAP education, and after 1 week CPAP treatment. Regression models were used.
RESULTS: CPAP use at one week was 3.99 ± 2.48 h/night and 3.06 ± 2.43 h/night at one month. No baseline SEMSA domains influenced CPAP use. Post-education self-efficacy influenced one week CPAP use (1.52 ± 0.53, p=0.007). Self-efficacy measured post-education and after one week CPAP use also influenced one month CPAP (1.40 ± 0.52, p=0.009; 1.20 ± 0.50, p=0.02, respectively).
CONCLUSION: Cognitive perceptions influence CPAP use, but only within the context of knowledge of CPAP treatment and treatment use.
PRACTICE IMPLICATIONS: Patient education is important to OSA patients' formulation of accurate and realistic disease and treatment perceptions which influence CPAP adherence.
Authors:
Amy M Sawyer; Anne Canamucio; Helene Moriarty; Terri E Weaver; Kathy C Richards; Samuel T Kuna
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2010-11-10
Journal Detail:
Title:  Patient education and counseling     Volume:  85     ISSN:  1873-5134     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-09-05     Completed Date:  2012-01-20     Revised Date:  2014-09-09    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  85-91     Citation Subset:  N    
Copyright Information:
Published by Elsevier Ireland Ltd.
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MeSH Terms
Descriptor/Qualifier:
Continuous Positive Airway Pressure*
Female
Humans
Linear Models
Male
Middle Aged
Patient Compliance / psychology*
Patient Education as Topic*
Prospective Studies
Self Efficacy*
Sleep Apnea, Obstructive / therapy*
United States
Veterans
Grant Support
ID/Acronym/Agency:
K99 NR011173/NR/NINR NIH HHS; K99 NR011173-01/NR/NINR NIH HHS; K99NR011173/NR/NINR NIH HHS; R00 NR011173/NR/NINR NIH HHS
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