Behavioral Sleep Medicine · 2004 · 110 citations · 33 references
MedicineBehavioral SciencesPsychologyBehavior Change TheoryBehavioral HealthSleep MedicineContinuous Positive Airway PressureMotivational InterviewingPatient AdherencePositive Airway Pressure TherapySleep-disordered BreathingSleep-related Breathing DisordersAdherenceBarriersBehavior Change InterventionsMotivational Interviewing For AdherencePositive Airway Pressure AdherenceSleep Apnea SyndromeSleep Self-managementTranstheoretical Model Of Change
Adherence to continuous positive airway pressure (CPAP) in patients with sleep apnea hypopnea syndrome (SAHS) is poor. Previous studies have attempted to identify specific barriers to treatment, but none has identified the sole cause for the problem. We outline a behavioral approach to the problem of CPAP adherence that is based on the theories of the transtheoretical model and social cognitive theory. We used these theories to guide the development of an intervention based on the methods of motivational interviewing. We present our motivational enhancement therapy for CPAP (ME-CPAP) here, with some brief pilot data to show its efficacy. Finally, we outline some strengths and weaknesses of taking a behavior change approach to the problem of poor CPAP adherence.
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The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults
Terry Young, Mari Palta, Jerome A. Dempsey et al. · New England Journal of Medicine · 1993 · 10.2K citations · Full text