A pilot study of CPAP adherence promotion by peer buddies with sleep apnea

  • Parthasarathy S
  • Wendel C
  • Haynes P
 et al. 
  • 41

    Readers

    Mendeley users who have this article in their library.
  • 18

    Citations

    Citations of this article.

Abstract

STUDY OBJECTIVES: To evaluate patient ratings of the acceptability of a peer buddy system (PBS). To promote continuous positive airway pressure (CPAP) therapy adherence in patients with obstructive sleep apnea (OSA). To obtain preliminary data on the effectiveness of PBS on sleep-specific health-related quality of life and CPAP adherence.

DESIGN: Prospective, randomized, and controlled study.

SETTING: Academic Center.

PARTICIPANTS: Thirty-nine patients with OSA and 13 patients with OSA who were experienced CPAP users.

INTERVENTIONS: Recently diagnosed patients with OSA were randomly assigned to either the PBS to promote CPAP adherence (intervention group) or usual care (control group).

MEASUREMENTS: Patient satisfaction, Functional Outcomes of Sleep Questionnaire (FOSQ), CPAP adherence, vigilance, self-efficacy, and patient activation were measured.

RESULTS: Ninety-one percent of the subjects rated the PBS as very satisfactory (68%) or satisfactory (23%). During the 90 days of therapy, weekly CPAP adherence was greater in the intervention than the usual care group (MANOVA; F = 2.29; p = 0.04). Patient satisfaction was positively correlated with CPAP adherence (R(2) = 0.14; p = 0.02). We did not find any group differences for FOSQ, vigilance, self-efficacy, or patient activation in this pilot study.

CONCLUSION: Our pilot study suggests that the PBS intervention is feasible and received high patient satisfaction ratings. CPAP adherence may be improved by peer-driven intervention, but a larger, adequately powered study is needed.

CLINICAL TRIAL INFORMATION: ClinicalTrials.gov identifier: NCT01164683.

COMMENTARY: A commentary on this article appears in this issue on page 551.

CITATION: Parthasarathy S; Wendel C; Haynes PL; Atwood C; Kuna S. A pilot study of CPAP adherence promotion by peer buddies with sleep apnea. J Clin Sleep Med 2013;9(6):543-550.

Author-supplied keywords

  • Adherence
  • Adult
  • Artificial respiration
  • Compliance
  • Continuous positive airway pressure
  • Obstructive sleep apnea
  • Sleep apnea

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document

Authors

  • Sairam Parthasarathy

  • Christopher Wendel

  • Patricia L. Haynes

  • Charles Atwood

  • Samuel Kuna

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free