Featured Research

from universities, journals, and other organizations

Innovative approaches help sleep apnea sufferers benefit from CPAP

Date:
December 3, 2011
Source:
Penn State
Summary:
People with obstructive sleep apnea are more likely to stick to prescribed treatment when a partner or parent is involved with their treatment, according to a team of sleep researchers.

People with obstructive sleep apnea are more likely to stick to prescribed treatment when a partner or parent is involved with their treatment, according to a team of sleep researchers.

Obstructive sleep apnea occurs when the upper airway collapses during sleep. It is the most common type of sleep-disordered breathing, and chances of it occurring become more elevated in obese people.

The first line of treatment for sleep apnea is a non-invasive in-home treatment called CPAP, continuous positive airway pressure therapy. However, if patients do not use the equipment properly, or at all, it cannot help.

Amy M. Sawyer, assistant professor of nursing, Penn State, and her team are looking for the best ways to encourage patients to adhere to the CPAP treatment.

"There is inconsistency in how people use and adhere to CPAP," said Sawyer. "Patients are expected to use CPAP for the eight hours or so that they are asleep. Unfortunately, most patients do not use CPAP for the duration of their sleep time."

A CPAP machine is connected to a nasal, oral or full-face mask. The CPAP machine delivers positive pressure by air, which keeps the upper airway open and unable to collapse -- a definitive problem of obstructive sleep apnea sufferers. Keeping the airway open prevents drops in oxygen levels during sleep and reduces sleep disturbance. As a result, people treated with CPAP have less daytime sleepiness, better cognitive function and generally feel more refreshed. Treating obstructive sleep apnea also lessens other health risks, including cardiovascular disease and diabetes.

The researchers were looking at different types of interventions to promote CPAP use, the team reports in the current issue of Sleep Medicine Reviews. Sawyer and her team looked at 80 studies to determine what works and what factors are important to consider when helping obstructive sleep apnea people start CPAP therapy.

"Collectively, these studies suggest that patients who experience difficulties and proactively seek solutions to resolve problems (active coping) are more likely to be adherent than those who use passive coping styles," the researchers noted.

Many different factors can affect whether or not patients follow through on their prescribed treatment -- disease and patient characteristics, treatment requirements, technological device factors and side effects, and psychological and social factors. One of the studies that the researchers reviewed showed that about half of newly diagnosed sleep apnea patients would not use CPAP if it made them feel claustrophobic.

Several intervention studies use telecommunications to help patients adhere to their treatment. This method can involve weekly phone calls or wireless telemonitoring of patients.

The researchers determined that CPAP adherence intervention should be done on a case-by-case basis. If social support is involved -- such as a parent or partner -- patients are likely to continue their treatment. With social support sources providing insight, CPAP users are more readily able to identify their own improvements with treatment. If patients do not have social support available to them, then telecommunications may be a good option for them.

"This study highlights the need for individualized considerations for initiating and managing CPAP treatment with diverse patient groups," said Sawyer.

Sawyer is currently directing a clinical trial at the Penn State College of Medicine, Hershey, Pa., to test an individualized approach to helping patients begin CPAP treatment. The trial is funded by grants from the National Institutes of Health, National Institute of Nursing Research; and American Nurses Foundation, Sigma Theta Tau International.

Also working on this research were Nalaka Gooneratne, assistant professor of medicine, and Dafna Ofer, physician, University of Pennsylvania School of Medicine; Kathy C. Richards, professor of nursing, University of Pennsylvania School of Nursing; Carole L. Marcus, professor of pediatrics, Children's Hospital of Philadelphia; and Terri E. Weaver, professor and dean, University of Illinois at Chicago School of Nursing.

A grant from the National Institutes of Health, National Institute of Nursing Research supported the team's research.


Story Source:

The above story is based on materials provided by Penn State. Note: Materials may be edited for content and length.


Journal Reference:

  1. Amy M. Sawyer, Nalaka S. Gooneratne, Carole L. Marcus, Dafna Ofer, Kathy C. Richards, Terri E. Weaver. A systematic review of CPAP adherence across age groups: Clinical and empiric insights for developing CPAP adherence interventions. Sleep Medicine Reviews, 2011; 15 (6): 343 DOI: 10.1016/j.smrv.2011.01.003

Cite This Page:

Penn State. "Innovative approaches help sleep apnea sufferers benefit from CPAP." ScienceDaily. ScienceDaily, 3 December 2011. <www.sciencedaily.com/releases/2011/12/111201163626.htm>.
Penn State. (2011, December 3). Innovative approaches help sleep apnea sufferers benefit from CPAP. ScienceDaily. Retrieved October 22, 2014 from www.sciencedaily.com/releases/2011/12/111201163626.htm
Penn State. "Innovative approaches help sleep apnea sufferers benefit from CPAP." ScienceDaily. www.sciencedaily.com/releases/2011/12/111201163626.htm (accessed October 22, 2014).

Share This



More Mind & Brain News

Wednesday, October 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Working Mother Getaway: Beaches Turks & Caicos

Working Mother Getaway: Beaches Turks & Caicos

Working Mother (Oct. 22, 2014) Feast your eyes on this gorgeous family-friendly resort. Video provided by Working Mother
Powered by NewsLook.com
What Your Favorite Color Says About You

What Your Favorite Color Says About You

Buzz60 (Oct. 22, 2014) We all have one color we love to wear, and believe it or not, your color preference may reveal some of your character traits. In celebration of National Color Day, Krystin Goodwin (@kyrstingoodwin) highlights what your favorite colors may say about you. Video provided by Buzz60
Powered by NewsLook.com
First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

Newsy (Oct. 21, 2014) A medical team has for the first time given a man the ability to walk again after transplanting cells from his brain onto his severed spinal cord. Video provided by Newsy
Powered by NewsLook.com
Portable Breathalyzer Gets You Home Safely

Portable Breathalyzer Gets You Home Safely

Buzz60 (Oct. 21, 2014) Breeze, a portable breathalyzer, gets you home safely by instantly showing your blood alcohol content, and with one tap, lets you call an Uber, a cab or a friend from your contact list to pick you up. Sean Dowling (@SeanDowlingTV) has the details. Video provided by Buzz60
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins