Juliana F W Cohen, Scott Richardson, Ellen Parker, Paul J Catalano, Eric B Rimm
Impact of the new U.S. Department of Agriculture school meal standards on food selection, consumption, and waste
American journal of preventive medicine
treatment sleepdisordered breathing sdb positive airway pressure pap therapy unique clinical challenges individuals living spinal cord injuries diseases spinal cord injury scid interventions focused increasing pap use studied population aimed evaluate benefits program increase pap use among veterans scid sdb randomized controlled trial comparing behavioral intervention n 32 educational control n 31 including one facetoface five telephone sessions 3 months intervention included education sdb pap goal setting troubleshooting motivational enhancement control arm included nondirective sleep education primary outcomes objective pap use nights 4 hours used within 90 days sleep quality pittsburgh sleep quality index psqi 3 months differ intervention control main outcome timepoint mean difference 35 90 159 nightsweek pap use p 578 11 28 06 points psqi p 219 secondary outcomes included fatigue depression function quality life fatigue improved significantly intervention versus control group p 025 across groups pap use associated larger improvements sleep quality insomnia sleepiness fatigue depression time points pap use veterans scid sdb low 3month supportivebehavioral program show significant benefit compared education alone overall pap use associated improved symptoms suggesting intensive support inhome assistance may required increase pap use patients title treatment sleep disordered breathing patients sci registration number nct02830074 website httpsclinicaltrialsgovstudynct02830074condsleep20apneatermbadrrank5