Lichuan Ye|Allan I. Pack|Greg Maislin|David F. Dinges|Sharon Hurley|Susan A. McCloskey|Terri E. Weaver
Predictors of continuous positive airway pressure use during the first week of treatment
Boston College|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Illinois at Chicago
summary study aimed identify pretreatment immediate early treatment factors predicting continuous positive airway pressure cpap use first week therapy pattern nonadherence established four domains potential predictors examined pretreatment demographic clinical factors patients perceived selfefficacy treatment delivery mask leak bothering side effects immediate disease reduction residual respiratory events flow limitation autoset clinical system objectively documented daily cpap use mask leak residual respiratory events flow limitation ninetyone cpapnaive patients newly diagnosed obstructive sleep apnea followed 1 week treatment initiation mean cpap daily use first week 34 27 h significantly lower use observed black nonblack participants 27 versus 44 h respectively p 0002 less intimacy partners caused cpap treatment side effect correlated cpap use r 0300 p 0025 reduced cpap use first week associated simultaneously black higher residual apneahypopnea index treatment side effect less intimacy partners three factors together accounted 254 variance cpap use r 2 0254 p lt 001 data suggest need assess impact cpap intimacy troubleshooting aspects treatment interfere sexual relationships assessing presence residual respiratory events may important promoting cpap adherence association race cpap use needs explored including socioeconomic information