Natalie DiFeo|Lisa J. Meltzer|Suzanne E. Beck|Laurie Karamessinis|Mary Anne Cornaglia|Joel Traylor|John Samuel|Paul R. Gallagher|Jerilynn Radcliffe|Heidi Beris|Mary Kate Menello|Carole L. Marcus
Predictors of Positive Airway Pressure Therapy Adherence in Children: A Prospective Study
University of Pennsylvania|National Jewish Health|University of Colorado Denver|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania|Children's Hospital of Philadelphia|University of Pennsylvania|Philadelphia University|Children's Hospital of Philadelphia|University of Pennsylvania|Philadelphia University|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania
children obstructive sleep apnea increasingly treated positive airway pressure pap particularly underlying medical conditions although pap effective treatment use challenging due poor adherence hypothesized demographic psychosocial polysomnographic parameters would related pap adherence therefore prospectively collected data potentially pertaining pap adherence correlated pap usefiftysix patients parents completed series psychosocial questionnaires prior pap initiation objective adherence data obtained 1 3 months pap usethe population primarily obese 23 neurodevelopmental disabilities pap adherence varied widely pap worn 22 8 nights month1 mean use 3 3 hnight greatest predictor use maternal education p 0002 nights used p 0033 mean h usednight adherence lower african american children vs races p 0021 typically developing subgroup adherence correlated inversely age adherence correlate severity apnea pressure levels psychosocial parameters correlation family social support nights pap use month3pap adherence children adolescents related primarily family demographic factors rather severity apnea measures psychosocial functioning research needed determine relative contributions maternal education socioeconomic status cultural beliefs pap adherence children order develop better adherence programs