Martha E. Billings|Dennis Auckley|Ruth M. Benca|Nancy Foldvary?Schaefer|Conrad Iber|Susan Redline|Carol L. Rosen|Phyllis C. Zee|Vishesh K. Kapur
Race and Residential Socioeconomics as Predictors of CPAP Adherence
VA Puget Sound Health Care System|Health Services Research & Development|University of Washington|MetroHealth|MetroHealth Medical Center|SleepMed|Case Western Reserve University|University of Wisconsin–Madison|Cleveland Clinic|Case Western Reserve University|Hennepin County Medical Center|University of Minnesota|Beth Israel Deaconess Medical Center|Brigham and Women's Hospital|Center for Clinical Research (United States)|Case Western Reserve University|University Hospitals of Cleveland|Northwestern University|University of Washington
established predictors cpap adherence poor adherence limits effectiveness investigated whether race education level residential economic status predict cpap adherence participants enrolled trial standard access treatmenta multicenter randomized trial home vs labbased evaluation treatment osa assessing adherence cpap 1 3 monthsseven aasmaccredited sleep centers 5 us citiessubjects moderate severe osa ahi 15 epworth sleepiness scale score 12 completed followup 1 andor 3 months n 135subjects demographic data collected upon enrollment cpap use 1 3 months assessed clinic followup unadjusted analyses cpap adherence average minutes per night cpap use 3 months lower black subjects subjects lower socioeconomic status zip codes adjusted analyses using multivariate linear regression black race predictive cpap adherence one month p 003 3 months black race predictive analyses zip code ses adjusted forblack race lower socioeconomic residential areas associated poorer adherence cpap subjects standardized access care treatment disparities remain despite provision standardized care clinical trial setting future research needed identify barriers adherence develop interventions tailored improve cpap adherence risk populations portable monitoring diagnosis management sleep apnea homepap clinical trial information nih clinical trials registry number nct00642486 url httpclinicaltrialsgovshownct00642486