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Behaviorally based adherence program for pediatric patients treated with positive airway pressure
Kelli-Lee Harford1, Supriya Jambhekar, Gulnur Com
1University of Wisconsin Hospital and Clinics, 1675 Highland Avenue, Madison, WI 53792, USA. kharford@uwhealth.org
Insights
This study introduces a clinical program to improve adherence for pediatric patients using Positive Airway Pressure (PAP) devices for Obstructive Sleep Apnea. Preliminary results show short-term improvements in consistent PAP usage.
Area of Science:
- Pediatric Pulmonology
- Sleep Medicine
- Behavioral Health
Background:
- Positive Airway Pressure (PAP) devices are increasingly utilized in pediatric care for conditions like Obstructive Sleep Apnea.
- Limited research exists on pediatric adherence to PAP therapy and effective interventions.
- This study addresses the need for improved adherence in young PAP users.
Purpose of the Study:
- To describe a clinical program designed to enhance adherence in pediatric patients prescribed PAP therapy.
- To detail the program's structure, clinical content, and personnel training.
- To provide a model for future pediatric PAP adherence interventions.
Main Methods:
- The paper outlines the design and implementation of a clinical program focused on pediatric PAP adherence.
- Key aspects include intensive assessment and behavioral interventions.
- Programmatic structure, personnel, and protocol development challenges are discussed.
Main Results:
- Preliminary data indicate short-term improvements in consistent PAP device usage among participating pediatric patients.
- The program demonstrated initial success in enhancing adherence.
Conclusions:
- The described clinical program shows promise for improving pediatric PAP adherence.
- It offers a valuable framework for future research and program development in this area.
Objectives:
Positive Airway Pressure (PAP) devices are being increasingly used in pediatric populations for problems including Obstructive Sleep Apnea. There is limited literature regarding pediatric adherence with PAP treatment or successful interventions that improve adherence. This paper describes a clinical program for pediatric PAP users which was designed to improve adherence of patients prescribed PAP therapy and involves intensive assessment and behavioral intervention.
Method:
The design and implementation of the program is described, including the purpose, goals, programmatic structure, clinical content, type and training of personnel, strengths and limitations and financial concerns as well as the challenges with the development and application of the program's protocol.
Results:
Preliminary outcome data show short-term improvements in consistent usage for many of the patients.
Conclusions:
The program shows some promise and provides a framework for future program development and research.
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