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Is inconsistent pre-treatment bedtime related to CPAP non-adherence?
Amy M Sawyer1, Tonya S King, Douglas A Sawyer
1Assistant Professor, Pennsylvania State University College of Nursing, 201 HHD East, University Park, PA, 16802.
Research in Nursing & Health
|October 30, 2014
Summary
Irregular bedtimes before treatment predict poor adherence to continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea (OSA). Optimizing sleep schedules may improve CPAP use in adults with OSA.
Area of Science:
- Sleep Medicine
- Pulmonology
- Behavioral Medicine
Background:
- Adherence to continuous positive airway pressure (CPAP) therapy is crucial for treating obstructive sleep apnea (OSA).
- Inconsistent CPAP use remains a significant challenge in managing OSA.
- Pre-treatment factors influencing CPAP adherence require further investigation.
Purpose of the Study:
- To investigate the relationship between pre-treatment bedtime variability and CPAP adherence in adults with newly diagnosed OSA.
- To determine if bedtime variability predicts CPAP adherence at 1 week and 1 month post-initiation.
Main Methods:
- Prospective longitudinal study design.
- Inclusion of 79 newly diagnosed adult OSA patients.
- Collection of pre-treatment sleep diary data on bedtime variability.
- Objective CPAP usage data collected at 1 week and 1 month.
Main Results:
- Pre-treatment bedtime variability differed significantly between CPAP adherent and non-adherent groups at 1 month.
- Bedtime variability was a significant predictor of 1-month CPAP non-adherence in multivariable analyses.
- Individuals with pre-treatment bedtime variability exceeding 75 minutes had 3.5 times greater odds of 1-month CPAP non-adherence.
Conclusions:
- Pre-treatment irregular sleep schedules, indicated by bedtime variability, are associated with poor CPAP adherence in OSA patients.
- Addressing and optimizing sleep schedules prior to CPAP initiation may be a viable strategy to enhance treatment adherence.
- Further research into behavioral interventions targeting sleep regularity could improve long-term CPAP compliance.
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