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A Tailored Intervention for PAP Adherence: The SCIP-PA Trial
Amy M Sawyer1,2, Tonya S King3, Terri E Weaver4
1a College of Nursing , Pennsylvania State University, University Park , Pennsylvania.
Behavioral Sleep Medicine
|January 28, 2017
Summary
A tailored intervention for positive airway pressure (PAP) adherence is feasible and acceptable. While initial use increased slightly, the effect did not sustain long-term, indicating a need for further research in sleep apnea treatment.
Area of Science:
- Sleep Medicine
- Respiratory Medicine
- Behavioral Science
Background:
- Positive airway pressure (PAP) therapy is crucial for treating obstructive sleep apnea (OSA), but patient adherence remains a significant challenge.
- Despite its efficacy, nonadherence to PAP treatment is prevalent, with limited improvement over the past 15 years.
- Tailored interventions have shown promise in improving adherence to various medical treatments.
Purpose of the Study:
- To examine the feasibility and acceptability of a tailored intervention designed to enhance adherence to PAP therapy in patients with OSA.
- To assess the impact of a tailored intervention on PAP usage in newly diagnosed, treatment-naïve OSA patients.
Main Methods:
- A randomized, double-blind, single-site pilot controlled trial was conducted.
- Participants (n=60) with severe OSA were randomized to either a tailored intervention (TI) or usual care (UC).
- The multiphased tailored intervention targeted social cognitive perceptions of OSA-PAP treatment and was delivered over four intervals.
Main Results:
- The tailored intervention group showed a non-statistically significant increase in PAP usage of 35 minutes at one week compared to usual care.
- Treatment adherence decreased over one and three months in both groups.
- Intervention delivery was 100% for face-to-face components but lower for telephone delivery; participants valued the personalized approach.
Conclusions:
- The tailored intervention approach is acceptable to participants and can be feasibly implemented in a clinical sleep center.
- The intervention demonstrated a small, short-term effect on PAP adherence, consistent with other educational interventions.
- Further pilot testing is warranted to address the limitations of this pilot randomized controlled trial and improve intervention sustainability.
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