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Adherence to Sleep Therapies in Children and Adolescents

Rakesh Bhattacharjee1

  • 1Division of Respiratory Medicine, Department of Pediatrics, University of California-San Diego, 9500 Gilman Drive MC 0731, San Diego, CA 92093-0731, USA; Rady Children's Hospital, 3020 Children's Way, San Diego, CA 92120, USA.

Sleep Medicine Clinics
|January 24, 2021
PubMed

Insights

Treating pediatric obstructive sleep apnea (OSA) with positive airway pressure (PAP) therapy requires good adherence. Age impacts adherence in children, but risk factors and interventions, including remote monitoring, can improve outcomes.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Respiratory Medicine

Background:

  • Obstructive sleep apnea (OSA) in children is increasingly recognized.
  • Positive airway pressure (PAP) therapy is an effective treatment for pediatric OSA.
  • Patient adherence is crucial for the success of PAP therapy in children.

Purpose of the Study:

  • To review strategies for improving adherence to PAP therapy in pediatric patients.
  • To identify factors influencing adherence in children with OSA.
  • To explore the role of technology in enhancing pediatric PAP adherence.

Main Methods:

  • Literature review of studies on pediatric OSA and PAP adherence.
  • Analysis of risk factors affecting adherence in pediatric populations.
  • Evaluation of intervention strategies and monitoring technologies.

Main Results:

  • Adherence rates in children are often lower than in adults, influenced significantly by age.
  • Several risk factors for non-adherence have been identified, some of which are modifiable.
  • Intervention strategies and close follow-up, including cloud-based monitoring, show promise for improving adherence.

Conclusions:

  • Improving adherence to PAP therapy is essential for effectively managing pediatric OSA.
  • Understanding age-related adherence complexities is key to developing targeted interventions.
  • Utilizing remote monitoring and consistent follow-up can optimize treatment outcomes for children with OSA on PAP therapy.

Keywords:
AdherenceObstructive sleep apneaPediatric sleep-disordered breathingPositive airway pressure

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