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Self-efficacy-based Interventions for Patients With Obstructive Sleep Apnea: A Systematic Review.
Min-Eun Cho1, Sun-Kyung Hwang2
1College of Nursing, Pusan National University, Republic of Korea.
Asian Nursing Research
|September 11, 2024
Summary
Self-efficacy interventions improve obstructive sleep apnea (OSA) management. Using more behavior change techniques (BCTs) and theoretical sources enhances effectiveness, boosting patient adherence to treatment.
Area of Science:
- Sleep Medicine
- Behavioral Science
- Health Psychology
Background:
- Obstructive sleep apnea (OSA) is a prevalent sleep disorder requiring effective management strategies.
- Self-efficacy, a patient's belief in their ability to succeed, is crucial for managing chronic conditions like OSA.
- Understanding interventions that enhance self-efficacy is vital for improving treatment adherence and outcomes in OSA patients.
Purpose of the Study:
- To systematically review self-efficacy-based interventions for patients diagnosed with obstructive sleep apnea (OSA).
- To identify the relationship between the number of self-efficacy-prompting techniques used and the main outcome variables in OSA management.
- To provide a theoretical basis for designing more effective self-efficacy interventions for OSA.
Main Methods:
- A systematic review adhering to PRISMA guidelines was conducted.
- Experimental studies on self-efficacy interventions for OSA patients were analyzed.
- Searches were performed across EMBASE, CINAHL, PubMed, SCOPUS, and Web of Science databases until December 2023, classifying interventions using the Behavior Change Technique (BCT) taxonomy and self-efficacy theory sources.
Main Results:
- Eleven studies (1,304 participants) were included from 6,968 initially screened articles.
- The most common BCTs were 'instruction on how to perform a behavior,' 'exposure,' and 'social support.'
- Studies showing significant self-efficacy improvements utilized an average of 6.0 BCTs and 3.2 theoretical sources, compared to 4.8 BCTs and 2.8 sources in studies with null results.
Conclusions:
- Self-efficacy-based interventions show significant potential for managing obstructive sleep apnea (OSA).
- A greater diversity of Behavior Change Techniques (BCTs) and theoretical sources correlates with more effective self-efficacy interventions.
- Clinicians should integrate varied BCTs and the four sources of self-efficacy promotion into OSA interventions to enhance patient self-efficacy and treatment adherence.
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