1
Spousal involvement in CPAP: does pressure help?
J Clin Sleep Med. 2012; 8(2):147-53
All selected articles haveThis article has been added to your saved articles
You can follow/unfollow articles via MyF1000 or via the article or browse pages.
25 May 2012
Interesting Hypothesis, New Finding
DOI: 10.3410/f.715897965.791303067
Though exploratory in nature, this study contributes novel findings about spousal involvement (i.e. patient-male, spouse-female) in short-term continuous positive airway pressure (CPAP) adherence among newly diagnosed obstructive sleep apnea (OSA) patients.
Though previous studies have reported spousal influence on pursuit of diagnosis and bed-partnering with an OSA/CPAP user, no previous studies have sought to examine relationship type and the specific engagements of spouse/patient that may contribute to adherence outcomes. Early identification of positive, collaborative patient-perceived spousal engagement in health behaviors may afford the field a new opportunity to design and tailor CPAP adherence interventions. Further examination of spousal and social support influences on adherence outcomes is needed. Recognizing 'intensive support', including during early home use of CPAP, in the landmark study by Hoy and colleagues {1} significantly improved adherence; interventions that incorporate spouses, or possibly even other close support persons, as partners to healthcare providers for delivering 'intensive support' may be a cost-effective and contributory intervention opportunity.
References
1.
Can intensive support improve continuous positive airway pressure use in patients with the sleep apnea/hypopnea syndrome?
Am J Respir Crit Care Med. 1999 Apr; 159(4 Pt 1): 1096-100
PMID: 10194151
Disclosures
None declared
Add Comment
Sawyer A: F1000Prime Recommendation of [Glazer Baron K et al., J Clin Sleep Med 2012, 8(2):147-53]. In F1000Prime, 25 May 2012; DOI: 10.3410/f.715897965.791303067. F1000Prime.com/715897965#eval791303067
F1000Prime Recommendations, Dissents and Comments for [Glazer Baron K et al., J Clin Sleep Med 2012, 8(2):147-53]. In F1000Prime, 19 Jun 2013; F1000Prime.com/715897965
Only registered/signed-in users can make comments.
Sign in or Subscribe to create your user account and join the discussion.
Sign in or Subscribe to create your user account and join the discussion.
No comments yet.
STUDY OBJECTIVES: Continuous positive airway pressure (CPAP) improves sleep and quality of life for both patients with obstructive sleep apnea (OSA) and their spouses. However, few studies have investigated spousal involvement in treatment adherence. Aims of this observational study were to assess perceptions of spousal involvement and evaluate associations between involvement and adherence.
METHODS: Spousal involvement in CPAP adherence was assessed in 23 married male OSA patients after the first week of treatment. At 3 months, 16 participants completed a second assessment of spousal involvement. Types of involvement assessed included positive (e.g., encouraging), negative (e.g., blaming), collaboration (e.g., working together), and one-sided (e.g., asking). An interpersonal measure of supportive behaviors was also administered at 3 months to evaluate the interpersonal qualities of spousal involvement types. Objective CPAP adherence data were available for 14 participants.
RESULTS: Average frequency of spousal involvement ratings were low for each involvement type and only negative spousal involvement frequency decreased at 3 month follow-up (p = 0.003). Perceptions of collaborative spousal involvement were associated with higher CPAP adherence at 3 months (r = 0.75, p = 0.002). Positive, negative and one-sided involvement were not associated with adherence. Collaborative spousal involvement was associated with moderately warm and controlling interpersonal behaviors (affiliation, r = 0.55, p = 0.03, dominance r = 0.47, p = 0.07).
CONCLUSIONS: Patients reported low frequency but consistent and diverse perceptions of spousal involvement in CPAP over the first 3 months of treatment. Perceptions of collaborative spousal involvement were the only type associated with adherence and represent moderately warm and controlling interpersonal behavior. Interventions to increase spousal collaboration in CPAP may improve adherence. CITATION: Baron KG; Gunn HE; Czajkowski LA; Smith TW; Jones CR. Spousal involvement in CPAP: does pressure help? J Clin Sleep Med 2012;8(2):147-153.
DOI: 10.5664/jcsm.1766
PMID: 22505859
