Impact of patient and family engagement in improving continuous positive airway pressure adherence in patients with obstructive sleep apnea: a randomized controlled trial
- S-Med
- Mar 27
- 1 min read
In this RCT, the use of PAP declined at 6 months in the control group but was retained in the intervention group. These findings of the I-CAP study indicate that engagement of caregivers could improve and sustain improvement in PAP adherence in patients with OSA. Our study was based on a patient-centered interaction with engagement of the caregiver through each step of learning to develop a shared mental model. Using qualitative analyses, several studies have highlighted both the patients’ and partners’ perspectives and experiences with OSA and have identified barriers and facilitators of PAP treatment. Our findings are similar to the study by Batool-Anwar et al 23 showing that spousal involvement is an important determinant of PAP adherence in men, especially in the first 6 months. However, our study focused on engaging the caregiver, whether it was a spouse, parent, sibling, or significant other. Similarly, Luyster et al 30 showed that the implementation of couple-centered interventions may improve PAP adherence. Their study showed an improvement in PAP use at 1 month only, with PAP use declining back to 1-week values at 3 months.In contrast to the work of Luyster et al, 30 our study involved a larger sample size and patients were followed for 6 months. We found an improvement in the hours of PAP use at 6 months in the intervention group vs the control group, whose hours of PAP use declined.
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