Barriers to acceptance and adherence to continuous positive airway pressure therapy in patients with obstructive sleep apnea: a report from Kermanshah province, western Iran
Leeba Rezaie,1 David Phillips,2 Habibolah Khazaie1 1Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Department of Psychology, Eastern Michigan University, Ypsilanti, MI, USA Purpose: Continuous positive airway pressure (CPAP) is the gold standard trea...
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doaj-f8bffef281364c4f9d242d85afef1c372020-11-24T23:10:00ZengDove Medical PressPatient Preference and Adherence1177-889X2018-07-01Volume 121299130439442Barriers to acceptance and adherence to continuous positive airway pressure therapy in patients with obstructive sleep apnea: a report from Kermanshah province, western IranRezaie LPhillips DKhazaie HLeeba Rezaie,1 David Phillips,2 Habibolah Khazaie1 1Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Department of Psychology, Eastern Michigan University, Ypsilanti, MI, USA Purpose: Continuous positive airway pressure (CPAP) is the gold standard treatment for obstructive sleep apnea (OSA). CPAP acceptance and adherence are critical issues for optimal treatment outcome. Identifying barriers to acceptance and adherence can improve intervention development and outcomes. This study aimed to investigate the barriers to CPAP acceptance/adherence in patients with OSA in western Iran.Patients and methods: Patients with OSA, who had been prescribed CPAP by the Sleep Disorders Research Center of Kermanshah University of Medical Sciences, were recruited. They were interviewed via telephone regarding acceptance (ie, CPAP use during the first 2 weeks) and adherence (ie, CPAP use 4 h/d for 70% of the nights per week). Barriers to acceptance and adherence were solicited.Results: Out of a possible sample of 101, 97 patients (79 male) were reached and included in the study. They had a mean age of 48.76 years (SD =12.04) and mean apnea/hypopnea index score of 36.06 (SD =1.87). Patients were categorized into the following acceptance/adherence groups: nonacceptance (CPAP not purchased; 72.2%), poor adherence (5.2%), and adherent (22.7%). Inability to afford a CPAP device, perception of symptom reduction/no need for treatment, and dissatisfaction with treatment were among the most common reasons for nonacceptance and poor adherence.Conclusion: CPAP acceptance and adherence in western Iran are low. Approximately 70% of the patients did not accept CPAP treatment (due to not obtaining the device) and 5% did not adhere. To improve acceptance/adherence, increased access (ie, reduced cost or increased insurance coverage) and enhanced education about the benefits of the treatment are recommended. Treatment monitoring via regular follow-ups may also prove beneficial. Keywords: CPAP, acceptance, adherence, barriers, obstructive sleep apnea, Iranhttps://www.dovepress.com/barriers-to-acceptance-and-adherence-to-continuous-positive-airway-pre-peer-reviewed-article-PPACPAPacceptanceadherencebarriersObstructive sleep apnea (OSA)Iran |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rezaie L Phillips D Khazaie H |
spellingShingle |
Rezaie L Phillips D Khazaie H Barriers to acceptance and adherence to continuous positive airway pressure therapy in patients with obstructive sleep apnea: a report from Kermanshah province, western Iran Patient Preference and Adherence CPAP acceptance adherence barriers Obstructive sleep apnea (OSA) Iran |
author_facet |
Rezaie L Phillips D Khazaie H |
author_sort |
Rezaie L |
title |
Barriers to acceptance and adherence to continuous positive airway pressure therapy in patients with obstructive sleep apnea: a report from Kermanshah province, western Iran |
title_short |
Barriers to acceptance and adherence to continuous positive airway pressure therapy in patients with obstructive sleep apnea: a report from Kermanshah province, western Iran |
title_full |
Barriers to acceptance and adherence to continuous positive airway pressure therapy in patients with obstructive sleep apnea: a report from Kermanshah province, western Iran |
title_fullStr |
Barriers to acceptance and adherence to continuous positive airway pressure therapy in patients with obstructive sleep apnea: a report from Kermanshah province, western Iran |
title_full_unstemmed |
Barriers to acceptance and adherence to continuous positive airway pressure therapy in patients with obstructive sleep apnea: a report from Kermanshah province, western Iran |
title_sort |
barriers to acceptance and adherence to continuous positive airway pressure therapy in patients with obstructive sleep apnea: a report from kermanshah province, western iran |
publisher |
Dove Medical Press |
series |
Patient Preference and Adherence |
issn |
1177-889X |
publishDate |
2018-07-01 |
description |
Leeba Rezaie,1 David Phillips,2 Habibolah Khazaie1 1Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Department of Psychology, Eastern Michigan University, Ypsilanti, MI, USA Purpose: Continuous positive airway pressure (CPAP) is the gold standard treatment for obstructive sleep apnea (OSA). CPAP acceptance and adherence are critical issues for optimal treatment outcome. Identifying barriers to acceptance and adherence can improve intervention development and outcomes. This study aimed to investigate the barriers to CPAP acceptance/adherence in patients with OSA in western Iran.Patients and methods: Patients with OSA, who had been prescribed CPAP by the Sleep Disorders Research Center of Kermanshah University of Medical Sciences, were recruited. They were interviewed via telephone regarding acceptance (ie, CPAP use during the first 2 weeks) and adherence (ie, CPAP use 4 h/d for 70% of the nights per week). Barriers to acceptance and adherence were solicited.Results: Out of a possible sample of 101, 97 patients (79 male) were reached and included in the study. They had a mean age of 48.76 years (SD =12.04) and mean apnea/hypopnea index score of 36.06 (SD =1.87). Patients were categorized into the following acceptance/adherence groups: nonacceptance (CPAP not purchased; 72.2%), poor adherence (5.2%), and adherent (22.7%). Inability to afford a CPAP device, perception of symptom reduction/no need for treatment, and dissatisfaction with treatment were among the most common reasons for nonacceptance and poor adherence.Conclusion: CPAP acceptance and adherence in western Iran are low. Approximately 70% of the patients did not accept CPAP treatment (due to not obtaining the device) and 5% did not adhere. To improve acceptance/adherence, increased access (ie, reduced cost or increased insurance coverage) and enhanced education about the benefits of the treatment are recommended. Treatment monitoring via regular follow-ups may also prove beneficial. Keywords: CPAP, acceptance, adherence, barriers, obstructive sleep apnea, Iran |
topic |
CPAP acceptance adherence barriers Obstructive sleep apnea (OSA) Iran |
url |
https://www.dovepress.com/barriers-to-acceptance-and-adherence-to-continuous-positive-airway-pre-peer-reviewed-article-PPA |
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