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Adherence to continuous positive airway pressure therapy in obstructive sleep apnoea suffers : a theoretical approach to treatment adherence and intervention

Olsen, Sara L., Smith, Simon S., & Oei, Tian (2008) Adherence to continuous positive airway pressure therapy in obstructive sleep apnoea suffers : a theoretical approach to treatment adherence and intervention. Clinical Psychology Review, 28(8), pp. 1355-1371.

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Abstract

Obstructive Sleep Apnoea (OSA) is a common sleep disorder associated with significant health, quality of life and psychosocial problems. The aims of this review are to investigate the contribution of psychological constructs and theory to the assessment and treatment of OSA. Adherence to CPAP treatment remains a primary concern for improving treatment outcomes for OSA. Modifiable, psychological constructs of self-efficacy, coping, social support, treatment satisfaction and self-reported daytime sleepiness improve the prediction of CPAP adherence. These predictors are particularly robust in the context of a theoretical model. Social Cognition Theory (SCT) and Health Belief Model (HBM) are emerging as promising psychological models for understanding patient acceptance and adherence to CPAP treatment. An overview of psychologically informed interventions for CPAP use is presented. Education based interventions have promise, but the strongest and robust findings are emerging from theory-driven interventions. Specifically, Cognitive Behaviourally informed interventions and Motivational Interventions demonstrate consistent and large effect sizes in improving CPAP adherence rates.

Impact and interest:

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29 citations in Web of Science®

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ID Code: 14111
Item Type: Journal Article
Keywords: obstructive sleep apnoea, therapy, health belief, social cognition
DOI: 10.1016/j.cpr.2008.07.004
ISSN: 1873-7811
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Biological Psychology (Neuropsychology Psychopharmacology Physiological Psychology) (170101)
Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Psychology not elsewhere classified (170199)
Divisions: Current > Research Centres > Centre for Accident Research & Road Safety - Qld (CARRS-Q)
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Psychology & Counselling
Copyright Owner: Crown copyright © 2008 Published by Elsevier Ltd.
Deposited On: 08 Aug 2008
Last Modified: 29 Feb 2012 23:46

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