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Improving Adherence to PAP Therapy: an Update

  • Sleeping and Breathing (S Shafazand, Section Editor)
  • Published:
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Abstract

Purpose of Review

Positive airway pressure (PAP) therapy is the “gold standard” of treatment for obstructive sleep apnea; however, rates of non-adherence to PAP therapy remain high despite device improvements and the inclusion of PAP education programs in most comprehensive sleep disorders clinics. We aimed to review recent evidence-based trends for improving PAP adherence.

Recent Findings

Remote monitoring and telemedicine interventions in conjunction with mobile patient engagement applications have shown promise in facilitating uptake and maintenance of PAP use. New focus on the bedpartner dyad and managing comorbid conditions are also notable, though more recent evidence for specific interventions is limited.

Summary

Recent trends suggest a shift towards developing more patient-centered programs to support PAP adherence. Advancements in telemedicine and interactive mobile health technologies represent the most promising area of growth for PAP adherence interventions. Continued efforts focused on treatments that address socio-relational factors and comorbid conditions seem warranted.

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Authors and Affiliations

  1. Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA

    Earl Charles Crew

  2. Sleep Disorders Laboratory, Bruce W. Carter VA Medical Center, Miami, FL, USA

    William K. Wohlgemuth & Douglas M. Wallace

  3. Sleep Medicine division, Department of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA

    Douglas M. Wallace

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  1. Earl Charles Crew
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Crew, E.C., Wohlgemuth, W.K. & Wallace, D.M. Improving Adherence to PAP Therapy: an Update. Curr Pulmonol Rep 8, 1–13 (2019). https://doi.org/10.1007/s13665-019-0220-0

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