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Improving Adherence to PAP Therapy: an Update

  • Earl Charles Crew
  • William K. Wohlgemuth
  • Douglas M. WallaceEmail author
Sleeping and Breathing (S Shafazand, Section Editor)
  • 12 Downloads
Part of the following topical collections:
  1. Topical Collection on Sleeping and Breathing

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.

Keywords

Positive airway pressure Obstructive sleep apnea Adherence Compliance Telemedicine 

Notes

Compliance with Ethical Standards

Conflict of Interest

Earl Crew, William Wohlgemuth, and Douglas Wallace declare no conflict of interest.

Human and Animal Rights and Informed Consent

All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

References

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Copyright information

© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2019

Authors and Affiliations

  • Earl Charles Crew
    • 1
  • William K. Wohlgemuth
    • 2
  • Douglas M. Wallace
    • 2
    • 3
    Email author
  1. 1.Department of Psychiatry and Human BehaviorWarren Alpert Medical School of Brown UniversityProvidenceUSA
  2. 2.Sleep Disorders LaboratoryBruce W. Carter VA Medical CenterMiamiUSA
  3. 3.Sleep Medicine division, Department of Neurology, University of Miami Miller School of MedicineMiamiUSA

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