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Conference Paper: Long-term efficacy of motivational interviewing on improving continuous positive airway pressure adherence in obstructive sleep apnea: A randomized controlled trial

TitleLong-term efficacy of motivational interviewing on improving continuous positive airway pressure adherence in obstructive sleep apnea: A randomized controlled trial
Authors
Issue Date2013
PublisherThe European Respiratory Society (ERS).
Citation
The 23rd Annual Congress of the European Respiratory Society (ERS), Barcelona, Spain, 7-11 September 2013. In the Final Programme of the 23rd Annual Congress of the European Respiratory Society (ERS), 2013, p. 374, abstract no. P3595 How to Cite?
AbstractIntroduction:Long term adherence to continuous positive airway pressure (CPAP) treatment in obstructive sleep apnea (OSA) subjects is important to alleviate symptoms and prevent health-related consequences. Objectives:This study aimed to examine the long-term efficacy of a theory-based behavioral education (BMI-E) programme on improving CPAP adherence. We hypothesized that the application of BMI-E at the initial phase of using CPAP would enhance CPAP adherence in the long term. Methods:Newly diagnosed OSA subjects were randomized into either standard education (SE) or BMI-E. SE group received general advice on CPAP use and BMI-E group received SE with an additional education session and a phone follow up. BMI-E programme consisted of theory-based education with brief motivational interviewing and negative-message framing. Primary outcome was to assess CPAP adherence 1 year after receiving BMI-E programme. Improvement in daytime sleepiness as assessed by Epworth Sleepiness Score (ESS) was secondary outcome. Results:100 subjects ranged from mild to severe OSA, were recruited with a mean±SD age of 52±10 years and ESS of 9±5. At 1 year, the proportion of subjects using CPAP were 84% verse 49% (p<0.001), the proportion of adherent (≥4 hours per day and ≥ 70% of days) were 63% verse 27% (p<0.001), in BMI-E group verse SE group, respectively. BMI-E also significantly reduced ESS by 2.1 (95% CI, 0.1 to 4.2, p=0.044), as compared with SE. Conclusions:Subjects receiving BMI-E were more likely to continue to use CPAP with better adherence and greater improvement in daytime sleepiness even after 1 year receiving BMI-E.
DescriptionPoster Discussion, Session 366: Twist in the tale: treating sleep disordered breathing - new technologies, new techniques
Persistent Identifierhttp://hdl.handle.net/10722/204295

 

DC FieldValueLanguage
dc.contributor.authorLai, YKAen_US
dc.contributor.authorLam, CMJen_US
dc.contributor.authorFong, DYTen_US
dc.contributor.authorIp, MSMen_US
dc.date.accessioned2014-09-19T21:43:25Z-
dc.date.available2014-09-19T21:43:25Z-
dc.date.issued2013en_US
dc.identifier.citationThe 23rd Annual Congress of the European Respiratory Society (ERS), Barcelona, Spain, 7-11 September 2013. In the Final Programme of the 23rd Annual Congress of the European Respiratory Society (ERS), 2013, p. 374, abstract no. P3595en_US
dc.identifier.urihttp://hdl.handle.net/10722/204295-
dc.descriptionPoster Discussion, Session 366: Twist in the tale: treating sleep disordered breathing - new technologies, new techniques-
dc.description.abstractIntroduction:Long term adherence to continuous positive airway pressure (CPAP) treatment in obstructive sleep apnea (OSA) subjects is important to alleviate symptoms and prevent health-related consequences. Objectives:This study aimed to examine the long-term efficacy of a theory-based behavioral education (BMI-E) programme on improving CPAP adherence. We hypothesized that the application of BMI-E at the initial phase of using CPAP would enhance CPAP adherence in the long term. Methods:Newly diagnosed OSA subjects were randomized into either standard education (SE) or BMI-E. SE group received general advice on CPAP use and BMI-E group received SE with an additional education session and a phone follow up. BMI-E programme consisted of theory-based education with brief motivational interviewing and negative-message framing. Primary outcome was to assess CPAP adherence 1 year after receiving BMI-E programme. Improvement in daytime sleepiness as assessed by Epworth Sleepiness Score (ESS) was secondary outcome. Results:100 subjects ranged from mild to severe OSA, were recruited with a mean±SD age of 52±10 years and ESS of 9±5. At 1 year, the proportion of subjects using CPAP were 84% verse 49% (p<0.001), the proportion of adherent (≥4 hours per day and ≥ 70% of days) were 63% verse 27% (p<0.001), in BMI-E group verse SE group, respectively. BMI-E also significantly reduced ESS by 2.1 (95% CI, 0.1 to 4.2, p=0.044), as compared with SE. Conclusions:Subjects receiving BMI-E were more likely to continue to use CPAP with better adherence and greater improvement in daytime sleepiness even after 1 year receiving BMI-E.-
dc.languageengen_US
dc.publisherThe European Respiratory Society (ERS).-
dc.relation.ispartofAnnual Congress of the European Respiratory Society (ERS)en_US
dc.titleLong-term efficacy of motivational interviewing on improving continuous positive airway pressure adherence in obstructive sleep apnea: A randomized controlled trialen_US
dc.typeConference_Paperen_US
dc.identifier.emailLai, YKA: agneslai@hku.hken_US
dc.identifier.emailLam, CMJ: lamcmj@hku.hken_US
dc.identifier.emailFong, DYT: dytfong@hku.hken_US
dc.identifier.emailIp, MSM: msmip@hku.hken_US
dc.identifier.authorityFong, DYT=rp00253en_US
dc.identifier.authorityIp, MSM=rp00347en_US
dc.identifier.hkuros239216en_US
dc.identifier.spage374, abstract no. P3595en_US
dc.identifier.epage374, abstract no. P3595en_US

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