Caregiver support and positive airway pressure therapy adherence among adolescents with obstructive sleep apnea.
Adherence
Adolescents
Obstructive sleep apnea
Paediatrics
Positive airway pressure
Journal
Paediatrics & child health
ISSN: 1205-7088
Titre abrégé: Paediatr Child Health
Pays: England
ID NLM: 9815960
Informations de publication
Date de publication:
Dec 2020
Dec 2020
Historique:
entrez:
23
12
2020
pubmed:
30
8
2019
medline:
30
8
2019
Statut:
epublish
Résumé
Positive airway therapy (PAP) adherence rates are suboptimal among adolescents with obstructive sleep apnea (OSA) and strategies to increase PAP adherence is a clinical priority. This study evaluates if caregiver support is associated with PAP adherence rates among adolescents with OSA. We conducted a retrospective study and evaluated PAP adherence rates among adolescents with OSA from 2012 to 2017. Adherence was measured as continuous variables: average PAP usage (minutes per night) and average PAP usage >4 hours/night (% of all nights). We evaluated if adolescents with OSA who were receiving practical caregiver support with PAP had higher adherence than adolescents with OSA without caregiver support. One hundred and seven adolescents with OSA (mean age=14.1±2.5 years, 64.5% male, mean BMI percentile=89.0±21.8) seen between January 2012 and August 2017 at our institution were included. In this study, 60.7% (n=65) of adolescents with OSA were receiving practical caregiver support with PAP therapy. Adolescents with OSA receiving practical caregiver support with PAP used therapy for a significantly greater duration each night compared to adolescents who were not receiving practical caregiver support (298.5±206.7 versus 211.9±187.2 minutes; P=0.02). Greater time since the initial PAP prescription was independently associated with PAP adherence. Focusing on PAP adherence early may help adolescents with OSA incorporate therapy into their nightly routine, which may improve adherence and lead to improved health outcomes in adolescents with OSA. Practical caregiver support may be an essential component of ensuring optimal PAP adherence among adolescents with OSA.
Identifiants
pubmed: 33354257
doi: 10.1093/pch/pxz107
pii: pxz107
pmc: PMC7739535
doi:
Types de publication
Journal Article
Langues
eng
Pagination
491-497Informations de copyright
© The Author(s) 2019. Published by Oxford University Press on behalf of the Canadian Paediatric Society. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
Références
PLoS One. 2011 Mar 17;6(3):e16924
pubmed: 21437285
Ann Am Thorac Soc. 2018 Jan;15(1):22-23
pubmed: 29286848
J Nutr Metab. 2012;2012:134202
pubmed: 22957216
J Clin Sleep Med. 2015 Dec 15;11(12):1409-16
pubmed: 26235150
J Pediatr Psychol. 2007 Sep;32(8):907-17
pubmed: 17426045
Am J Respir Crit Care Med. 2016 Aug 15;194(4):476-85
pubmed: 26910598
Lancet. 2009 Jan 3;373(9657):82-93
pubmed: 19101028
Sleep Med Rev. 2008 Oct;12(5):339-46
pubmed: 18406637
Sleep Breath. 2018 Dec;22(4):1037-1044
pubmed: 29357088
J Clin Sleep Med. 2013 Dec 15;9(12):1303-13
pubmed: 24340293
Ann Am Thorac Soc. 2018 Jan;15(1):83-88
pubmed: 28915069
Minerva Pediatr. 2017 Aug;69(4):326-336
pubmed: 28211649
J Craniomaxillofac Surg. 2011 Apr;39(3):153-7
pubmed: 20627744
Am J Respir Crit Care Med. 2007 Jan 1;175(1):55-61
pubmed: 17038661
Curr Opin Allergy Clin Immunol. 2009 Feb;9(1):4-9
pubmed: 19532087
Health Psychol. 2004 Mar;23(2):207-18
pubmed: 15008666
Sleep Med Rev. 2006 Apr;10(2):119-27
pubmed: 16488166
J Clin Sleep Med. 2016 Jun 15;12(6):879-84
pubmed: 27092702
J Pediatr Endocrinol Metab. 2002 Feb;15(2):115-26
pubmed: 11874175
Proc Natl Acad Sci U S A. 2004 May 25;101(21):8174-9
pubmed: 15148381
Sleep. 2006 May;29(5):651-8
pubmed: 16774155
Pediatrics. 2005 Jan;115(1):112-20
pubmed: 15629990
Otolaryngol Head Neck Surg. 2007 Jul;137(1):43-8
pubmed: 17599563
Eur J Pediatr. 2016 Feb;175(2):211-20
pubmed: 26316318
Int J Pediatr Otorhinolaryngol. 2006 Sep;70(9):1555-60
pubmed: 16820218
J Clin Sleep Med. 2012 Jun 15;8(3):279-86
pubmed: 22701385
Paediatr Child Health. 2008 Jan;13(1):19-24
pubmed: 19119348
Am J Respir Crit Care Med. 1999 Oct;160(4):1381-7
pubmed: 10508833
Hum Brain Mapp. 2010 Jun;31(6):926-33
pubmed: 20496383
J Pediatr Psychol. 2006 Jun;31(5):501-11
pubmed: 16002481
N Engl J Med. 2013 Jun 20;368(25):2366-76
pubmed: 23692173
Am J Respir Crit Care Med. 2010 Sep 1;182(5):676-83
pubmed: 20448096