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Evidence-Based Resource Summary

Strength of Evidence: 
4 out of 4
4 out of 4
Year Published: 

Educational, Supportive, and Behavioral Interventions to Improve Usage of Continuous Positive Airway Pressure Machines in Adults with Obstructive Sleep Apnea

Description of Resource: 
Obstructive sleep apnea (OSA) is a condition that causes interrupted breathing during sleep. Continuous positive airway pressure (CPAP) provides a column of pressurized air to keep the airway splinted open. The effectiveness of CPAP is limited by the fact that people do not use the machine properly. This systematic review assessed the effectiveness of supportive interventions during follow-up, educational interventions, and behavioral therapy in encouraging people who have been prescribed CPAP to use their machines. It identified 30 studies with 2,047 participants and found that all 3 types of interventions increased CPAP usage to varying degrees. Behavioral therapy increased CPAP usage by about 90 minutes per night, ongoing supportive interventions by about 50 minutes per night, and educational interventions by about 35 minutes per night. Studies are needed to assess which interventions best meet individual patient needs.

Evidence-Based Resource Details

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Developed By: 
Cochrane Review
Developer Type: 
Non-Federal Government
Healthy People 2020 Topic Area(s): 
Sleep Health
Healthy People 2020 Objectives: 
Resource Type: 
Systematic Review
Wozniak DR, Lasserson TJ, Smith I. Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea. Cochrane Database Syst Rev [Internet]. 2014 [cited 2018 Mar 30];(1). Art. No.: CD007736. doi: 10.1002/14651858.CD007736.pub2. Available from: