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.