Predicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA): A belief-based theoretical approach
Purpose: Obstructive sleep apnoea (OSA) is a common disorder, for which continuous positive airway pressure (CPAP) therapy is a standard treatment. Despite its well-established efficacy, many patients choose not to initiate CPAP treatment. The present study investigated the degree to which biologica...
| Main Authors: | , , , , , , , |
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| Format: | Journal Article |
| Published: |
2013
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| Online Access: | http://hdl.handle.net/20.500.11937/63446 |
| _version_ | 1848761089786904576 |
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| author | Skinner, T. McNeil, L. Olaithe, M. Eastwood, Peter Hillman, D. Phang, J. De Regt, T. Bucks, R. |
| author_facet | Skinner, T. McNeil, L. Olaithe, M. Eastwood, Peter Hillman, D. Phang, J. De Regt, T. Bucks, R. |
| author_sort | Skinner, T. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Purpose: Obstructive sleep apnoea (OSA) is a common disorder, for which continuous positive airway pressure (CPAP) therapy is a standard treatment. Despite its well-established efficacy, many patients choose not to initiate CPAP treatment. The present study investigated the degree to which biological measures (e.g. Apnoea-Hypopnoea Index [AHI]), symptom experiences (e.g. fatigue) and illness representations (e.g. perceived consequences) predict the decision of individuals newly diagnosed with OSA to undergo a trial of CPAP therapy. Methods: Four hundred forty-nine individuals (316 males) newly diagnosed with OSA. Epworth sleepiness scale (ESS), Fatigue Severity Scale, Depression Anxiety Stress Scale and Illness Perception Questionnaire-Revised (IPQ-R) were administered at time of sleep study. These, patient demographics and sleep study variables were used to determine factors predicting patient decision to proceed with a trial of CPAP. Results: The participants were most likely to attribute their OSA to unchangeable and psychological factors. For those with moderate OSA (AHI, 15 to 30) IPQ-R illness consequence was predictive of decision to initiate CPAP (p = 0.002). For severe OSA (AHI > 30) age, ESS and IPQ illness causal beliefs were predictive of decision to initiate CPAP (p < 0.001). Conclusions: Illness beliefs are important determinants of the choice of recently diagnosed OSA patients whether or not to undertake a trial of CPAP therapy. Concerns about illness consequences were important in those with moderate OSA. In severe OSA, sleepiness symptoms are more prominent and a more significant determinant of CPAP uptake along with age and causal beliefs. © 2013 Springer-Verlag Berlin Heidelberg. |
| first_indexed | 2025-11-14T10:26:08Z |
| format | Journal Article |
| id | curtin-20.500.11937-63446 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:26:08Z |
| publishDate | 2013 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-634462018-02-06T07:41:46Z Predicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA): A belief-based theoretical approach Skinner, T. McNeil, L. Olaithe, M. Eastwood, Peter Hillman, D. Phang, J. De Regt, T. Bucks, R. Purpose: Obstructive sleep apnoea (OSA) is a common disorder, for which continuous positive airway pressure (CPAP) therapy is a standard treatment. Despite its well-established efficacy, many patients choose not to initiate CPAP treatment. The present study investigated the degree to which biological measures (e.g. Apnoea-Hypopnoea Index [AHI]), symptom experiences (e.g. fatigue) and illness representations (e.g. perceived consequences) predict the decision of individuals newly diagnosed with OSA to undergo a trial of CPAP therapy. Methods: Four hundred forty-nine individuals (316 males) newly diagnosed with OSA. Epworth sleepiness scale (ESS), Fatigue Severity Scale, Depression Anxiety Stress Scale and Illness Perception Questionnaire-Revised (IPQ-R) were administered at time of sleep study. These, patient demographics and sleep study variables were used to determine factors predicting patient decision to proceed with a trial of CPAP. Results: The participants were most likely to attribute their OSA to unchangeable and psychological factors. For those with moderate OSA (AHI, 15 to 30) IPQ-R illness consequence was predictive of decision to initiate CPAP (p = 0.002). For severe OSA (AHI > 30) age, ESS and IPQ illness causal beliefs were predictive of decision to initiate CPAP (p < 0.001). Conclusions: Illness beliefs are important determinants of the choice of recently diagnosed OSA patients whether or not to undertake a trial of CPAP therapy. Concerns about illness consequences were important in those with moderate OSA. In severe OSA, sleepiness symptoms are more prominent and a more significant determinant of CPAP uptake along with age and causal beliefs. © 2013 Springer-Verlag Berlin Heidelberg. 2013 Journal Article http://hdl.handle.net/20.500.11937/63446 10.1007/s11325-013-0828-1 restricted |
| spellingShingle | Skinner, T. McNeil, L. Olaithe, M. Eastwood, Peter Hillman, D. Phang, J. De Regt, T. Bucks, R. Predicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA): A belief-based theoretical approach |
| title | Predicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA): A belief-based theoretical approach |
| title_full | Predicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA): A belief-based theoretical approach |
| title_fullStr | Predicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA): A belief-based theoretical approach |
| title_full_unstemmed | Predicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA): A belief-based theoretical approach |
| title_short | Predicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA): A belief-based theoretical approach |
| title_sort | predicting uptake of continuous positive airway pressure (cpap) therapy in obstructive sleep apnoea (osa): a belief-based theoretical approach |
| url | http://hdl.handle.net/20.500.11937/63446 |