Treatment of Obstructive Sleep Apnea: Achieving Adherence to Positive Airway Pressure Treatment and Dealing with Complications

Christopher J. Lettieri*, Scott G. Williams, Jacob F. Collen, Emerson M. Wickwire

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations

Abstract

Obstructive sleep apnea is a common and treatable condition, but therapeutic adherence is limited by numerous factors. Despite advances in positive airway pressure (PAP) technology and a multitude of effective pharmacologic and behavioral therapeutic interventions to overcome the most common barriers to PAP, adherence has not increased significantly over the past 30 years. This review aims to identify the most important factors that impact adherence, common barriers to treatment, and evidence-based treatment strategies to maximize the effectiveness of PAP treatment. Complications of PAP treatment and mitigation techniques are also discussed.

Original languageEnglish
Pages (from-to)551-564
Number of pages14
JournalSleep Medicine Clinics
Volume12
Issue number4
DOIs
StatePublished - Dec 2017

Keywords

  • Motivational enhancement therapy
  • Obstructive sleep apnea
  • Patient adherence
  • Positive airway pressure

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