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

doi:10.1016/j.jsmc.2020.02.009

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 journal › Review article › peer-review

6 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 language	English
Pages (from-to)	227-240
Number of pages	14
Journal	Sleep Medicine Clinics
Volume	15
Issue number	2
DOIs	https://doi.org/10.1016/j.jsmc.2020.02.009
State	Published - Jun 2020
Externally published	Yes

Keywords

Motivational enhancement therapy
Obstructive sleep apnea
Patient adherence
Positive airway pressure

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10.1016/j.jsmc.2020.02.009

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@article{8aa70bdf12dc480ab2f036f78dbb04a8,

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

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.",

keywords = "Motivational enhancement therapy, Obstructive sleep apnea, Patient adherence, Positive airway pressure",

author = "Lettieri, {Christopher J.} and Williams, {Scott G.} and Collen, {Jacob F.} and Wickwire, {Emerson M.}",

note = "Publisher Copyright: {\textcopyright} 2020",

year = "2020",

month = jun,

doi = "10.1016/j.jsmc.2020.02.009",

language = "English",

volume = "15",

pages = "227--240",

journal = "Sleep Medicine Clinics",

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publisher = "W.B. Saunders",

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}

TY - JOUR

T1 - Treatment of Obstructive Sleep Apnea

T2 - Achieving Adherence to Positive Airway Pressure Treatment and Dealing with Complications

AU - Lettieri, Christopher J.

AU - Williams, Scott G.

AU - Collen, Jacob F.

AU - Wickwire, Emerson M.

PY - 2020/6

Y1 - 2020/6

N2 - 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.

AB - 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.

KW - Motivational enhancement therapy

KW - Obstructive sleep apnea

KW - Patient adherence

KW - Positive airway pressure

UR - http://www.scopus.com/inward/record.url?scp=85084234613&partnerID=8YFLogxK

U2 - 10.1016/j.jsmc.2020.02.009

DO - 10.1016/j.jsmc.2020.02.009

M3 - Review article

C2 - 32386697

AN - SCOPUS:85084234613

SN - 1556-407X

VL - 15

SP - 227

EP - 240

JO - Sleep Medicine Clinics

JF - Sleep Medicine Clinics

IS - 2

ER -

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

Abstract

Keywords

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