Open AccessPersonalized and Patient-Centered Strategies to Improve Positive Airway Pressure Adherence in Patients with Obstructive Sleep Apnea
Author(s) -
Alexa Watach,
Dennis Hwang,
Amy M. Sawyer
Publication year - 2021
Publication title -
patient preference and adherence
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.885
H-Index - 48
ISSN - 1177-889X
DOI - 10.2147/ppa.s264927
Subject(s) - medicine , obstructive sleep apnea , psychological intervention , continuous positive airway pressure , positive airway pressure , intensive care medicine , specialty , airway , breathing , sleep medicine , sleep (system call) , sleep apnea , personalized medicine , health care , physical therapy , nursing , bioinformatics , sleep disorder , family medicine , psychiatry , anesthesia , insomnia , computer science , operating system , economics , biology , economic growth
Obstructive sleep apnea (OSA), a common sleep disorder characterized by repeated pauses in breathing during sleep, is effectively treated with positive airway pressure (PAP) therapy. The magnitude of improvements in daily functioning and reduced negative health risks are dependent on maintaining PAP adherence, which is a significant challenge. Evidence-based interventions to improve PAP use are not easily translated to clinical practice because they are labor-intensive and require specialty expertise. Further, to date, individualized care, inclusive of personalized medicine and patient- and person-centered care have been marginally incorporated in the field's understanding of OSA and PAP adherence. This integrative review describes current PAP adherence assessment processes, interventions to improve adherence, and outlines future opportunities to advance the field, particularly as it relates to individualizing care and the use of implementation science to apply evidence to practice.