Behavioral KSA Intervention Class to Boost Positive Airway Pressure Adherence Among Active Duty Military Personnel With Obstructive Sleep Apnea.

Autor:	Ee JS; Department of Family Medicine, Womack Army Medical Center, Fort Liberty, NC 28310, USA., Pham CK; Department of Family, Community, and Preventive Medicine, Drexel University College of Medicine, Philadelphia, PA 19104, USA., Shaha DP; Department of Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA., Mounts CW; Department of Sleep and Family Medicine, Martin Army Community Hospital, Fort Moore, GA 31905, USA., Dogbey GY; Department of Research and Medical Education, Campbell University, Jerry M. Wallace School of Osteopathic Medicine, Lillington, NC 27546, USA., Pogorzelski N; Department of Allergy and Immunizations, Lackland Air Force Base, San Antonio, TX 78236, USA.
Jazyk:	angličtina
Zdroj:	Military medicine [Mil Med] 2024 Aug 19; Vol. 189 (Suppl 3), pp. 350-356.
DOI:	10.1093/milmed/usae126
Abstrakt:	Introduction: Obstructive sleep apnea (OSA) is a treatable cause of daytime sleepiness and associated medical problems that can negatively impact soldier readiness and performance. This study examined adherence to positive airway pressure (PAP) by soldiers who were newly diagnosed with OSA and prescribed PAP therapy and participated in a Knowledge, Skills, and Attitudes (KSA) behavioral intervention class. Materials and Methods: The KSA was a one-time, interactive 90-minute class attended by up to 10 patients per class. PAP adherence was examined using Medicare standard at 30-, 60-, 90-, and 180 days post class. The analytic sample comprised 379 active duty patients (93% men; mean age 40.21 ± 8.06) categorized into 3 groups: KSA (n = 235), did not show (DNS; n = 61), and mandatory education class (MEC; n = 83). The MEC group comprised patients from an education class in a previous year. Results: Baseline scores on the apnea hypopnea index, body mass index, sleepiness, insomnia severity, and age were non-significant among the 3 groups. At 30 days, significantly more patients in KSA (48%) and MEC (51%) were adherent than the DNS group (16%). At 60 days, the adherence rates for the KSA, DNS, and MEC were significantly different at 39%, 22%, and 27%, respectively. At 90- and 180 days, the adherence rates among the KSA, DNS, and MEC groups did not differ significantly at 34%, 17%, and 26% (90 days) and 34%, 27%, and 25% (180 days), respectively. Consistently, more patients in KSA were adherent than those in DNS and MEC, except at 30 days. Additionally, adherence rates for KSA intervention declined more gradually over the 6 month period. The mean PAP usage on nights used was 4.6 hours that computed to a 34% non-use rate based on an optimal 7-hour/night sleep time. Conclusion: KSA could be a behavioral intervention that enhances PAP adherence with a booster session implemented at the 90 days mark. (© The Association of Military Surgeons of the United States 2024. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site–for further information please contact journals.permissions@oup.com.)
Databáze:	MEDLINE
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