Soldiers’ Perception of a Behavioral Intervention for Positive Airway Pressure Therapy Adherence in a Military Treatment Facility
Autor: | Charles W Mounts, Mary C Rogers, Gregory S Cacace, Christopher K. Pham, D Shaha, Juliana S Ee |
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Rok vydání: | 2021 |
Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Behavior Therapy Intervention (counseling) Positive airway pressure medicine Humans 030212 general & internal medicine Continuous positive airway pressure Sleep Apnea Obstructive Continuous Positive Airway Pressure Descriptive statistics business.industry Incidence (epidemiology) Public Health Environmental and Occupational Health General Medicine medicine.disease Obstructive sleep apnea Military personnel Military Personnel Family medicine Patient Compliance Population study Female Perception business 030217 neurology & neurosurgery |
Zdroj: | Military Medicine. 186:239-245 |
ISSN: | 1930-613X 0026-4075 |
DOI: | 10.1093/milmed/usaa306 |
Popis: | Introduction The incidence of obstructive sleep apnea in military personnel has increased over 500% since the early 2000s. Adherence to continuous positive airway pressure (PAP), an efficacious treatment, has been suboptimal. This article presents a behavioral intervention model for enhancing PAP therapy adherence and describes how the model was received by military personnel. Materials and Methods The study population comprised 254 out of 280 military personnel (93% men, mean age 39 years) who attended a 90-minute behavioral intervention class within the first 8 weeks of PAP use. They were coached on the Knowledge, Skills, Attitudes (KSA) model of PAP therapy success: Knowledge about obstructive sleep apnea and PAP treatment; Skills to develop a habitual loop for nightly PAP use; and Attitudes that address readiness, barriers, and solutions for sustaining PAP use. Participants completed a voluntary, anonymous postclass survey that inquired of their perception of various elements of the class. Data were analyzed using descriptive statistics and a paired sample t-test. Results In participants’ self-rating of how much they know about PAP treatment before and after the class, their ratings indicated that they experienced a significant increase in knowledge (P Conclusions A KSA model of behavioral intervention for enhancing PAP therapy adherence was well received by participants. Future research will assess the impact of this intervention on adherence as measured by objective indicators. |
Databáze: | OpenAIRE |
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