Spousal Involvement in Adherence to CPAP Treatment

配偶参与坚持 CPAP 治疗

基本信息

批准号：
8433895
负责人：
Lichuan Ye
金额：
$ 41.89万
依托单位：
BOSTON COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-06-05 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8433895
关键词：
Address Adherence Adult Adverse effects Affective Aftercare Behavior Characteristics Clinical Collaborations Community Healthcare Continuous Positive Airway Pressure Couples Couples Therapy Data Development Diagnosis Domestic Partners Evaluation Goals Health Care Costs High Prevalence Individual Interdisciplinary Study Intervention Interview Investigation Life Literature Medicine Morbidity - disease rate Nature Newly Diagnosed Obstructive Sleep Apnea Participant Patients Pattern Persons Psychology Public Health Pulmonology Recruitment Activity Research Respiratory Therapy Role Sampling Self Efficacy Severities Sleep Sleep Apnea Syndromes Sleeplessness Smoking Social Work Social support Spouses Stress Structure Team Nursing Therapeutic Intervention Time Variant base cohort coping effective therapy experience functional disability functional status improved innovation mortality pressure programs public health relevance response success successful intervention therapy development

项目摘要

DESCRIPTION (provided by applicant): Poor adherence to continuous positive airway pressure (CPAP) treatment remains the single largest impediment to effective management for obstructive sleep apnea (OSA). While successful interventions to improve CPAP adherence may ultimately include a variety of components, for patients living with "spouses" (refers to all domestic partners) the spouse will likely be integral to any successful intervention. However, we know very little about the characteristics and impact of spousal involvement on CPAP adherence. Thus, this R15 project will examine the role of spousal involvement in adherence to CPAP, with the long-term goal of developing a couple-based intervention to promote CPAP use. Two aims are directed toward developing understanding of the nature of spousal involvement in CPAP adherence. Aims: Aim 1 addresses the impact of spousal involvement on CPAP adherence and will attempt to isolate the types of spousal support that are beneficial versus types that are detrimental. One hundred and thirty-three (133) couples (CPAP na¿ve OSA patients and their spouses) will be followed for 3 months after CPAP treatment initiation. Because greater daily CPAP use optimizes clinical benefits, CPAP adherence in this study will be primarily assessed as average daily use at 3-months and at 1-week. Couple's dyadic coping and patient affective response to spousal involvement will also be examined. Aim 2 focuses on developing an in-depth understanding of the couple's experiences with CPAP therapy, how the couples cope with CPAP, and the facilitators and barriers to incorporating CPAP into daily life. In-person open-ended interviews will be conducted with 20-25 couples, including OSA patients with various levels of CPAP adherence and their spouses to obtain a wide range of participant perspectives. Significance / Innovation: This study will expand the conceptual context of CPAP adherence from an exclusive focus on individual patients to a broader dyadic perspective for both patients and their spouses. Innovative methodological approaches are used to understand the nature of spousal involvement in CPAP adherence, such as recruiting the couple as a unit and dyadic evaluation from both partners. While known to be effective in addressing other conditions, the use of social support programs engaging spouses is untested in OSA. Next Steps: This project will provide data that will allow us to better understand the role of spousal involvement in CPAP adherence, and serves to inform the development of an effective and sustainable intervention that will improve CPAP adherence.

描述（由申请人提供）：对持续气道正压通气 (CPAP) 治疗的依从性差仍然是有效治疗阻塞性睡眠呼吸暂停 (OSA) 的最大障碍，而改善 CPAP 依从性的成功干预措施最终可能包括多种组成部分。与“配偶”（指所有家庭伴侣）一起生活的患者，配偶可能是任何成功干预措施中不可或缺的一部分，但是，我们对配偶参与对 CPAP 依从性的影响知之甚少。因此，该 R15 项目将研究配偶参与对 CPAP 坚持的作用，其长期目标是开发基于夫妇的干预措施来促进 CPAP 的使用，其中两个目标是加深对配偶参与 CPAP 本质的理解。目标：目标 1 探讨配偶参与对 CPAP 依从性的影响，并尝试区分对一百三十三 (133) 对夫妇有利的配偶支持类型和带来痛苦的类型。（CPAP 呼吸机由于每天使用更多的 CPAP 可以优化临床益处，因此本研究中的 CPAP 依从性将主要根据 3 个月和 1 周的平均每日使用情况进行评估。还将检查夫妻的二元应对和患者对配偶参与的情感反应，目标 2 重点是深入了解夫妻接受 CPAP 治疗的经历以及夫妻如何应对。 CPAP 以及将 CPAP 纳入日常生活的促进因素和障碍将对 20-25 对夫妇进行面对面的开放式访谈，其中包括不同程度的 CPAP 依从性的 OSA 患者及其配偶，以获得广泛的参与者观点。意义/创新：这项研究将把持续气道正压通气（CPAP）坚持的概念范围从只关注个体患者扩展到更广泛的患者及其配偶的二元视角，并采用创新的方法来理解其本质。配偶参与持续气道正压通气 (CPAP) 坚持的方法，例如将夫妻作为一个整体进行招募以及双方的二元评估虽然已知可以有效解决其他问题，但在 OSA 中尚未对配偶参与的社会支持计划进行测试。将提供的数据使我们能够更好地了解配偶参与对 CPAP 坚持的作用，并有助于制定有效且可持续的干预措施，以提高 CPAP 的坚持。