OBJECTIVE: To determine predictors of continuous airway pressure (CPAP) adherence in children. STUDY DESIGN: Analysis of CPAP usage data for children between 2004 and 2008. RESULTS: During the study period, 32 children were prescribed CPAP; 2 failed to accept the mask, and 30 (mean ± SD age 9.1 ± 5.3 years) were included in further analysis. In the first 2 to 3 months of treatment, average (± SD) CPAP use was 4.7 ± 2.7 hours/night. Hours of use were not affected by age, sex, baseline obstructive apnea-hypopnea index, intellectual disability, or socioeconomic status (P > .05). Of the children, 10 (33%) used CPAP for one hour or more on more than 6 nights per week and were defined as consistent users. Consistent users treated with CPAP for significantly longer on nights of use than intermittent users (7.2 ± 2.0 hours vs 4.7 ± 2.4 hours, P = .008). The hours of use differed between the two groups after the second night of treatment (P < .05), and this difference persisted for the first 3 months of therapy. CONCLUSIONS: Children who attempted to use CPAP at least 6 nights a week were treated with CPAP for a longer time on the nights of use. Usage in the first week of treatment predicted longer term use over 2 to 3 months. Monitoring adherence in the first week of treatment and intervening in cases of low adherence may improve long-term CPAP use.
OBJECTIVE: To determine predictors of continuous airway pressure (CPAP) adherence in children. STUDY DESIGN: Analysis of CPAP usage data for children between 2004 and 2008. RESULTS: During the study period, 32 children were prescribed CPAP; 2 failed to accept the mask, and 30 (mean ± SD age 9.1 ± 5.3 years) were included in further analysis. In the first 2 to 3 months of treatment, average (± SD) CPAP use was 4.7 ± 2.7 hours/night. Hours of use were not affected by age, sex, baseline obstructive apnea-hypopnea index, intellectual disability, or socioeconomic status (P > .05). Of the children, 10 (33%) used CPAP for one hour or more on more than 6 nights per week and were defined as consistent users. Consistent users treated with CPAP for significantly longer on nights of use than intermittent users (7.2 ± 2.0 hours vs 4.7 ± 2.4 hours, P = .008). The hours of use differed between the two groups after the second night of treatment (P < .05), and this difference persisted for the first 3 months of therapy. CONCLUSIONS:Children who attempted to use CPAP at least 6 nights a week were treated with CPAP for a longer time on the nights of use. Usage in the first week of treatment predicted longer term use over 2 to 3 months. Monitoring adherence in the first week of treatment and intervening in cases of low adherence may improve long-term CPAP use.
Authors: Sherri L Katz; Valerie G Kirk; Joanna E MacLean; Glenda N Bendiak; Mary-Ann Harrison; Nicholas Barrowman; Lynda Hoey; Linda Horwood; Stasia Hadjiyannakis; Laurent Legault; Bethany J Foster; Evelyn Constantin Journal: J Clin Sleep Med Date: 2020-02-07 Impact factor: 4.062
Authors: Sanjeev V Kothare; Carol L Rosen; Robin M Lloyd; Shalini Paruthi; Sherene M Thomas; Matthew M Troester; Kelly A Carden Journal: J Clin Sleep Med Date: 2015-03-15 Impact factor: 4.062
Authors: Sherri L Katz; Joanna E MacLean; Lynda Hoey; Linda Horwood; Nicholas Barrowman; Bethany Foster; Stasia Hadjiyannakis; Laurent Legault; Glenda N Bendiak; Valerie G Kirk; Evelyn Constantin Journal: J Clin Sleep Med Date: 2017-09-15 Impact factor: 4.062
Authors: Pooja Puri; Kristie R Ross; Reena Mehra; James C Spilsbury; Hong Li; Carolyn E Levers-Landis; Carol L Rosen Journal: J Clin Sleep Med Date: 2016-07-15 Impact factor: 4.062