Salma Batool-Anwar1, Carol M Baldwin2, Shira Fass3, Stuart F Quan4,1. 1. Brigham and Women's Hospital, Boston, MA. 2. Arizona State University College of Nursing and Health Innovation and College of Health Solutions, Phoenix, AZ. 3. Case Western Reserve University, Cleveland, Ohio. 4. University of Arizona College of Medicine, Tucson, AZ.
Abstract
INTRODUCTION: Little is known about the impact of spousal involvement on continuous positive airway pressure (CPAP) adherence. The aim of this study was to determine whether spouse involvement affects adherence with CPAP therapy, and how this association varies with gender. METHODS: 194 subjects recruited from Apnea Positive Pressure Long Term Efficacy Study (APPLES) completed the Dyadic Adjustment Scale (DAS). The majority of participants were Caucasian (83%), and males (73%), with mean age of 56 years, mean BMI of 31 kg/m2. & 62% had severe OSA. The DAS is a validated 32-item self-report instrument measuring dyadic consensus, satisfaction, cohesion, and affectional expression. A high score in the DAS is indicative of a person's adjustment to the marriage. Additionally, questions related to spouse involvement with general health and CPAP use were asked. CPAP use was downloaded from the device and self-report, and compliance was defined as usage ≥ 4 h per night. RESULTS: There were no significant differences in overall marital quality between the compliant and noncompliant subjects. However, level of spousal involvement was associated with increased CPAP adherence at 6 months (p=0.01). After stratifying for gender these results were significant only among males (p=0.03). Three years after completing APPLES, level of spousal involvement was not associated with CPAP compliance even after gender stratification. CONCLUSION: Spousal involvement is important in determining CPAP compliance in males in the 1st 6 months after initiation of therapy but is not predictive of longer-term adherence. Involvement of the spouse should be considered an integral part of CPAP initiation procedures. SUPPORT: HL068060.
INTRODUCTION: Little is known about the impact of spousal involvement on continuous positive airway pressure (CPAP) adherence. The aim of this study was to determine whether spouse involvement affects adherence with CPAP therapy, and how this association varies with gender. METHODS: 194 subjects recruited from Apnea Positive Pressure Long Term Efficacy Study (APPLES) completed the Dyadic Adjustment Scale (DAS). The majority of participants were Caucasian (83%), and males (73%), with mean age of 56 years, mean BMI of 31 kg/m2. & 62% had severe OSA. The DAS is a validated 32-item self-report instrument measuring dyadic consensus, satisfaction, cohesion, and affectional expression. A high score in the DAS is indicative of a person's adjustment to the marriage. Additionally, questions related to spouse involvement with general health and CPAP use were asked. CPAP use was downloaded from the device and self-report, and compliance was defined as usage ≥ 4 h per night. RESULTS: There were no significant differences in overall marital quality between the compliant and noncompliant subjects. However, level of spousal involvement was associated with increased CPAP adherence at 6 months (p=0.01). After stratifying for gender these results were significant only among males (p=0.03). Three years after completing APPLES, level of spousal involvement was not associated with CPAP compliance even after gender stratification. CONCLUSION: Spousal involvement is important in determining CPAP compliance in males in the 1st 6 months after initiation of therapy but is not predictive of longer-term adherence. Involvement of the spouse should be considered an integral part of CPAP initiation procedures. SUPPORT: HL068060.
Authors: T Hori; Y Sugita; E Koga; S Shirakawa; K Inoue; S Uchida; H Kuwahara; M Kousaka; T Kobayashi; Y Tsuji; M Terashima; K Fukuda; N Fukuda Journal: Psychiatry Clin Neurosci Date: 2001-06 Impact factor: 5.188
Authors: Amy M Sawyer; Nalaka S Gooneratne; Carole L Marcus; Dafna Ofer; Kathy C Richards; Terri E Weaver Journal: Sleep Med Rev Date: 2011-06-08 Impact factor: 11.609
Authors: Kelly Glazer Baron; Timothy W Smith; Cynthia A Berg; Laura A Czajkowski; Heather Gunn; Christopher R Jones Journal: Sleep Breath Date: 2010-06-15 Impact factor: 2.816
Authors: Lichuan Ye; Atul Malhotra; Karen Kayser; Danny G Willis; June A Horowitz; Mark S Aloia; Terri E Weaver Journal: Sleep Med Rev Date: 2014-05-09 Impact factor: 11.609
Authors: Clete A Kushida; Deborah A Nichols; Stuart F Quan; James L Goodwin; David P White; Daniel J Gottlieb; James K Walsh; Paula K Schweitzer; Christian Guilleminault; Richard D Simon; Eileen B Leary; Pamela R Hyde; Tyson H Holmes; Daniel A Bloch; Sylvan Green; Linda K McEvoy; Alan Gevins; William C Dement Journal: J Clin Sleep Med Date: 2006-07-15 Impact factor: 4.062
Authors: Nazia Naz S Khan; Adesuwa B Olomu; Shireesha Bottu; Margaret R Roller; Robert C Smith Journal: J Clin Sleep Med Date: 2019-10-30 Impact factor: 4.062
Authors: Faith S Luyster; Mark S Aloia; Daniel J Buysse; Jacqueline Dunbar-Jacob; Lynn M Martire; Susan M Sereika; Patrick J Strollo Journal: Behav Sleep Med Date: 2018-02-01 Impact factor: 2.964