Feasibility Testing of a Self-Managment Program for Improving CPAP Compliance

Monday, 22 July 2013

Suzanne S. Dickerson, RN, DNS
School of Nursing, University at Buffalo, State University of New York, Buffalo, NY

Learning Objective 1: Gain an understand a unique approach to developing and testing a complex intervention to promote CPAP adherence.

Learning Objective 2: Gain an understanding of feasibility testing using mixed methodologies to understand effectiveness and usability of an intervention.

Purpose: This  presentation describes the process and outcome of conducting feasibility testing of a complex intervention to promote adherence to CPAP. This intervention was developed combining qualitative interviews, research evidence, and relevant theories to produce a theory based intervention that uses self-efficacy strategies, and cognitive behavioral approaches to support patients’ self-management.

Methods: A mixed method approach is used to longitudinally follow 20 newly diagnosed patients with obstructive sleep apnea who are beginning CPAP treatment and were given a program book to use for information and support. Data from the patient record includes daytime sleepiness score and CPAP compliance reports from the device at 1 week, 1 month and 3 month timeframe.  Qualitative interviews at week 1 and 4 determine feasibility and efficacy of the program in supporting motivation and adherence to treatment. A standard care group, matched for age, gender and severity, is used to compare changes in daytime sleepiness and compliance.  

Results: Preliminary results indicate that patients found the program provided comprehensive information and useful tools to monitor their progress and trouble shoot their mask issues.   

Conclusion: Implementation of a self-management program would be a cost effective way of providing information and encouraging patient empowerment to improve provider patient communication and ultimately improve adherence.