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BMC Pulm Med. 2015 Sep 14;15:102. doi: 10.1186/s12890-015-0099-7.

Efficiency of a phone coaching program on adherence to continuous positive airway pressure in sleep apnea hypopnea syndrome: a randomized trial.

Author information

1
Service de pneumologie - allergologie, hôpital Larrey, CHU de Toulouse, chemin de Pouvourville, 31059, Toulouse, France. sedkaoui.k@chu-toulouse.fr.
2
SADIR association, oncopole, 2 place Pierre Potier, CS 40623, 31106, Toulouse cedex 1, France. lleseux@sadir.asso.fr.
3
Service de pneumologie - allergologie, hôpital Larrey, CHU de Toulouse, chemin de Pouvourville, 31059, Toulouse, France. pontier.s@chu-toulouse.fr.
4
SADIR assistance, oncopole, 2 place Pierre Potier, CS 40623, 31106, Toulouse cedex 1, France. nrossin@sadir-assistance.com.
5
SADIR association, oncopole, 2 place Pierre Potier, CS 40623, 31106, Toulouse cedex 1, France. paul.leo@free.fr.
6
SADIR assistance, oncopole, 2 place Pierre Potier, CS 40623, 31106, Toulouse cedex 1, France. jlfraysse@sadir-assistance.com.
7
Service de pneumologie - allergologie, hôpital Larrey, CHU de Toulouse, chemin de Pouvourville, 31059, Toulouse, France. didier.a@chu-toulouse.fr.

Abstract

BACKGROUND:

Continuous Positive Airway Pressure (CPAP) remains the reference treatment for moderate to severe forms of the Sleep Apnea/Hypopnea Syndrome (SAHS). Compliance to the treatment appears to be a key factor to improving health status of these patients.

METHODS:

We conducted a multicenter, prospective, randomized, controlled, parallel group trial of standard support completed or not within 3 months of coaching sessions for newly diagnosed SAHS patients starting CPAP therapy. This study has been recorded by AFSSAPS with the RCB number: 2009-A01127-50 and received favourably by the Human Studies Committee in France. The coaching session consisted of 5 sessions of telephone-based counselling by competent staff. The primary outcome was the proportion of patients using CPAP more than 3 h per night for 4 months; the secondary outcome was mean hours of CPAP usage in the 2 groups.

RESULTS:

Three hundred and seventy-nine patients fulfilled the inclusion criteria and were randomized. The percentage of patients using CPAP more than 3 h per night for 4 months was 65 % for the standard support group and 75 % for the coached group. This difference reached a statistical significance (χ2 = 3.97). The mean CPAP usage was increased in the coached group versus standard group. A difference of 26 min was observed (4 h34+/-2 h17 and 4 h08+/-2 h25 respectively, p = 0.04).

CONCLUSION:

This study shows that SAHS patients who benefit from phone coaching are statistically more compliant to CPAP than a standard support group is. A simple phone coaching procedure based on knowledge of the disease and reinforcement messages about treatment benefits helps to improve CPAP adherence in SAHS patients.

TRIAL REGISTRATION:

NCT02435355.

PMID:
26370444
PMCID:
PMC4570038
DOI:
10.1186/s12890-015-0099-7
[Indexed for MEDLINE]
Free PMC Article

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