PMID- 28364429
OWN - NLM
STAT- MEDLINE
DCOM- 20171017
LR  - 20190318
IS  - 1550-9109 (Electronic)
IS  - 0161-8105 (Linking)
VI  - 40
IP  - 3
DP  - 2017 Mar 1
TI  - Patient-Reported Usability of Positive Airway Pressure Equipment Is Associated
      With Adherence in Older Adults.
LID - 10.1093/sleep/zsx007 [doi]
AB  - Study objectives: To examine the usability of positive airway pressure (PAP)
      devices and its association with PAP adherence among older adults with
      sleep-disordered breathing. Methods: We mailed questionnaires to patients aged
      >/=65 years prescribed PAP therapy during the prior 36 months from two large
      healthcare systems. Survey participants completed the Usability of Sleep Apnea
      Equipment-Positive Airway Pressure (USE-PAP) questionnaire, which assessed the
      usability of their PAP device. Other questionnaire items included demographics
      and self-rated health. We also abstracted adherence data (mean nightly hours of
      PAP use available from one site) and interface type from the electronic health
      record. Results: Five hundred sixty-four patients completed the survey (response 
      rate = 33%). The mean USE-PAP score (0 = best to 100 = worst) was 20 (SD +/- 20).
      Mean duration of PAP use (available in 189 respondents) was 5.2 hours per night
      (SD +/- 2.0). In a nested regression model predicting nightly hours of PAP use, a
      10-point (0.5 SD) increase in USE-PAP score corresponded to a 0.37 hour/night
      reduction in PAP use. The model including the USE-PAP score explained a
      significant proportion (R2 = 15%) of the variation in nightly hours of PAP use
      above and beyond demographics, self-reported health, and interface type (R2 =
      12%). Conclusions: Our results demonstrate that PAP usability varies among older 
      patients and is associated with PAP adherence, above and beyond other predictors 
      of adherence. These results support measuring and improving PAP usability to
      further improve PAP adherence for older patients.
CI  - Published by Oxford University Press on behalf of Sleep Research Society (SRS)
      2017. This work is written by (a) US Government employee(s) and is in the public 
      domain in the US.
FAU - Fung, Constance H
AU  - Fung CH
AD  - Geriatric Research, Education and Clinical Center, VA Greater Los Angeles
      Healthcare System, Los Angeles, California.
AD  - Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles,
      California.
FAU - Martin, Jennifer L
AU  - Martin JL
AD  - Geriatric Research, Education and Clinical Center, VA Greater Los Angeles
      Healthcare System, Los Angeles, California.
AD  - Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles,
      California.
FAU - Hays, Ron D
AU  - Hays RD
AD  - Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles,
      California.
FAU - Patterson, Emily S
AU  - Patterson ES
AD  - School of Health and Rehabilitation Sciences, Ohio State University, Columbus,
      Ohio.
FAU - Aysola, Ravi
AU  - Aysola R
AD  - Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles,
      California.
FAU - Col, Nananda
AU  - Col N
AD  - University of New England, Biddeford, Maine.
FAU - Mitchell, Michael N
AU  - Mitchell MN
AD  - Geriatric Research, Education and Clinical Center, VA Greater Los Angeles
      Healthcare System, Los Angeles, California.
FAU - Truong, Cindy
AU  - Truong C
AD  - Geriatric Research, Education and Clinical Center, VA Greater Los Angeles
      Healthcare System, Los Angeles, California.
FAU - Dzierzewski, Joseph M
AU  - Dzierzewski JM
AD  - Geriatric Research, Education and Clinical Center, VA Greater Los Angeles
      Healthcare System, Los Angeles, California.
AD  - Department of Psychology, Virginia Commonwealth University, Richmond, Virginia.
FAU - Jouldjian, Stella
AU  - Jouldjian S
AD  - Geriatric Research, Education and Clinical Center, VA Greater Los Angeles
      Healthcare System, Los Angeles, California.
FAU - Song, Yeonsu
AU  - Song Y
AD  - Geriatric Research, Education and Clinical Center, VA Greater Los Angeles
      Healthcare System, Los Angeles, California.
AD  - Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles,
      California.
FAU - Rodriguez, Juan Carlos
AU  - Rodriguez JC
AD  - Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles,
      California.
AD  - Pontificia Universidad Catolica de Chile, Santiago, Chile.
FAU - Josephson, Karen
AU  - Josephson K
AD  - Geriatric Research, Education and Clinical Center, VA Greater Los Angeles
      Healthcare System, Los Angeles, California.
FAU - Alessi, Cathy
AU  - Alessi C
AD  - Geriatric Research, Education and Clinical Center, VA Greater Los Angeles
      Healthcare System, Los Angeles, California.
AD  - Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles,
      California.
LA  - eng
GR  - K23 AG045937/AG/NIA NIH HHS/United States
GR  - K23 AG049955/AG/NIA NIH HHS/United States
PT  - Journal Article
PL  - United States
TA  - Sleep
JT  - Sleep
JID - 7809084
SB  - IM
MH  - Aged
MH  - Continuous Positive Airway Pressure/instrumentation/*methods
MH  - Electronic Health Records
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Compliance/*statistics & numerical data
MH  - Self Care
MH  - Self Report
MH  - Sleep Apnea Syndromes/complications/*therapy
MH  - Surveys and Questionnaires
PMC - PMC5806579
OTO - NOTNLM
OT  - *adherence
OT  - *predictive modeling.
OT  - *sleep apnea
OT  - *usability
EDAT- 2017/04/02 06:00
MHDA- 2017/10/19 06:00
CRDT- 2017/04/02 06:00
PHST- 2017/04/02 06:00 [entrez]
PHST- 2017/04/02 06:00 [pubmed]
PHST- 2017/10/19 06:00 [medline]
AID - 2970288 [pii]
AID - 10.1093/sleep/zsx007 [doi]
PST - ppublish
SO  - Sleep. 2017 Mar 1;40(3). pii: 2970288. doi: 10.1093/sleep/zsx007.