Improving Pediatric Compliance with Positive Airway Pressure Therapy: the Impact of Behavioral Intervention

• DOI: 10.1093/sleep/26.8.1010
• Publication Date: 2017-02-05T15:33:45Z
• Authors: Kristine L. Koontz; Keith J. Slifer; Marilyn D. Cataldo; Carole L. Marcus
• Keywords: Positive airway pressure

The purposes of this study were (1) to describe behavior interventions provided improve compliance with positive airway pressure (PAP) therapies in children obstructive sleep apnea, (2) survey physician and caregiver satisfaction these interventions, (3) present preliminary outcome data on the effects interventions.Retrospective, descriptive analysis.Pediatric psychology consultation service at a university-affiliated rehabilitation hospital.20 (aged 1-17 years) referred by physicians for noncompliance PAP.Patients self-selected into 1 3 groups: group receiving 1.5-hour recommendation session (CR+), recommendations plus course therapy (BT), whom was recommended after recommendations, but family did not follow-up (CR-).Prior intervention, none consistently wearing PAP equipment. After 75% who received intervention (CR+ BT groups) successfully tolerated increased hours documented usage. This contrast whose families declined (CR- group), 0% their usage PAP. High ratings obtained from referring patient caregivers CR+ groups.The results are encouraging support importance analysis increasing making benefits available greater number children.