Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients

Manoj Sharma,1 Anuj Chandra,2 Ryan Toth,2 Vinayak K Nahar3,4 1Department of Environmental & Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA; 2Advanced Center for Sleep Disorders, Chattanooga, TN, USA; 3Department of Dermatology, School of Medicine, Univ...

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Autores principales:	Sharma M, Chandra A, Toth R, Nahar VK
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	sleep apnea positive airway pressure compliance predictors multi-theory model Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/4d6ccbbe8fb848afb82dd714dd23f365
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spelling	oai:doaj.org-article:4d6ccbbe8fb848afb82dd714dd23f3652021-12-02T13:36:17ZUtility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients1179-1608https://doaj.org/article/4d6ccbbe8fb848afb82dd714dd23f3652021-03-01T00:00:00Zhttps://www.dovepress.com/utility-of-multi-theory-model-mtm-to-explain-the-intention-for-pap-adh-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Manoj Sharma,1 Anuj Chandra,2 Ryan Toth,2 Vinayak K Nahar3,4 1Department of Environmental & Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA; 2Advanced Center for Sleep Disorders, Chattanooga, TN, USA; 3Department of Dermatology, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA; 4Department of Preventive Medicine, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USACorrespondence: Vinayak K NaharDepartment of Dermatology, School of Medicine, University of Mississippi Medical Center, 2500 North State Street – L216, Jackson, MS, 39216, USATel +1 601 495 5876Fax +1 601 984 1150Email naharvinayak@gmail.comPurpose: The objective of this study was to assess the utility of a fourth-generation multi-theory model (MTM) in explaining the intention for initiation and sustenance of PAP adherence among newly diagnosed sleep apnea patients.Patients and Methods: For this cross-sectional study, data were collected at a private sleep center located in the Southeastern United States. A total of 138 newly diagnosed patients with sleep apnea who had been prescribed PAP therapy completed a valid and reliable 41-item MTM instrument. Stepwise multiple regression modeling was conducted to assess MTM based explanatory variables of PAP adherence in this study sample.Results: MTM constructs namely participatory dialogue (β = 0.17, p = 0.014), behavioral confidence (β = 0.48, p < 0.001), and changes in the physical environment (β = 0.26, p = 0.001) were statistically significant predictors of the intention for initiation of PAP therapy and accounted for 53.5% of the variance. Emotional transformation (β = 0.57, p < 0.001), changes in the social environment (β = 0.16, p = 0.016), and practice for change (β = 0.16, p = 0.047) were statistically significant predictors of the intention for sustenance of PAP therapy and accounted for 60.6% of the variance.Conclusion: The MTM was found to be a promising theoretical model in explaining the intention for initiation and sustenance of PAP therapy.Keywords: sleep apnea, positive airway pressure, compliance, predictors, multi-theory modelSharma MChandra AToth RNahar VKDove Medical Pressarticlesleep apneapositive airway pressurecompliancepredictorsmulti-theory modelPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 13, Pp 263-271 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sleep apnea positive airway pressure compliance predictors multi-theory model Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	sleep apnea positive airway pressure compliance predictors multi-theory model Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Sharma M Chandra A Toth R Nahar VK Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients
description	Manoj Sharma,1 Anuj Chandra,2 Ryan Toth,2 Vinayak K Nahar3,4 1Department of Environmental & Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA; 2Advanced Center for Sleep Disorders, Chattanooga, TN, USA; 3Department of Dermatology, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA; 4Department of Preventive Medicine, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USACorrespondence: Vinayak K NaharDepartment of Dermatology, School of Medicine, University of Mississippi Medical Center, 2500 North State Street – L216, Jackson, MS, 39216, USATel +1 601 495 5876Fax +1 601 984 1150Email naharvinayak@gmail.comPurpose: The objective of this study was to assess the utility of a fourth-generation multi-theory model (MTM) in explaining the intention for initiation and sustenance of PAP adherence among newly diagnosed sleep apnea patients.Patients and Methods: For this cross-sectional study, data were collected at a private sleep center located in the Southeastern United States. A total of 138 newly diagnosed patients with sleep apnea who had been prescribed PAP therapy completed a valid and reliable 41-item MTM instrument. Stepwise multiple regression modeling was conducted to assess MTM based explanatory variables of PAP adherence in this study sample.Results: MTM constructs namely participatory dialogue (β = 0.17, p = 0.014), behavioral confidence (β = 0.48, p < 0.001), and changes in the physical environment (β = 0.26, p = 0.001) were statistically significant predictors of the intention for initiation of PAP therapy and accounted for 53.5% of the variance. Emotional transformation (β = 0.57, p < 0.001), changes in the social environment (β = 0.16, p = 0.016), and practice for change (β = 0.16, p = 0.047) were statistically significant predictors of the intention for sustenance of PAP therapy and accounted for 60.6% of the variance.Conclusion: The MTM was found to be a promising theoretical model in explaining the intention for initiation and sustenance of PAP therapy.Keywords: sleep apnea, positive airway pressure, compliance, predictors, multi-theory model
format	article
author	Sharma M Chandra A Toth R Nahar VK
author_facet	Sharma M Chandra A Toth R Nahar VK
author_sort	Sharma M
title	Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients
title_short	Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients
title_full	Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients
title_fullStr	Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients
title_full_unstemmed	Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients
title_sort	utility of multi-theory model (mtm) to explain the intention for pap adherence in newly diagnosed sleep apnea patients
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/4d6ccbbe8fb848afb82dd714dd23f365
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Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients

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