Improving CPAP Adherence for Obstructive Sleep Apnea: A Practical Application Primer on CPAP Desensitization

Introduction Obstructive sleep apnea (OSA) is a common medical condition with well-established morbidity and mortality. Continuous positive airway pressure (CPAP) is a highly effective treatment prescribed to most individuals with OSA that has documented poor adherence rate for a variety of reasons...

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Autor principal:	Yelena Chernyak
Formato:	article
Lenguaje:	EN
Publicado:	Association of American Medical Colleges 2020
Materias:	Sleep Apnea Obstructive Sleep Apnea CPAP PAP Therapy Sleep Desensitization Medicine (General) R5-920 Education L
Acceso en línea:	https://doaj.org/article/ddcc299562504bd8ab388d2e5350a668
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spelling	oai:doaj.org-article:ddcc299562504bd8ab388d2e5350a6682021-11-19T14:13:39ZImproving CPAP Adherence for Obstructive Sleep Apnea: A Practical Application Primer on CPAP Desensitization10.15766/mep_2374-8265.109632374-8265https://doaj.org/article/ddcc299562504bd8ab388d2e5350a6682020-09-01T00:00:00Zhttp://www.mededportal.org/doi/10.15766/mep_2374-8265.10963https://doaj.org/toc/2374-8265Introduction Obstructive sleep apnea (OSA) is a common medical condition with well-established morbidity and mortality. Continuous positive airway pressure (CPAP) is a highly effective treatment prescribed to most individuals with OSA that has documented poor adherence rate for a variety of reasons including claustrophobia and discomfort. CPAP desensitization is an effective, simple, and brief treatment shown to improve adherence rates to CPAP. Methods A psychologist specializing in behavioral sleep medicine developed this module focused on teaching medical residents the techniques of CPAP desensitization. The educational activity was an interactive 45-minute seminar which included a didactic component followed by a case presentation and interactive role-play. A postseminar survey was used to evaluate the content of the workshop, as well as growth in awareness and perception of knowledge and skills with a pre- to postworkshop evaluation. Results In a survey of 25 primary care and psychiatry residents and sleep medicine fellows, 92% of respondents indicated that the topic of CPAP barriers and CPAP desensitization was important. Ratings of self-reported knowledge and skills improved nearly one-third following the workshop. Qualitative feedback indicated the utility and enthusiasm learners had for this topic. Discussion The workshop on CPAP desensitization was a valuable tool that should be disseminated more widely to improve treatment adherence in the significant portion of the population that suffers from OSA which does not use adherence to positive airway pressure therapy. The workshop is applicable to other health professionals including medical students and nursing, social work, or psychology trainees.Yelena ChernyakAssociation of American Medical CollegesarticleSleep ApneaObstructive Sleep ApneaCPAPPAP TherapySleepDesensitizationMedicine (General)R5-920EducationLENMedEdPORTAL, Vol 16 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sleep Apnea Obstructive Sleep Apnea CPAP PAP Therapy Sleep Desensitization Medicine (General) R5-920 Education L
spellingShingle	Sleep Apnea Obstructive Sleep Apnea CPAP PAP Therapy Sleep Desensitization Medicine (General) R5-920 Education L Yelena Chernyak Improving CPAP Adherence for Obstructive Sleep Apnea: A Practical Application Primer on CPAP Desensitization
description	Introduction Obstructive sleep apnea (OSA) is a common medical condition with well-established morbidity and mortality. Continuous positive airway pressure (CPAP) is a highly effective treatment prescribed to most individuals with OSA that has documented poor adherence rate for a variety of reasons including claustrophobia and discomfort. CPAP desensitization is an effective, simple, and brief treatment shown to improve adherence rates to CPAP. Methods A psychologist specializing in behavioral sleep medicine developed this module focused on teaching medical residents the techniques of CPAP desensitization. The educational activity was an interactive 45-minute seminar which included a didactic component followed by a case presentation and interactive role-play. A postseminar survey was used to evaluate the content of the workshop, as well as growth in awareness and perception of knowledge and skills with a pre- to postworkshop evaluation. Results In a survey of 25 primary care and psychiatry residents and sleep medicine fellows, 92% of respondents indicated that the topic of CPAP barriers and CPAP desensitization was important. Ratings of self-reported knowledge and skills improved nearly one-third following the workshop. Qualitative feedback indicated the utility and enthusiasm learners had for this topic. Discussion The workshop on CPAP desensitization was a valuable tool that should be disseminated more widely to improve treatment adherence in the significant portion of the population that suffers from OSA which does not use adherence to positive airway pressure therapy. The workshop is applicable to other health professionals including medical students and nursing, social work, or psychology trainees.
format	article
author	Yelena Chernyak
author_facet	Yelena Chernyak
author_sort	Yelena Chernyak
title	Improving CPAP Adherence for Obstructive Sleep Apnea: A Practical Application Primer on CPAP Desensitization
title_short	Improving CPAP Adherence for Obstructive Sleep Apnea: A Practical Application Primer on CPAP Desensitization
title_full	Improving CPAP Adherence for Obstructive Sleep Apnea: A Practical Application Primer on CPAP Desensitization
title_fullStr	Improving CPAP Adherence for Obstructive Sleep Apnea: A Practical Application Primer on CPAP Desensitization
title_full_unstemmed	Improving CPAP Adherence for Obstructive Sleep Apnea: A Practical Application Primer on CPAP Desensitization
title_sort	improving cpap adherence for obstructive sleep apnea: a practical application primer on cpap desensitization
publisher	Association of American Medical Colleges
publishDate	2020
url	https://doaj.org/article/ddcc299562504bd8ab388d2e5350a668
work_keys_str_mv	AT yelenachernyak improvingcpapadherenceforobstructivesleepapneaapracticalapplicationprimeroncpapdesensitization
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Improving CPAP Adherence for Obstructive Sleep Apnea: A Practical Application Primer on CPAP Desensitization

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