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dc.contributor.authorSkinner, T.
dc.contributor.authorMcNeil, L.
dc.contributor.authorOlaithe, M.
dc.contributor.authorEastwood, Peter
dc.contributor.authorHillman, D.
dc.contributor.authorPhang, J.
dc.contributor.authorDe Regt, T.
dc.contributor.authorBucks, R.
dc.date.accessioned2018-02-06T06:17:31Z
dc.date.available2018-02-06T06:17:31Z
dc.date.created2018-02-06T05:50:02Z
dc.date.issued2013
dc.identifier.citationSkinner, T. and McNeil, L. and Olaithe, M. and Eastwood, P. and Hillman, D. and Phang, J. and De Regt, T. et al. 2013. Predicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA): A belief-based theoretical approach. Sleep and Breathing. 17 (4): pp. 1229-1240.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/63446
dc.identifier.doi10.1007/s11325-013-0828-1
dc.description.abstract

Purpose: Obstructive sleep apnoea (OSA) is a common disorder, for which continuous positive airway pressure (CPAP) therapy is a standard treatment. Despite its well-established efficacy, many patients choose not to initiate CPAP treatment. The present study investigated the degree to which biological measures (e.g. Apnoea-Hypopnoea Index [AHI]), symptom experiences (e.g. fatigue) and illness representations (e.g. perceived consequences) predict the decision of individuals newly diagnosed with OSA to undergo a trial of CPAP therapy. Methods: Four hundred forty-nine individuals (316 males) newly diagnosed with OSA. Epworth sleepiness scale (ESS), Fatigue Severity Scale, Depression Anxiety Stress Scale and Illness Perception Questionnaire-Revised (IPQ-R) were administered at time of sleep study. These, patient demographics and sleep study variables were used to determine factors predicting patient decision to proceed with a trial of CPAP. Results: The participants were most likely to attribute their OSA to unchangeable and psychological factors. For those with moderate OSA (AHI, 15 to 30) IPQ-R illness consequence was predictive of decision to initiate CPAP (p = 0.002). For severe OSA (AHI > 30) age, ESS and IPQ illness causal beliefs were predictive of decision to initiate CPAP (p < 0.001). Conclusions: Illness beliefs are important determinants of the choice of recently diagnosed OSA patients whether or not to undertake a trial of CPAP therapy. Concerns about illness consequences were important in those with moderate OSA. In severe OSA, sleepiness symptoms are more prominent and a more significant determinant of CPAP uptake along with age and causal beliefs. © 2013 Springer-Verlag Berlin Heidelberg.

dc.titlePredicting uptake of continuous positive airway pressure (CPAP) therapy in obstructive sleep apnoea (OSA): A belief-based theoretical approach
dc.typeJournal Article
dcterms.source.volume17
dcterms.source.number4
dcterms.source.startPage1229
dcterms.source.endPage1240
dcterms.source.issn1520-9512
dcterms.source.titleSleep and Breathing
curtin.departmentSchool of Physiotherapy and Exercise Science
curtin.accessStatusFulltext not available


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