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Record Nr. |
UNINA9910568256403321 |
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Titolo |
CPAP adherence : factors and perspectives / / Colin M. Shapiro, Meenakshi Gupta, and Dora Zalai, editors |
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Pubbl/distr/stampa |
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Cham, Switzerland : , : Springer International Publishing, , [2022] |
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©2022 |
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ISBN |
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Descrizione fisica |
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1 online resource (388 pages) |
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Disciplina |
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Soggetti |
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Patient compliance |
Artificial respiration |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Nota di contenuto |
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Intro -- Foreword -- Reference -- Preface -- References -- Contents -- Contributors -- Part I: Approaches to Promoting PAP Adherence -- 1: When to Treat with CPAP and How to Define Success -- 1.1 Historical Perspective and Description of Methods of Positive Airway Pressure Delivery -- 1.1.1 Evolution of Positive Airway Pressure -- 1.1.2 Description of Various PAP Modes -- 1.1.2.1 Continuous and Auto-Adjusting Positive Airway Pressure (CPAP and APAP) -- 1.1.2.2 Bi-Level PAP (BPAP) and Auto-Adjusting BPAP -- 1.1.2.3 Adaptive Servo Ventilation (ASV) -- 1.2 When to Treat with CPAP -- 1.2.1 Obstructive Sleep Apnea (OSA) -- 1.2.1.1 Treatment of Symptomatic OSA -- Excessive Daytime Sleepiness -- Sleep Quality -- Snoring/Apneas -- Cognitive Issues -- Mood -- Overall Quality of Life (QoL) -- 1.2.1.2 Prevent or Treat Comorbid Medical Problems -- Cardiovascular Disease (CVD) -- Coronary Artery Disease -- Atrial Fibrillation (AF) and Other Arrhythmias -- Stroke -- Hypertension -- Congestive Heart Failure (CHF) -- Type 2 Diabetes Mellitus -- Other Medical Conditions -- Chronic Kidney Disease (CKD) -- Non-alcoholic Fatty Liver Disease -- Gastroesophageal Reflux Disease (GERD) -- Chronic Headaches -- Pulmonary Hypertension -- 1.2.1.3 OSA Severity and Decision to Use CPAP -- 1.2.2 Central Sleep Apnea -- 1.2.2.1 Closed Airway Central Sleep Apnea -- 1.2.2.2 Treatment-Emergent Central Sleep Apnea -- 1.3 Defining Treatment Success -- 1.3.1 Self- |
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Report -- 1.3.2 Questionnaires -- 1.3.2.1 Quality of Life Instruments -- 1.3.2.2 Assessment of Daytime Sleepiness -- 1.3.3 Objective Assessment of CPAP Adherence -- 1.3.3.1 Interpretation of PAP Compliance Reports -- 1.3.3.2 What Is Treatment Success? -- 1.4 Summary -- References -- 2: Interventions to Improve CPAP Adherence -- 2.1 Material and Methods -- 2.1.1 Study Selection. |
2.1.2 Data Extraction -- 2.1.3 Data Synthesis -- 2.2 Results -- 2.2.1 Risk of Bias in the Included Studies -- 2.2.2 Study Size and Study Characteristics -- 2.2.3 Study Design -- 2.2.4 Country of Study Origin and Setting -- 2.2.5 Diagnoses -- 2.2.6 Intervention Strategies -- 2.3 Patient-Directed Interventions -- 2.3.1 Education -- 2.3.2 Interventions Directed toward Patient Behavior and Affective State -- 2.3.3 Surgical Modification of Patients' Upper Airway and Myofunctional Therapy -- 2.4 Technology-Targeted Interventions -- 2.4.1 Auto-Titrating or Pressure Relief Machines -- 2.4.2 Types of Masks -- 2.4.3 Humidifier -- 2.5 Duration of Follow-Up Period -- 2.6 Adherence Measures and Outcomes -- 2.7 Intervention Benefits Toward Health and Functional Outcomes -- 2.8 Discussion -- 2.9 Future Direction -- References -- 3: Patient Adherence to CPAP: A Practical Interdisciplinary Model -- 3.1 Introduction -- 3.2 Style of Interaction -- 3.3 A Second Level of Perspective -- 3.4 Conclusion -- References -- 4: Soft Styles of Motivating Patients to Adopt CPAP -- 4.1 Demographic Variables -- 4.2 OSA Disease Issues -- 4.3 Nonmechanical or "Soft" Comorbidities -- 4.3.1 Major Mental Illnesses -- 4.3.2 Insomnia and Other Subjective Sleep Issues -- 4.3.3 Psychological Variables -- 4.3.4 Spousal and Partner Support -- 4.3.5 Adherence Measurements -- 4.4 Is CPAP Right for This Patient or Is This the Right Time? -- 4.5 Delivery of Service-Diagnosis -- 4.6 Interventions -- 4.6.1 Addition of a Hypnotic to Improve Adherence -- 4.6.2 Educational, Supportive, and Behavioral Interventions for CPAP Adherence -- 4.6.3 CPAP Adherence in Children and Adolescents -- 4.7 Approaches Using Remote Health Information Technologies (RHIT) (Telehealth, Telemonitoring, eHealth) -- 4.8 Conclusion -- References. |
5: The Role of Education and Support in CPAP Adherence -- 5.1 Why Is CPAP Adherence Important? -- 5.2 Baseline Factors Affecting Adherence -- 5.3 The Role of Education During CPAP Set-up -- 5.4 Specific Behavioural Interventions -- 5.5 The CPAP Interface and Adherence -- 5.6 The Pattern of CPAP Usage Is Established Early -- 5.7 Early Follow-up -- 5.8 The Role of Telemonitoring -- 5.9 Support and Troubleshooting -- 5.10 Summary -- References -- 6: Role of the Behavioral Sleep Specialist Psychologist in Promoting CPAP Adherence -- 6.1 When the Patient Is Ambivalent About CPAP Use: The Importance of Client-Clinician Communication -- 6.1.1 Background -- 6.1.2 What Happened to Mark? -- 6.1.3 Research Evidence -- 6.2 When the Patient Has Insomnia: Treating Comorbid Chronic Insomnia to Help with CPAP Use -- 6.2.1 Background -- 6.2.2 What Happened to Steve? -- 6.2.3 Research Evidence -- 6.3 When the Patient Has Anxiety that Impedes CPAP Use -- 6.3.1 Background -- 6.3.2 What Happened to Catherine? -- 6.3.3 Research Evidence -- 6.4 When the Patient Has Mental Health Problems -- 6.5 Chapter Summary -- References -- 7: Role of the Physician in CPAP Adherence and CPAP Trials -- 7.1 Introduction -- 7.2 Threshold for CPAP Trials -- 7.3 Suboptimal Compliance Versus Lack of Effectiveness of CPAP -- 7.4 Strategies to Manage a Poor Response to CPAP -- 7.4.1 Poor Adherence -- 7.4.1.1 Technical Factors -- 7.4.1.2 Poor Adherence after Technical Factors Have Been Addressed -- 7.4.2 Lack of Effectiveness of CPAP -- 7.4.2.1 Failure to Control OSA -- 7.4.2.2 Mild OSA -- 7.4.2.3 Patients with Non-Classical OSA Symptoms -- |
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7.4.2.4 Persistent Sleepiness Despite Control of OSA -- Coexistent Sleep Disorders -- Periodic Leg Movements -- Comorbid OSA and Insomnia (COMISA) -- Comorbidities and Medications -- Idiopathic Persistent Sleepiness. |
7.5 Conclusion -- References -- 8: PAP Therapy for Sleep Breathing Disorders: Good Policies and Practices -- 8.1 Guiding Patients to Improve Adherence -- 8.2 What Practice Guidelines Suggest -- 8.3 What Is Adherence? -- 8.4 Strategies to Augment PAP Compliance -- 8.4.1 Match Patient to the Optimal Interface -- 8.4.2 Patient Education and Serial Follow-Up -- 8.4.3 Frequent Telephone Follow-Up -- 8.4.4 Matching Patient and Treatment -- 8.4.5 Familiarizing Patients with Their Medical Equipment Provider -- 8.4.6 Scheduling In-Lab PAP Titration -- 8.4.7 Modifying the Definition of PAP Adherence -- 8.4.8 Identify the Group of Patients with High Risk of Non-Compliance -- 8.4.9 Ruling Out Claustrophobia -- 8.4.10 Cognitive Therapy -- 8.4.11 Social Support -- 8.4.12 Convenient Referral Stream to Ear, Nose, and Throat (ENT) Specialists -- 8.4.13 Sedative-Hypnotic Use Early on -- 8.4.14 Using Smartphone-Based Technologies to Improve Compliance -- 8.4.15 The Importance of Patient Feedback -- 8.5 Conclusion -- References -- Part II: Factors Influencing PAP Adherence -- 9: Socioeconomic Differences in CPAP Adherence -- 9.1 Introduction -- 9.2 The Evidence for Differences in CPAP Adherence by SES -- 9.3 Possible Explanatory Factors for Differences by SES -- 9.4 Summary -- References -- 10: The Impact of Partner and Family Support in PAP Therapy -- 10.1 Introduction -- 10.2 Impact of Untreated OSA on Partners and Family Members -- 10.3 Impact of PAP Treatment on Partners' Sleep and Daytime Functioning -- 10.4 Impact of Partner and Family Involvement on PAP Adherence -- 10.4.1 Presence of Spouse or Live-in Partner -- 10.4.2 Family Involvement -- 10.4.3 Partner Involvement -- 10.5 Partner and Family Involvement in PAP Adherence Interventions -- 10.6 Summary -- 10.7 Conclusion -- References. |
11: Personality and Mental Health as Determinants of CPAP Use -- 11.1 Introduction -- 11.2 Diagnosis of Personality Disorders -- 11.3 Personality Disorders and Adherence to CPAP and Obstructive Sleep Apnea Therapies -- 11.4 Increasing Adherence to CPAP and Other Treatments -- 11.5 Conclusion -- References -- 12: Costs of Treatment Non-adherence in Obstructive Sleep Apnoea -- 12.1 Prevalence of OSA -- 12.2 Burden of Untreated OSA -- 12.2.1 Clinical Burden of Untreated OSA -- 12.2.2 Societal and Economic Burden of Untreated OSA -- 12.2.3 Patient Factors in Socioeconomic Burden of OSA -- 12.2.4 Geographic Factors in Socioeconomic Burden of OSA -- 12.2.5 Motor Vehicle Accidents (MVA) in Socioeconomic Burden of OSA -- 12.2.6 Workplace Accidents and OSA in Socioeconomic Burden of OSA -- 12.2.7 Work Productivity in Socioeconomic Burden of OSA -- 12.3 Benefits of OSA Treatment -- 12.3.1 Societal and Health Economic Benefits of OSA Treatment -- 12.3.2 Benefits of CPAP in Mild OSA -- 12.4 Costs of OSA Diagnosis and Treatment -- 12.5 Cost-Effectiveness and Socioeconomic Impact of OSA Treatment -- 12.5.1 Cost-Effectiveness and Socioeconomic Impact of CPAP Treatment -- 12.5.2 Cost-Effectiveness of CPAP Treatment in Mild OSA -- 12.5.3 Cost-Effectiveness of OAT and Surgery -- 12.6 CPAP Non-adherence -- 12.6.1 Prevalence of Non-adherence to CPAP -- 12.6.2 Clinical Factors Associated with Non-adherence to CPAP -- 12.6.3 Socioeconomic Factors Associated with Non-adherence to CPAP -- 12.7 Costs of OSA Treatment Non-adherence -- 12.7.1 Clinical Costs of OSA Treatment Non-adherence -- 12.7.2 Socioeconomic Costs of Non-adherence to OSA Treatment -- References -- 13: |
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Obstructive Sleep Apnea Phenotypes and Positive Airway Therapy Adherence -- 13.1 Factors Affecting CPAP Adherence -- 13.2 Phenotypes of Sleep Apnea in Regard to Adherence. |
13.3 Phenotyping Approaches. |
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