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Current Pulmonology Reports
Published in: Current Pulmonology Reports 1/2019

01-03-2019 | Insomnia | Sleeping and Breathing (S Shafazand, Section Editor)

Improving Adherence to PAP Therapy: an Update

Authors: Earl Charles Crew, William K. Wohlgemuth, Douglas M. Wallace

Published in: Current Pulmonology Reports | Issue 1/2019

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Abstract

Purpose of Review

Positive airway pressure (PAP) therapy is the “gold standard” of treatment for obstructive sleep apnea; however, rates of non-adherence to PAP therapy remain high despite device improvements and the inclusion of PAP education programs in most comprehensive sleep disorders clinics. We aimed to review recent evidence-based trends for improving PAP adherence.

Recent Findings

Remote monitoring and telemedicine interventions in conjunction with mobile patient engagement applications have shown promise in facilitating uptake and maintenance of PAP use. New focus on the bedpartner dyad and managing comorbid conditions are also notable, though more recent evidence for specific interventions is limited.

Summary

Recent trends suggest a shift towards developing more patient-centered programs to support PAP adherence. Advancements in telemedicine and interactive mobile health technologies represent the most promising area of growth for PAP adherence interventions. Continued efforts focused on treatments that address socio-relational factors and comorbid conditions seem warranted.
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Metadata
Title
Improving Adherence to PAP Therapy: an Update
Authors
Earl Charles Crew
William K. Wohlgemuth
Douglas M. Wallace
Publication date
01-03-2019
Publisher
Springer US
Published in
Current Pulmonology Reports / Issue 1/2019
Electronic ISSN: 2199-2428
DOI
https://doi.org/10.1007/s13665-019-0220-0

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