Patient Education and PAP Compliance in OSA
Patient Education and PAP Compliance in OSA
Obstructive sleep apnea (OSA) is a common disorder with serious complications. Positive
 airway pressure (PAP) is the first line treatment of OSA, which eliminates obstructive
 events, reduces daytime sleepiness, and improves quality of life, especially in those with
 excessive daytime sleepiness. However, despite the benefits of the PAP treatment, overall
 acceptance and adherence rates are not fully promising. Less is known regarding the PAP
 adherence rates in Turkey. In the current study, the researchers primarily addressed if an
 intensified patient education strategy including the polysomnography (PSG) charts viewing
 followed by frequent follow-ups would improve the compliance rates at long-term in patients
 with OSA.
OSA is a common disorder with serious complications. PAP is the first line treatment of OSA,
 but overall acceptance and adherence rates are not fully promising. In the current study, the
 researchers primarily addressed if an intensified patient education strategy including the
 PSG charts viewing followed by frequent follow-ups would improve the compliance rates at
 long-term in patients with OSA.

 METHOD:

 This single-center, randomized, controlled study was conducted at the Süreyyapaşa Chest
 Diseases and Thoracic Surgery Training and Research Hospital in Istanbul between June 2014
 and April 2015. Eligible OSA patients were randomized to Standard Support (SS) group (general
 information about OSA and PAP treatment at baseline), or to Educational Support (ES) group
 (additional polysomnography chart viewing from both diagnostic and titration nights). All
 patients were scheduled to five PAP control visits between 2 weeks and 6 months after the PAP
 prescription. Primary outcome was the PAP compliance (4 h/night for 70% of all the nights) at
 the last visit.
Inclusion Criteria:

 -  Consecutive adult patients with newly diagnosed obstructive sleep apnea
 (apnea-hypopnea index ≥5 events/h), who were offered PAP treatment.

 -  Must be able to give informed consent

 Exclusion Criteria:

 -  Disabled to come to follow-ups.