User Compliance and Behavioral Adaptation Associated With Supine Avoidance Therapy. Issue 1 (2nd January 2018)

• Record Type: Journal Article
• Authors: Levendowski, Daniel; Cunnington, David; Swieca, John; Westbrook, Philip
• Is Part Of: Behavioral sleep medicine. Volume 16:Issue 1(2018)
• Page Start: 27
• Page End: 37
• Publication Date: 2018-01-02
• Subjects: Sleep disorders -- Periodicals; Sleep -- Psychological aspects -- Periodicals; 616.8498
• DOI: 10.1080/15402002.2016.1163704
• Languages: English
• ISSNs: 1540-2002

Abstract

Abstract : This study investigates behavioral adaptation to vibrotactile position-avoidance therapy during sleep in patients with obstructive sleep apnea ( n =135) across 15 to 52 weeks. The overall compliance, based on nights used ≥ 4 hr, was 71%. Overall regular use, that is, ≥ 4 hr/night over 70% of nights, was 88%. Poor early compliance strongly predicted poor long-term treatment adherence, with 92% of those noncompliant across the first 12 weeks of therapy remaining noncompliant. Conversely, 21% of those with compliant utilization in the short term became noncompliant in the long term. It appears that patients do not habituate to the stimulus during sleep, nor was there a training effect associated with long-term use.