Intervention Design and Trial Protocol: Mindfulness-based Exposure for PAP-associated Claustrophobia. (March 2021)

• Record Type: Journal Article
• Authors: Gawrysiak, Michael J.; Baime, Michael; King, Tonya S.; Watach, Alexa J.; McPhillips, Miranda V.; Kolanowski, Ann; Schutte-Rodin, Sharon; Sawyer, Amy M.
• Other Names: Saban Karen L. guest-editor.; Janusek Linda guest-editor.
• Is Part Of: Western journal of nursing research. Volume 43:Number 3(2021)
• Page Start: 261
• Page End: 272
• Publication Date: 2021-03
• Subjects: mindfulness -- obstructive sleep apnea (OSA) -- positive airway pressure (PAP) -- claustrophobia -- exposure therapy -- treatment adherence; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Nursing -- Research -- West (U.S.) -- Periodicals; Nursing -- West (U.S.) -- Periodicals; Nursing -- Periodicals; Nursing Research -- Periodicals; Soins infirmiers -- Recherche -- Périodiques; Soins infirmiers -- Périodiques; Soins infirmiers -- Recherche -- États-Unis (Ouest) -- Périodiques; Soins infirmiers -- États-Unis (Ouest) -- Périodiques; Soins infirmiers; Recherche; États-Unis (Ouest); Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 610.730702
• DOI: 10.1177/0193945920924608
• Languages: English
• ISSNs: 0193-9459

Abstract

Positive airway pressure (PAP) associated claustrophobia is common among obstructive sleep apnea patients and plays a prominent role in low adherence and treatment failure. As there are no evidence-based interventions for PAP-associated claustrophobia, the objective of the present research is to pilot test Mindfulness-based Exposure for PAP-associated Claustrophobia, in sleep apnea adults that present with treatment non-adherence and claustrophobia. This approach combines Mindfulness-based Stress Reduction with exposure-based treatment components to target this treatment-associated claustrophobia. The present article outlines the mindfulness exposure intervention design and methods and reports the pilot trial study protocol. Trial findings are intended to: (a) develop a preliminary effect size of the intervention on PAP-associated claustrophobia; (b) explore differences in treatment adherence by group (intervention vs control); and (c) establish feasibility for expanded protocol implementation, delivery, and participant acceptability of the intervention to support subsequent design of a fully powered randomized controlled trial.