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<blockquote data-quote="_CY_" data-source="post: 2892604" data-attributes="member: 7629"><p>the dirty little secret for sleep apnea treatment is compliance .. or more accurately the lack of it. compliance being defined as using your cpap appliance more than 4 hours a night.</p><p></p><p>the gold standard for apnea treatment is cpap or a form of, which according to studies can be more than twice as effective vs oral appliances.</p><p>of the flip side oral appliances has a higher compliance percentage with studies showing about 30% of patients not responding vs studies showing cpap compliance rate of about 50% with some studies indicating compliance low as 30%.</p><p></p><p>there's ton of data out there if one cares to dive in ... zzzzz ...</p><p>below is an abstract that gives a brief summery of linked paper imediately above to full pdf.</p><p></p><p><span style="font-size: 22px">Oral Appliance Treatment for Obstructive Sleep Apnea: An Update</span></p><p><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3899326/" target="_blank">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3899326/</a></p><p></p><p><span style="font-size: 22px">Long-term compliance with continuous positive airway pressure in patients with obstructive sleep apnea</span></p><p><span style="font-size: 22px"><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2679572/" target="_blank">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2679572/</a></span></p><p><span style="font-size: 22px"></span></p><p><span style="font-size: 22px"><span style="font-size: 22px">Interventions to Improve Compliance in Sleep Apnea Patients Previously Non-Compliant with Continuous Positive Airway Pressure </span></span></p><p><span style="font-size: 22px"><span style="font-size: 22px"><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556913/" target="_blank">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556913/</a></span></span></p><p><span style="font-size: 22px"></span></p><p><span style="font-size: 22px"></span></p><p><span style="font-size: 22px"><span style="font-size: 22px"><span style="font-size: 22px">Adherence to Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea: Implications for Future Interventions</span></span></span></p><p><span style="font-size: 22px"><span style="font-size: 22px"><a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2972705/" target="_blank">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2972705/</a></span></span></p><p><span style="font-size: 22px"></span></p><p><span style="font-size: 22px"><span style="font-size: 22px"><span style="font-size: 18px"><strong>Abstract</strong></span></span></span></p><p><span style="font-size: 22px"><span style="font-size: 22px">Adherence to continuous positive airway pressure (CPAP) treatment for obstructive sleep apnea (OSA) is a critical problem with adherence rates ranging from 30–60%. Poor adherence to CPAP is widely recognized as a significant limiting factor in treating OSA, reducing the overall effectiveness of the treatment and leaving many OSA patients at heightened risk for comorbid conditions, impaired function and quality of life. The extant literature examining adherence to CPAP provides critical insight to measuring adherence outcomes, defining optimal adherence levels, and predicting CPAP adherence. This research has revealed salient factors that are associated with or predict CPAP adherence and may guide the development of interventions to promote CPAP adherence. Over the past 10 years, intervention studies to promote CPAP adherence have incorporated a multitude of strategies including education, support, cognitive behavioral approaches, and mixed strategies. This review of the current state of science of CPAP adherence will (1) synthesize the extant literature with regard to measuring, defining, and predicting CPAP adherence, (2) review published intervention studies aimed at promoting CPAP adherence, and (3) suggest directions for future empiric study of adherence to CPAP that will have implications for translational science. Our current understanding of CPAP adherence suggests that adherence is a multi-factorial, complex clinical problem that requires similarly designed approaches to effectively address poor CPAP adherence in the OSA population.</span></span></p><p><span style="font-size: 22px"><span style="font-size: 22px"></span></span></p><p><span style="font-size: 22px"><span style="font-size: 22px"></span></span></p><p><span style="font-size: 22px"><span style="font-size: 22px"></span></span></p><p><span style="font-size: 22px"><span style="font-size: 22px"></span></span></p><p><span style="font-size: 22px"></span></p></blockquote><p></p>
[QUOTE="_CY_, post: 2892604, member: 7629"] the dirty little secret for sleep apnea treatment is compliance .. or more accurately the lack of it. compliance being defined as using your cpap appliance more than 4 hours a night. the gold standard for apnea treatment is cpap or a form of, which according to studies can be more than twice as effective vs oral appliances. of the flip side oral appliances has a higher compliance percentage with studies showing about 30% of patients not responding vs studies showing cpap compliance rate of about 50% with some studies indicating compliance low as 30%. there's ton of data out there if one cares to dive in ... zzzzz ... below is an abstract that gives a brief summery of linked paper imediately above to full pdf. [SIZE=6]Oral Appliance Treatment for Obstructive Sleep Apnea: An Update[/SIZE] [URL]http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3899326/[/URL] [SIZE=6]Long-term compliance with continuous positive airway pressure in patients with obstructive sleep apnea [URL]http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2679572/[/URL] [SIZE=6]Interventions to Improve Compliance in Sleep Apnea Patients Previously Non-Compliant with Continuous Positive Airway Pressure [URL]http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556913/[/URL][/SIZE] [SIZE=6][SIZE=6]Adherence to Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnea: Implications for Future Interventions[/SIZE] [URL]http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2972705/[/URL][/SIZE] [SIZE=6][SIZE=5][B]Abstract[/B][/SIZE][/SIZE][/SIZE] [SIZE=6][SIZE=6]Adherence to continuous positive airway pressure (CPAP) treatment for obstructive sleep apnea (OSA) is a critical problem with adherence rates ranging from 30–60%. Poor adherence to CPAP is widely recognized as a significant limiting factor in treating OSA, reducing the overall effectiveness of the treatment and leaving many OSA patients at heightened risk for comorbid conditions, impaired function and quality of life. The extant literature examining adherence to CPAP provides critical insight to measuring adherence outcomes, defining optimal adherence levels, and predicting CPAP adherence. This research has revealed salient factors that are associated with or predict CPAP adherence and may guide the development of interventions to promote CPAP adherence. Over the past 10 years, intervention studies to promote CPAP adherence have incorporated a multitude of strategies including education, support, cognitive behavioral approaches, and mixed strategies. This review of the current state of science of CPAP adherence will (1) synthesize the extant literature with regard to measuring, defining, and predicting CPAP adherence, (2) review published intervention studies aimed at promoting CPAP adherence, and (3) suggest directions for future empiric study of adherence to CPAP that will have implications for translational science. Our current understanding of CPAP adherence suggests that adherence is a multi-factorial, complex clinical problem that requires similarly designed approaches to effectively address poor CPAP adherence in the OSA population. [/SIZE] [/SIZE] [/QUOTE]
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