Sleep Medicine
Volume 13, Issue 2 , Pages 172-177, February 2012

Barriers to treatment of paediatric obstructive sleep apnoea: Development of the adherence barriers to continuous positive airway pressure (CPAP) questionnaire

  • Stacey L. Simon

      Affiliations

    • Division of Behavioral Medicine & Clinical Psychology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, USA
    • Corresponding Author InformationCorresponding author.
    • ,
  • Christina L. Duncan

      Affiliations

    • Department of Psychology, West Virginia University, 1124 Life Science Building, P.O. Box 6040, Morgantown, WV 26506-6040, USA
    • ,
  • David M. Janicke

      Affiliations

    • Department of Clinical & Health Psychology, University of Florida, P.O. Box 100165, Gainesville, FL 32610, USA
    • ,
  • Mary H. Wagner

      Affiliations

    • Department of Pediatrics, Pediatric Pulmonary Division, University of Florida, P.O. Box 100296, 1600 SW Archer Rd., Gainesville, FL 32610, USA

Received 25 August 2011; received in revised form 28 September 2011; accepted 6 October 2011.

Abstract 

Background

Continuous positive airway pressure (CPAP) treatment is often prescribed for youth as a treatment for obstructive sleep apnoea (OSA). Efficacy research in youth is limited, though some evidence suggests that it may relieve symptoms of OSA and possibly prevent future physical, emotional, and behavioural complications. However, the device must be used consistently for benefits to be realised. Non-adherence to medical treatment is prevalent among youth with chronic illness, yet little is known regarding adherence to CPAP in paediatric OSA.

Methods

Using a sample of 51 youth (age 8–17years) recruited from a paediatric sleep specialty clinic, the aims of the current study were to: (1) present descriptive data regarding CPAP adherence in youth with OSA, and (2) develop a psychometrically sound measure of barriers for adherence to CPAP use for youth with OSA.

Results

Results indicated that adherence to CPAP is poor: youth in the current sample used their CPAP on average 3.35h per night. The adherence barriers measure demonstrated excellent psychometric properties.

Conclusions

The adherence barriers to CPAP questionnaire has the potential to be a useful clinic-based tool for identifying patient-specific issues with CPAP adherence in youth with OSA.

Keywords: Obstructive sleep apnoea, Sleep-disordered breathing, Paediatrics, Continuous positive airway pressure, Patient non-adherence, Adolescents

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PII: S1389-9457(11)00345-5

doi:10.1016/j.sleep.2011.10.026

Sleep Medicine
Volume 13, Issue 2 , Pages 172-177, February 2012

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