Improving sleep apnea treatment adherence after traumatic brain injury: A nonrandomized feasibility study.
In: Rehabilitation Psychology, Jg. 67 (2022-11-01), Heft 4, S. 461-473
academicJournal
Zugriff:
Purpose/Objective: To evaluate the feasibility of a psychological intervention designed to increase Positive Airway Pressure (PAP) adherence, adapted with cognitive accommodations for comorbid obstructive sleep apnea (OSA) and traumatic brain injury (TBI). Research Method/Design: This was an open-label single arm (nonrandomized) study. Eligibility criteria were moderate-to-severe TBI, OSA diagnosis, prescribed PAP, nonadherent, and able to consent. Participants were recruited from inpatient and outpatient settings at a tertiary care hospital. The four-module manualized intervention was delivered primarily via telehealth. Feasibility aspects measured included eligibility, recruitment, and retention rates; session duration and attendance; and characteristics of outcome and process measures (e.g., completion rates, data distribution). Symptom measures included the Epworth Sleepiness Scale, Fatigue Severity Scale, Functional Outcomes of Sleep Questionnaire, Self-Efficacy Measure for Sleep Apnea, OSA Treatment Barriers Questionnaire (OTBQ), and Kim Alliance Scale-Revised. Results: Of 230 persons screened, 14.3% were eligible. Recruitment rate (n = 17) was 51.5%. Retention rate (n = 13) was 76.5%. Treatment completers had no missing data. The OTBQ deviated from normality, but other measures had adequate skew (< 2.0) and kurtosis (< 7.0) and were free from significant floor and ceiling effects (<15%). Change score effect sizes were minimal to moderate (d = .10-.77). There were no adverse events. Conclusions/Implications: These results inform ways in which procedures should be modified to enhance the success of a future clinical trial testing the efficacy of this adherence intervention. Inclusion criteria should be reconsidered, and recruitment sites expanded, to capture eligible persons and adequately power an efficacy study. [ABSTRACT FROM AUTHOR]
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Improving sleep apnea treatment adherence after traumatic brain injury: A nonrandomized feasibility study.
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Autor/in / Beteiligte Person: | Silva, Marc A. ; Arriola, Nora B. ; Radwan, Chad K. ; Womble, Brent M. ; Healey, Erica A. ; Lee, Jaylene M. ; Aloia, Mark S. ; Nakase-Richardson, Risa |
Zeitschrift: | Rehabilitation Psychology, Jg. 67 (2022-11-01), Heft 4, S. 461-473 |
Veröffentlichung: | 2022 |
Medientyp: | academicJournal |
ISSN: | 0090-5550 (print) |
DOI: | 10.1037/rep0000473 |
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