Experiences with Continuous Positive Airway Pressure Among African American Patients and their Bed Partners.

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Title: Experiences with Continuous Positive Airway Pressure Among African American Patients and their Bed Partners.
Authors: Berg, Kristen A. (AUTHOR), Marbury, Marquisha (AUTHOR), Whaley, Morgan A. (AUTHOR), Perzynski, Adam T. (AUTHOR), Patel, Sanjay R. (AUTHOR), Thornton, J. Daryl (AUTHOR)
Source: Behavioral Sleep Medicine. May/Jun2023, Vol. 21 Issue 3, p242-253. 12p. 2 Charts.
Subjects: Continuous positive airway pressure, African Americans, Drowsiness, Sleep apnea syndromes, Videoconferencing, Urban health, Thematic analysis
Abstract: Despite having a higher prevalence and severity of obstructive sleep apnea (OSA), African Americans have lower adherence to continuous positive airway pressure (CPAP) compared to other groups. Information regarding challenges faced by African Americans prescribed CPAP are lacking. To determine the barriers and facilitators to optimal management of OSA with CPAP among African Americans and to understand the role bed partners may play. We conducted semi-structured in-depth interviews via video conferencing with African American patients of an urban safety-net health care system with OSA prescribed CPAP and their bed partners. Recruitment continued until theoretical saturation was achieved. Verbatim transcripts were analyzed using the principles of thematic analysis. 15 patients (12 women) diagnosed with OSA and prescribed CPAP a mean 2.6 years prior along with 15 bed partners (3 women) were individually interviewed. Four themes emerged regarding impediments to CPAP use: 1) inadequate education and support, 2) CPAP maintenance and hygiene, 3) inconvenient design of CPAP interfaces, and 4) impediment to intimacy. Four themes emerged as facilitators to CPAP use: 1) provider and technical support, 2) properly fitted CPAP masks, 3) active support from partner and family, and 4) experiencing positive results from CPAP. African American patients with OSA and their bed partners identified several unique barriers and facilitators to CPAP use. Active involvement by bed partners was considered by both patients and partners as helpful in improving CPAP adherence. Interventions to improve OSA outcomes in this population should focus on patients and their bed partners. [ABSTRACT FROM AUTHOR]
Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Experiences with Continuous Positive Airway Pressure Among African American Patients and their Bed Partners.
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  Data: <searchLink fieldCode="AR" term="%22Berg%2C+Kristen+A%2E%22">Berg, Kristen A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marbury%2C+Marquisha%22">Marbury, Marquisha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Whaley%2C+Morgan+A%2E%22">Whaley, Morgan A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Perzynski%2C+Adam+T%2E%22">Perzynski, Adam T.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Patel%2C+Sanjay+R%2E%22">Patel, Sanjay R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thornton%2C+J%2E+Daryl%22">Thornton, J. Daryl</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Behavioral+Sleep+Medicine%22">Behavioral Sleep Medicine</searchLink>. May/Jun2023, Vol. 21 Issue 3, p242-253. 12p. 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Continuous+positive+airway+pressure%22">Continuous positive airway pressure</searchLink><br /><searchLink fieldCode="DE" term="%22African+Americans%22">African Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Drowsiness%22">Drowsiness</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+apnea+syndromes%22">Sleep apnea syndromes</searchLink><br /><searchLink fieldCode="DE" term="%22Videoconferencing%22">Videoconferencing</searchLink><br /><searchLink fieldCode="DE" term="%22Urban+health%22">Urban health</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink>
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  Data: Despite having a higher prevalence and severity of obstructive sleep apnea (OSA), African Americans have lower adherence to continuous positive airway pressure (CPAP) compared to other groups. Information regarding challenges faced by African Americans prescribed CPAP are lacking. To determine the barriers and facilitators to optimal management of OSA with CPAP among African Americans and to understand the role bed partners may play. We conducted semi-structured in-depth interviews via video conferencing with African American patients of an urban safety-net health care system with OSA prescribed CPAP and their bed partners. Recruitment continued until theoretical saturation was achieved. Verbatim transcripts were analyzed using the principles of thematic analysis. 15 patients (12 women) diagnosed with OSA and prescribed CPAP a mean 2.6 years prior along with 15 bed partners (3 women) were individually interviewed. Four themes emerged regarding impediments to CPAP use: 1) inadequate education and support, 2) CPAP maintenance and hygiene, 3) inconvenient design of CPAP interfaces, and 4) impediment to intimacy. Four themes emerged as facilitators to CPAP use: 1) provider and technical support, 2) properly fitted CPAP masks, 3) active support from partner and family, and 4) experiencing positive results from CPAP. African American patients with OSA and their bed partners identified several unique barriers and facilitators to CPAP use. Active involvement by bed partners was considered by both patients and partners as helpful in improving CPAP adherence. Interventions to improve OSA outcomes in this population should focus on patients and their bed partners. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Behavioral Sleep Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1080/15402002.2022.2075365
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      – Code: eng
        Text: English
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      – SubjectFull: Continuous positive airway pressure
        Type: general
      – SubjectFull: African Americans
        Type: general
      – SubjectFull: Drowsiness
        Type: general
      – SubjectFull: Sleep apnea syndromes
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      – SubjectFull: Videoconferencing
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      – SubjectFull: Urban health
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      – SubjectFull: Thematic analysis
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      – TitleFull: Experiences with Continuous Positive Airway Pressure Among African American Patients and their Bed Partners.
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              M: 05
              Text: May/Jun2023
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              Y: 2023
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