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Review
. 2015 Feb:19:67-74.
doi: 10.1016/j.smrv.2014.04.005. Epub 2014 May 9.

Spousal involvement and CPAP adherence: a dyadic perspective

Lichuan Ye  1 , Atul Malhotra  2 , Karen Kayser  3 , Danny G Willis  4 , June A Horowitz  5 , Mark S Aloia  6 , Terri E Weaver  7
Affiliations
Review

Spousal involvement and CPAP adherence: a dyadic perspective

Lichuan Ye et al. Sleep Med Rev. 2015 Feb.

Abstract

Poor adherence to continuous positive airway pressure (CPAP) treatment is associated with substantial health care costs, morbidity and mortality, and has been a leading obstacle in the effective management of obstructive sleep apnea (OSA). Successful interventions to improve CPAP adherence may ultimately include a variety of components. For patients living with spouses (refers to all domestic partners), the spouse will likely be an integral component to any successful intervention. Developing understanding of the role of spouses in adherence to CPAP has been identified to be a critical research need. This review expands the investigation of CPAP adherence to a broader context, from an exclusive focus on individual patients to a dyadic perspective encompassing both patients and their spouses. A conceptual framework based on social support and social control theories is proposed to understand spousal involvement in CPAP adherence. Methodologies for future investigations are discussed, along with implications for developing interventions that engage both patients and their spouses to improve CPAP use.

Keywords: Continuous positive airway pressure; Lung; Obstructive sleep apnea; Spousal involvement; Treatment adherence.

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Conflict of interest statement

Disclosure Statement: Dr. Weaver has received research grant support from TEVA, Inc., research equipment from Philips Respironics, Inc., royalty fees for use of the Functional Outcomes of Sleep Questionnaire from Nova Som, GlaxoSmithKline, Philips Respironics, TEVA, Inc., and Nova Nordsk, and has served on Board of Directors of ViMedicus, Inc. Dr. Aloia is a paid employee and stock holder for Philips Healthcare. The other authors have no pertinent personal financial interests.

Figures

Figure 1
Figure 1. Spousal Involvement and CPAP Adherence
OSA – obstructive sleep apnea; CPAP – continuous positive airway pressure
See this image and copyright information in PMC

References

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