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. 2022 Jul 14;23(6):370-375.
doi: 10.1002/jgf2.568. eCollection 2022 Nov.

The relationship between CPAP and health literacy: A prospective observational study

Yu Li  1 , Kiyoshi Shikino  1 , Jiro Terada  2 , Yusuke Katsumata  2 , Toru Kinouchi  2 , Ken Koshikawa  2 , Daiki Yokokawa  1 , Tomoko Tsukamoto  1 , Kazutaka Noda  1 , Masatomi Ikusaka  1
Affiliations

The relationship between CPAP and health literacy: A prospective observational study

Yu Li et al. J Gen Fam Med. .

Abstract

Background: We aimed to assess differences in health literacy between those who improved CPAP non-adherent and those who remained non-adherent.

Methods: We included patients newly diagnosed with sleep apnea syndrome who had started CPAP therapy between February 2019 and October 2020 with ≥6 follow-up months or who self-interrupted CPAP therapy <6 months. We recorded the CPAP wearing time after 3 and 6 months. Patients were divided into the CPAP adherent (using CPAP for ≥4 h per night) and non-adherent (self-interrupted CPAP therapy/using CPAP for <4 h per night) groups. We compared the European Health Literacy Survey Questionnaire 47 (HLS-EU-Q47) score between those who were CPAP non-adherent after 3 months and become CPAP adherent after 6 months, and those who remained non-adherent after 6 months.

Results: At 3 months, 34 patients were CPAP non-adherent. After 6 months, there were 7 and 27 patients in the CPAP adherent and non-adherent groups, respectively. There was a significant difference in the HLS-EU-Q47 score between the patients who became adherent to CPAP and who remained non-adherent after 6 months.

Conclusion: Previously non-adherent patients who subsequently became adherent tended to have higher health literacy.

Keywords: CPAP; HLS‐EU‐Q47; SAS; adherence; health literacy.

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Conflict of interest statement

There are no conflicts of interest to declare for either the lead author or co‐authors.

Figures

FIGURE 1
FIGURE 1
Study flowchart. Following the adherence of patients who started CPAP after 3 and 6 months. No consent: The patients who did not consent to study participation. Answer less than 43 in 47: The patients who did not answer the minimum number of items on the HLS‐EU‐Q47. The lowest/highest score: The patients who received the lowest or highest score for all the HLS‐EU‐Q47 items. CPAP: Continuous positive airway pressure, HLS‐EU‐Q47: European Health Literacy Survey Questionnaire 47, 3M adherent/3M non‐adherent: CPAP adherent/non‐adherent after 3 months, 3M non‐adherent 6M adherent/non‐adherent: CPAP non‐adherent after 3 months and CPAP adherent/non‐adherent after 6 months
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References

    1. American Academy of Sleep Medicine . International classification of sleep disorders—third edition (ICSD‐3). 3rd ed. Westchester, IL: American Academy of Sleep Medicine; 2014.
    1. Patel SR, White DP, Malhotra A, Stanchina ML, Ayas NT. Continuous positive airway pressure therapy for treating sleepiness in a diverse population with obstructive sleep apnea: results of a meta‐analysis. Arch Intern Med. 2003;163(5):565–71. - PubMed
    1. McDaid C, Durée KH, Griffin SC, Weatherly HLA, Stradling JR, Davies RJO, et al. A systematic review of continuous positive airway pressure for obstructive sleep apnoea‐hypopnoea syndrome. Sleep Med Rev. 2009;13(6):427–36. - PubMed
    1. Martínez‐Cerón E, Barquiel B, Bezos AM, Casitas R, Galera R, García‐Benito C, et al. Effect of continuous positive airway pressure on glycemic control in patients with obstructive sleep apnea and type 2 diabetes. A randomized clinical trial. Am J Respir Crit Care Med. 2016;194(4):476–85. - PubMed
    1. Barbé F, Durán‐Cantolla J, Sánchez‐de‐la‐Torre M, Martínez‐Alonso M, Carmona C, Barceló A, et al. Effect of continuous positive airway pressure on the incidence of hypertension and cardiovascular events in nonsleepy patients with obstructive sleep apnea: a randomized controlled trial. JAMA. 2012;307(20):2161–8. - PubMed