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Adequate health literacy is associated with adherence to continuous positive airway pressure in adults with obstructive sleep apnea

STUDY OBJECTIVES: Obstructive sleep apnea (OSA) is a chronic disease with significant health implications and adequate adherence to continuous positive airway pressure (CPAP) is essential for effective treatment. In many chronic diseases, health literacy has been found to predict treatment adherence...

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Autores principales: Ellender, Claire M, Le Feuvre, Sebastian, Boyde, Mary, Duce, Brett, Winter, Sara, Hukins, Craig A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10104391/
https://www.ncbi.nlm.nih.gov/pubmed/37193568
http://dx.doi.org/10.1093/sleepadvances/zpab013
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author Ellender, Claire M
Le Feuvre, Sebastian
Boyde, Mary
Duce, Brett
Winter, Sara
Hukins, Craig A
author_facet Ellender, Claire M
Le Feuvre, Sebastian
Boyde, Mary
Duce, Brett
Winter, Sara
Hukins, Craig A
author_sort Ellender, Claire M
collection PubMed
description STUDY OBJECTIVES: Obstructive sleep apnea (OSA) is a chronic disease with significant health implications and adequate adherence to continuous positive airway pressure (CPAP) is essential for effective treatment. In many chronic diseases, health literacy has been found to predict treatment adherence and outcomes. In this study, the aim was to determine the health literacy of a sleep clinic population and evaluate the association between health literacy and CPAP adherence. METHODS: A prospective cohort study was undertaken, recruiting 104 consecutive patients with a variety of sleep diagnoses. The Short Form Rapid Estimate of Adult Literacy in Medicine (REALM-SF), a validated questionnaire, was administered to measure health literacy. In a sub-group of 91 patients prescribed CPAP for OSA, CPAP usage was measured, with adequate usage defined as greater than 4 h/night CPAP therapy. RESULTS: Seventy-one percent of the sleep clinic cohort was found to have adequate health literacy, as measured by the REALM-SF. In those prescribed CPAP for OSA, inadequate health literacy was associated with a twofold increased risk for inadequate CPAP usage (adjusted odds ratio [OR] 2.9, 95% CI: 1.1 to 8.22, p = 0.045). There was a 1.7 h/night difference in median CPAP usage comparing those with adequate to inadequate health literacy (4.6 h vs. 6.3 h/night). CONCLUSIONS: The majority of this sleep disorders cohort had adequate health literacy as measured by the REALM-SF questionnaire. However, inadequate health literacy appears to be an independent predictor of treatment adherence and may represent a modifiable risk factor of poor treatment outcomes in OSA.
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spelling pubmed-101043912023-05-15 Adequate health literacy is associated with adherence to continuous positive airway pressure in adults with obstructive sleep apnea Ellender, Claire M Le Feuvre, Sebastian Boyde, Mary Duce, Brett Winter, Sara Hukins, Craig A Sleep Adv Original Articles STUDY OBJECTIVES: Obstructive sleep apnea (OSA) is a chronic disease with significant health implications and adequate adherence to continuous positive airway pressure (CPAP) is essential for effective treatment. In many chronic diseases, health literacy has been found to predict treatment adherence and outcomes. In this study, the aim was to determine the health literacy of a sleep clinic population and evaluate the association between health literacy and CPAP adherence. METHODS: A prospective cohort study was undertaken, recruiting 104 consecutive patients with a variety of sleep diagnoses. The Short Form Rapid Estimate of Adult Literacy in Medicine (REALM-SF), a validated questionnaire, was administered to measure health literacy. In a sub-group of 91 patients prescribed CPAP for OSA, CPAP usage was measured, with adequate usage defined as greater than 4 h/night CPAP therapy. RESULTS: Seventy-one percent of the sleep clinic cohort was found to have adequate health literacy, as measured by the REALM-SF. In those prescribed CPAP for OSA, inadequate health literacy was associated with a twofold increased risk for inadequate CPAP usage (adjusted odds ratio [OR] 2.9, 95% CI: 1.1 to 8.22, p = 0.045). There was a 1.7 h/night difference in median CPAP usage comparing those with adequate to inadequate health literacy (4.6 h vs. 6.3 h/night). CONCLUSIONS: The majority of this sleep disorders cohort had adequate health literacy as measured by the REALM-SF questionnaire. However, inadequate health literacy appears to be an independent predictor of treatment adherence and may represent a modifiable risk factor of poor treatment outcomes in OSA. Oxford University Press 2021-09-01 /pmc/articles/PMC10104391/ /pubmed/37193568 http://dx.doi.org/10.1093/sleepadvances/zpab013 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of Sleep Research Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Original Articles
Ellender, Claire M
Le Feuvre, Sebastian
Boyde, Mary
Duce, Brett
Winter, Sara
Hukins, Craig A
Adequate health literacy is associated with adherence to continuous positive airway pressure in adults with obstructive sleep apnea
title Adequate health literacy is associated with adherence to continuous positive airway pressure in adults with obstructive sleep apnea
title_full Adequate health literacy is associated with adherence to continuous positive airway pressure in adults with obstructive sleep apnea
title_fullStr Adequate health literacy is associated with adherence to continuous positive airway pressure in adults with obstructive sleep apnea
title_full_unstemmed Adequate health literacy is associated with adherence to continuous positive airway pressure in adults with obstructive sleep apnea
title_short Adequate health literacy is associated with adherence to continuous positive airway pressure in adults with obstructive sleep apnea
title_sort adequate health literacy is associated with adherence to continuous positive airway pressure in adults with obstructive sleep apnea
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10104391/
https://www.ncbi.nlm.nih.gov/pubmed/37193568
http://dx.doi.org/10.1093/sleepadvances/zpab013
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