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Associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure therapy in Japanese patients with obstructive sleep apnea

OBJECTIVE: To examine the associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure (CPAP) therapy among Japanese men with obstructive sleep apnea (OSA) using objective adherence data for CPAP therapy. METHODS: We conducted a retrospective study of 49...

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Autores principales: Kojima, Shigeko, Saito, Ayako, Sasaki, Fumihiko, Hayashi, Masamichi, Mieno, Yuki, Sakakibara, Hiroki, Hashimoto, Shuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Fujita Medical Society 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206894/
https://www.ncbi.nlm.nih.gov/pubmed/37234396
http://dx.doi.org/10.20407/fmj.2022-015
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author Kojima, Shigeko
Saito, Ayako
Sasaki, Fumihiko
Hayashi, Masamichi
Mieno, Yuki
Sakakibara, Hiroki
Hashimoto, Shuji
author_facet Kojima, Shigeko
Saito, Ayako
Sasaki, Fumihiko
Hayashi, Masamichi
Mieno, Yuki
Sakakibara, Hiroki
Hashimoto, Shuji
author_sort Kojima, Shigeko
collection PubMed
description OBJECTIVE: To examine the associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure (CPAP) therapy among Japanese men with obstructive sleep apnea (OSA) using objective adherence data for CPAP therapy. METHODS: We conducted a retrospective study of 497 Japanese men with OSA who were receiving CPAP therapy. Good adherence was defined as CPAP use of ≥4 hours per night for ≥70% of nights. Logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for the associations of good adherence to CPAP therapy with self-efficacy and outcome expectancy (measured with the CPAP Self-Efficacy Questionnaire for Sleep Apnea in Japanese). The models were adjusted for age, duration of CPAP therapy, body mass index, apnea–hypopnea index, Epworth Sleepiness Scale score, and comorbidities (diabetes mellitus and hypertension). RESULTS: In total, 53.5% of participants had good adherence to CPAP therapy. The mean CPAP use was 5.18±1.53 hours/night. After adjusting for related factors, we found significant associations of good adherence to CPAP therapy with self-efficacy scores (OR, 1.10; 95% CI, 1.05–1.13; p<0.001) and outcome expectancy scores (OR, 1.10; 95% CI, 1.02–1.15; p=0.007). CONCLUSIONS: Our results indicate that self-efficacy and outcome expectancy are associated with good adherence to CPAP therapy among Japanese men with OSA.
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spelling pubmed-102068942023-05-25 Associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure therapy in Japanese patients with obstructive sleep apnea Kojima, Shigeko Saito, Ayako Sasaki, Fumihiko Hayashi, Masamichi Mieno, Yuki Sakakibara, Hiroki Hashimoto, Shuji Fujita Med J Original Article OBJECTIVE: To examine the associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure (CPAP) therapy among Japanese men with obstructive sleep apnea (OSA) using objective adherence data for CPAP therapy. METHODS: We conducted a retrospective study of 497 Japanese men with OSA who were receiving CPAP therapy. Good adherence was defined as CPAP use of ≥4 hours per night for ≥70% of nights. Logistic regression models were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for the associations of good adherence to CPAP therapy with self-efficacy and outcome expectancy (measured with the CPAP Self-Efficacy Questionnaire for Sleep Apnea in Japanese). The models were adjusted for age, duration of CPAP therapy, body mass index, apnea–hypopnea index, Epworth Sleepiness Scale score, and comorbidities (diabetes mellitus and hypertension). RESULTS: In total, 53.5% of participants had good adherence to CPAP therapy. The mean CPAP use was 5.18±1.53 hours/night. After adjusting for related factors, we found significant associations of good adherence to CPAP therapy with self-efficacy scores (OR, 1.10; 95% CI, 1.05–1.13; p<0.001) and outcome expectancy scores (OR, 1.10; 95% CI, 1.02–1.15; p=0.007). CONCLUSIONS: Our results indicate that self-efficacy and outcome expectancy are associated with good adherence to CPAP therapy among Japanese men with OSA. Fujita Medical Society 2023-05 2022-10-28 /pmc/articles/PMC10206894/ /pubmed/37234396 http://dx.doi.org/10.20407/fmj.2022-015 Text en https://creativecommons.org/licenses/by/4.0/This is an Open access article distributed under the Terms of Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Original Article
Kojima, Shigeko
Saito, Ayako
Sasaki, Fumihiko
Hayashi, Masamichi
Mieno, Yuki
Sakakibara, Hiroki
Hashimoto, Shuji
Associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure therapy in Japanese patients with obstructive sleep apnea
title Associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure therapy in Japanese patients with obstructive sleep apnea
title_full Associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure therapy in Japanese patients with obstructive sleep apnea
title_fullStr Associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure therapy in Japanese patients with obstructive sleep apnea
title_full_unstemmed Associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure therapy in Japanese patients with obstructive sleep apnea
title_short Associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure therapy in Japanese patients with obstructive sleep apnea
title_sort associations of self-efficacy and outcome expectancy with adherence to continuous positive airway pressure therapy in japanese patients with obstructive sleep apnea
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10206894/
https://www.ncbi.nlm.nih.gov/pubmed/37234396
http://dx.doi.org/10.20407/fmj.2022-015
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