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• W4244208575 abstract "Continuous positive airway pressure (CPAP) is one of the most common therapies for Obstructive Sleep Apnea (OSA). We present a brief, patient-reported outcome measure used to assess patients’ levels of adherence with CPAP treatment. A questionnaire was developed based on academic literature. We qualitatively tested a pool of 18 items. It was tested in a sample of 174 patients from the Hospital La Princesa. Next, 1021 patients from Catalonia were evaluated. 5 items were removed. Nominal groups referred to three areas: general knowledge about OSA and its risks; CPAP treatment information and expectations; CPAP use, monitoring, and confidence with its use. The 13 retained items maintained the same meaning as the original questionnaire ( r = .986; p < .001) and the three proposed dimensions detected a significant increase in general knowledge of OSA ( t [173] = 8.097, p < .001); CPAP treatment information ( t [173] = 15.170, p < .001); and CPAP use ( t [173] = 14.642, p < .001). The final 12-item version was reliable (CRI = .793) and its internal structure was adequate ( χ 2 [51] = 72.073; p = .027, CFI = .967, RMSEA = .020 [.000, .030]). Women had a better general knowledge of OSA ( t [1,018] = 2.190, p = .029), CPAP treatment information ( t [1,018] = 2.920, p = .004), and higher overall OSA-CPAP scores ( t [1,018] = 3.093, p = .002). Scores were positively related to quality of life and motivation, adherence was positively related to CPAP use and monitoring, and the total score was negatively related to daytime sleepiness. The interview could help clinicians prevent some dropouts by targeting patients with lower adherence. It's a tool for assessing patient adherence to CPAP and to promote strategies through education and external motivational stimuli. La presión positiva continua en la vía aérea (CPAP) es uno de los tratamientos más frecuentes para la apnea obstructiva del sueño (AOS). Presentamos una breve medida de resultados percibidos por el paciente para evaluar los niveles de adhesión de los pacientes al tratamiento con CPAP. Se desarrolló un cuestionario basado en la literatura académica. Se ensayó cualitativamente un conjunto de 18 ítems en una muestra de 174 pacientes del Hospital La Princesa (Madrid). A continuación se evaluaron 1.021 pacientes de Cataluña. Se eliminaron 5 ítems. Los grupos nominales se refirieron a tres áreas: conocimiento general sobre la AOS y sus riesgos; información y expectativas de tratamiento con CPAP; uso de la CPAP, seguimiento y desenvoltura en su manejo. Los 13 ítems conservados mantuvieron el mismo significado que el cuestionario original ( r = 0,986; p < 0,001) y las tres dimensiones propuestas detectaron un aumento significativo en el conocimiento general de la AOS ( t [173] = 8,097, p < 0,001); información sobre el tratamiento con CPAP ( t [173] = 15,170, p < 0,001); y uso de la CPAP ( t [173] = 14,642, p < 0,001). La versión final de 12 ítems fue fiable (CRI = 0,793) y su estructura interna fue adecuada (χ 2 [51] = 72,073; p = 0,027, CFI = 0,967, RMSEA = 0,020 [0,000, 0,030]). Las mujeres mostraron mejor conocimiento general de la AOS ( t [1,018] = 2,190, p = 0,029), de la información sobre el tratamiento con CPAP ( t [1,018] = 2,920, p = 0,004), y obtuvieron mejores puntuaciones globales en la entrevista OSA-CPAP ( t [1,018] = 3,093, p = 0,002). Las puntuaciones se relacionaron positivamente con la calidad de vida y la motivación, la adhesión se relacionó positivamente con el uso y el seguimiento con CPAP, y la puntuación total se relacionó negativamente con la somnolencia diurna. La entrevista podría ayudar a los médicos a prevenir algunos abandonos del tratamiento al indicar aquellos pacientes con menor adhesión. Es una herramienta para evaluar la adhesión del paciente a la CPAP y para promover estrategias a través de la educación y estímulos motivacionales externos." @default.
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• W4244208575 date "2021-06-01" @default.
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• W4244208575 title "Development and Validation of the OSA-CPAP Perceived Competence Evaluation Interview" @default.
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• W4244208575 doi "https://doi.org/10.1016/j.arbres.2020.07.023" @default.
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