The Ohio State University, Columbus, 43210, USA.
Behav Sleep Med. 2011;9(1):38-52. doi: 10.1080/15402002.2011.533993.
Although of proven health benefit to persons with obstructive sleep apnea (OSA), adherence to continuous positive airway pressure (CPAP) therapy is suboptimal, with patterns of use that are established early and that are not easily altered after the initial experience. In a randomized controlled trial, 70 participants with OSA and cardiovascular disease were assigned to receive either positively or negatively framed education about CPAP. Objective adherence was measured following 30 days of home CPAP therapy. Daytime sleepiness, dispositional optimism, self-efficacy, and depression were also evaluated at baseline and after 30 days. CPAP use was greater in the group receiving negative message framing (p = .015).
尽管持续气道正压通气（CPAP）治疗对阻塞性睡眠呼吸暂停（OSA）患者有明确的健康益处，但 CPAP 治疗的依从性并不理想，使用模式很早就确定了，并且在初始体验后不容易改变。在一项随机对照试验中，70 名患有 OSA 和心血管疾病的参与者被分配接受 CPAP 的正面或负面教育。在接受 30 天家庭 CPAP 治疗后测量客观依从性。在基线和 30 天后还评估了日间嗜睡、倾向乐观、自我效能和抑郁。接受负面信息框架组的 CPAP 使用量更大（p =.015）。
