Harford Kelli-Lee, Jambhekar Supriya, Com Gulnur, Pruss Kristi, Kabour Marianne, Jones Kaitlin, Ward Wendy L
University of Wisconsin Hospital and Clinics, 1675 Highland Avenue, Madison, WI 53792, USA.
Clin Child Psychol Psychiatry. 2013 Jan;18(1):151-63. doi: 10.1177/1359104511431662. Epub 2012 Sep 30.
Positive Airway Pressure (PAP) devices are being increasingly used in pediatric populations for problems including Obstructive Sleep Apnea. There is limited literature regarding pediatric adherence with PAP treatment or successful interventions that improve adherence. This paper describes a clinical program for pediatric PAP users which was designed to improve adherence of patients prescribed PAP therapy and involves intensive assessment and behavioral intervention.
The design and implementation of the program is described, including the purpose, goals, programmatic structure, clinical content, type and training of personnel, strengths and limitations and financial concerns as well as the challenges with the development and application of the program's protocol.
Preliminary outcome data show short-term improvements in consistent usage for many of the patients.
The program shows some promise and provides a framework for future program development and research.
正压通气（PAP）设备在儿科人群中越来越多地用于治疗包括阻塞性睡眠呼吸暂停在内的问题。关于儿科患者对PAP治疗的依从性或改善依从性的成功干预措施的文献有限。本文描述了一个针对儿科PAP使用者的临床项目，该项目旨在提高接受PAP治疗的患者的依从性，包括深入评估和行为干预。
描述了该项目的设计与实施，包括目的、目标、项目结构、临床内容、人员类型与培训、优势与局限、财务问题以及项目方案制定与应用所面临的挑战。
初步结果数据显示，许多患者的持续使用情况有短期改善。
该项目显示出一定前景，并为未来项目的开发与研究提供了一个框架。
