Behaviorally based adherence program for pediatric patients treated with positive airway pressure.

OBJECTIVES

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.

METHOD

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.

RESULTS

Preliminary outcome data show short-term improvements in consistent usage for many of the patients.

CONCLUSIONS

The program shows some promise and provides a framework for future program development and research.