Service de Psychopathologie de l'Enfant et du Développement, Hospices Civils de Lyon, Lyon, France; UMR CNRS 8590 IHPST, Sorbonne University, Paris 1, France.
University Sleep Clinic, University Hospital of Bordeaux, Place Amélie Raba-Leon, 33 076 Bordeaux, France.
J Psychosom Res. 2022 Jul;158:110943. doi: 10.1016/j.jpsychores.2022.110943. Epub 2022 May 13.
The cues to starting CPAP are important in patients with Obstructive Sleep Apnea Syndrome (OSAS) to predict CPAP use and behavioral change. The Cues to CPAP Use Questionnaire (CCUQ) is a short practical self-reported scale to evaluate such cues to action. This study sought to examine the psychometric reliability and validity of the French version.
A forward-backward translation of the CCUQ was performed. Principal research tools were CCUQ, SEMSA and ESS. Subjects with OSAS were invited to complete the CCUQ just before CPAP initiation and 10 days after CPAP initiation. The ESS was completed just before CPAP initiation and one month after CPAP initiation. The SEMSA was completed just before CPAP initiation. Statistical analyses methods aim to evaluate the psychometric properties of the French CCUQ version in terms of its construct validity, internal structural validity, test-retest and external validity. Mean CPAP use on the previous month was recorded at one, six and twelve months after CPAP initiation.
A total of 140 patients with OSAS were included with 61.4% of men and a mean age of 55.3 (±12.9), BMI of 29.8 (±4.9), initial ESS of 11.97 (±5.68), and initial AHI 37.2/h (±19.3). Factor analysis confirmed the three-factor structure of the CCUQ. Cronbach's alpha coefficient was 0.64. Test-retest reliability (at t-0 and at 10 days) of the CCUQ was satisfactory. External validity shown significant correlation of the CCUQ with SEMSA and of the dimension "Partner cues" of the CCUQ with mean CPAP use at one month.
The French CCUQ scale is a reliable and valid tool for measuring cues to action in adults with OSAS initiating CPAP treatment. Further studies are necessary to confirm the predictive value of cues to action and self-efficacy for CPAP use and adherence. Such investigations would underpin public health CPAP interventions in accordance with models of behavioral change.
对于阻塞性睡眠呼吸暂停综合征（OSAS）患者来说，开始 CPAP 的提示因素对于预测 CPAP 使用和行为改变很重要。CPAP 使用提示问卷（CCUQ）是一种简短实用的自我报告量表，用于评估此类行动提示。本研究旨在检验其法语版本的心理测量可靠性和有效性。
对 CCUQ 进行了前后翻译。主要研究工具是 CCUQ、SEMSA 和 ESS。OSAS 患者被邀请在开始 CPAP 之前和开始 CPAP 后 10 天完成 CCUQ。ESS 在开始 CPAP 之前和开始 CPAP 后一个月完成。SEMSA 在开始 CPAP 之前完成。统计分析方法旨在评估法语 CCUQ 版本的心理测量特性，包括其结构效度、内部结构效度、测试-再测和外部效度。在开始 CPAP 后的一个月、六个月和十二个月记录了前一个月的平均 CPAP 使用量。
共纳入 140 例 OSAS 患者，其中 61.4%为男性，平均年龄为 55.3（±12.9）岁，BMI 为 29.8（±4.9），初始 ESS 为 11.97（±5.68），初始 AHI 为 37.2/h（±19.3）。因子分析证实了 CCUQ 的三因素结构。Cronbach's alpha 系数为 0.64。CCUQ 的测试-再测信度（在 t-0 时和在 10 天时）令人满意。CCUQ 与 SEMS 的外部有效性显示出显著相关性，而 CCUQ 的“伴侣提示”维度与一个月的平均 CPAP 使用量显著相关。
法语 CCUQ 量表是一种可靠有效的工具，用于测量开始 CPAP 治疗的 OSAS 成年人的行动提示。需要进一步的研究来确认行动提示和 CPAP 使用和依从性的自我效能的预测价值。这些研究将根据行为改变模型为公共卫生 CPAP 干预提供依据。
