Watach Alexa J, Bishop-Gilyard Chanelle T, Ku Helen, Afolabi-Brown Olufunke, Parks Elizabeth Prout, Xanthopoulos Melissa S
Division of Sleep Medicine, University of Pennsylvania, USA.
School of Nursing, University of Pennsylvania, USA.
Health Educ J. 2022 Aug;81(5):540-553. doi: 10.1177/00178969221093924. Epub 2022 May 4.
To address positive airway pressure (PAP) adherence in adolescents diagnosed with obstructive sleep apnoea (OSA) by pilot testing a novel, online, facilitated, peer-support and health education programme for families.
Families participated in separate Facebook peer-groups (adolescent [n=6] and parent [n=6]) for four weeks, followed by face-to-face interviews. Participants received OSA and PAP educational videos and posts, engaged with questions and polls, and viewed de-identified postings of peer PAP use data.
Adolescent participants were young Black males aged 13-17 years (n=6) with obesity (n=5), severe sleep apnoea (100%) and 4-15 months of prior PAP use. Parent participants were mothers (n=4) and fathers (n=2). Four of six young males increased their mean PAP use during the intervention period. Overall, parents were more engaged with the Facebook group page than adolescents, but interviews revealed the online group/peer-support and education provided was highly regarded and appreciated by families. Parents were particularly appreciative of being involved in care and diagnosis in this way.
Results of this pilot trial provide important data regarding intervention design, content, and delivery approaches to be considered in the development of future interventions aiming to engage families and improve adolescent PAP adherence.
通过对一项面向家庭的新型在线促进式同伴支持和健康教育计划进行试点测试,解决被诊断为阻塞性睡眠呼吸暂停(OSA)的青少年的持续气道正压通气(PAP)依从性问题。
设计、设置和方法:家庭参与了单独的Facebook同伴群组(青少年组[n = 6]和家长组[n = 6]),为期四周,随后进行面对面访谈。参与者观看了关于OSA和PAP的教育视频及帖子,参与问题和投票,并查看了同伴PAP使用数据的匿名帖子。
青少年参与者为13 - 17岁的年轻黑人男性(n = 6),患有肥胖症(n = 5),患有严重睡眠呼吸暂停(100%),且之前使用PAP已有4 - 15个月。家长参与者中母亲有4人,父亲有2人。在干预期内,六名年轻男性中有四人增加了PAP的平均使用时长。总体而言,家长比青少年更积极参与Facebook群组页面,但访谈显示,家庭对所提供的在线群组/同伴支持和教育评价很高且十分感激。家长尤其感激能以这种方式参与到护理和诊断过程中。
这项试点试验的结果提供了重要数据,涉及干预设计、内容和交付方式,这些将在未来旨在让家庭参与并提高青少年PAP依从性的干预措施开发中予以考虑。