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The Impact of Message Framing on Adherence to Continuous Positive Airway Pressure Therapy

Trupp, Robin J.
http://rave.ohiolink.edu/etdc/view?acc_num=osu1228151374

Abstract Details

2008, Doctor of Philosophy, Ohio State University, Nursing.
Sleep disordered breathing is a family of disorders characterized by abnormalities in either the quality or quantity of respirations during sleep. Approximately 5% of the general population and 30% of those with cardiovascular disease have some type of sleep disorder, most commonly manifested as obstructive sleep apnea (OSA). Continuous positive airway pressure (CPAP) is the gold standard for treating OSA. By acting as a pneumatic splint, CPAP essentially mitigates many of the acute physiologic responses to OSA. Just 4 hours of CPAP therapy can provide benefit in sleepiness, snoring, blood pressure, and cognitive functioning with carry-over effects that continue for the following day. CPAP treatment is associated with suboptimal and variable rates of adherence. Importantly, these rates are established quickly, often within the first week of therapy, and are not easily altered after that initial exposure. To date, no reliable or modifiable variables or technological advancements have been shown to consistently improve CPAP use. This research examined the impact of positive or negative educational messages about CPAP on 30-day adherence to the therapy in 55 patients with a history of cardiovascular disease and who were CPAP naive. Following standard information about CPAP, participants were randomized to receive supplemental education about CPAP, from either positive (focusing on good outcomes associated with using CPAP) or negative (emphasizing the consequences of untreated OSA) framing formats. In post hoc analysis, using CPAP for 4 or more hours the first night strongly predicted 30-day adherence (p<.001). None of the selected baseline demographic, psychosocial, or disease severity variables were predictive of 30-day adherence to CPAP. A regression model, that included first night use, randomization assignment, and baseline dispositional optimism, explained 58% of the variance to CPAP at 30 days (p=.026). Greater 30-day adherence and higher self-efficacy scores at 30 days were found in those receiving negative message framing.
Elizabeth J Corwin, J (Advisor)
Karen Ahijevych, L (Committee Member)
Thomas Nygren (Committee Member)
147 p.
Health Care
Continuous Positive Airway Pressure; CPAP; Adherence; Prospect Theory; Message Framing

Recommended Citations

Citations

  • Trupp, R. J. (2008). The Impact of Message Framing on Adherence to Continuous Positive Airway Pressure Therapy [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1228151374

    APA Style (7th edition)

  • Trupp, Robin. The Impact of Message Framing on Adherence to Continuous Positive Airway Pressure Therapy. 2008. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1228151374.

    MLA Style (8th edition)

  • Trupp, Robin. "The Impact of Message Framing on Adherence to Continuous Positive Airway Pressure Therapy." Doctoral dissertation, Ohio State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=osu1228151374

    Chicago Manual of Style (17th edition)

osu1228151374
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© 2008, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.