@article{JTD15269,
author = {Martino F. Pengo and Marcin Czaban and Marc P. Berry and Prajeshan Nirmalan and Richard Brown and Adam Birdseye and Asia Woroszyl and Julia Chapman and Brian D. Kent and Nicholas Hart and Gian Paolo Rossi and Joerg Steier},
title = {The effect of positive and negative message framing on short term continuous positive airway pressure compliance in patients with obstructive sleep apnea},
journal = {Journal of Thoracic Disease},
volume = {10},
number = {Suppl 1},
year = {2017},
keywords = {},
abstract = {Background: Continuous positive airway pressure (CPAP), the best available treatment for obstructive sleep apnea (OSA), requires long-term compliance to be effective. Behavioral interventions may be used to improve adherence to CPAP. We aimed to investigate whether positive or negative message framing impacts on CPAP compliance in patients with OSA, when compared to standard care.
Methods: Consenting patients with confirmed OSA were randomly allocated to receive along with their CPAP either positively or negatively framed messages (Pos; Neg), or standard care (Con). Standardized motivational messages were read out to patients during an initial teaching session and through weekly telephone calls. Patients’ compliance data were reviewed two and six weeks following CPAP initiation.
Results: We randomized 112 patients to groups that were matched for age, BMI, and OSA severity. The positively framed group (Pos) showed greater CPAP usage after 2 weeks (total use 53.7±31.4 hours) as compared to the negatively framed and the control group (35.6±27.4 and 40.8±33.5 hours, P},
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/15269}
}