Journal of Sleep Disorders: Treatment and CareISSN: 2325-9639

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Research Article, J Sleep Disor Treat Care Vol: 2 Issue: 4

Motivational Measurements Predict No Show Rates for Titration Studies and Use of Alternative Therapies

Brittany Chapman*, Robert Walter, William Wooten and Bradley Vaughn
Department of Neurology, University of North Carolina at Chapel Hill, USA
Corresponding author : Brittany Chapman
Department of Neurology, University of North Carolina at Chapel Hill, USA
E-mail: [email protected]
Received: July 28, 2013 Accepted: November 29, 2013 Published: December 02, 2013
Citation: Chapman B, Walter R, Wooten W, Vaughn B (2013) Motivational Measurements Predict No Show Rates for Titration Studies and Use of Alternative Therapies. A Case Report. J Sleep Disor: Treat Care 2:4. doi:10.4172/2325-9639.1000124

Abstract

Motivational Measurements Predict No Show Rates for Titration Studies and Use of Alternative Therapies

Background: Overall adherence in health care is suboptimal, including adherence to continuous positive airway pressure (CPAP) for obstructive sleep apnea (OSA). One of the leading strategies to improve patient acceptance and adherence to change is motivational interviewing (MI). We hypothesize that motivational measurements will predict patients’ show rate for CPAP titration studies and use of alternative therapies. Methods: Adult patients rated their perceived importance of CPAP therapy and their confidence of success with therapy on a 1-10 Likert-type scale prior to their diagnostic polysomnogram (PSG). Demographic data, referral clinic, body mass index (BMI), Epworth Sleepiness Scale (ESS), treatment, and apnea hypopnea index (AHI) were collected. We classified patients into either Group 1, defined by those who reported both high importance of CPAP and high confidence of success with therapy (scores of 8 or higher for both), or Group 2 as those that rated lower importance or confidence (score <8 on at least one measure). Statistical analysis utilized unpaired t-tests and Fisher’s exact tests with a significant p value of 0.05.

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