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The Health Belief Model and Compliance with CPAP Treatment for Obstructive Sleep Apnoea

Published online by Cambridge University Press:  22 February 2012

Claire E. Sage
Affiliation:
Monash University
Anne-Marie Southcott
Affiliation:
Queen Elizabeth Hospital
Stephen L. Brown*
Affiliation:
Monash University
*
*Address for correspondence: Stephen L. Brown, Department of Psychology, University of Central Lancashire, Preston, PRI 2HE, United Kingdom. Email: [email protected]
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Abstract

Obstructive sleep apnoea (OSA) is a disorder that severely disrupts sleep and may lead to severe long- and short-term health consequences. Continuous positive airway pressure (CPAP) is an effective treatment for OSA, but compliance with CPAP is often poor. Forty participants diagnosed with OSA completed a questionnaire based on the health belief model after a one-night first-time trial of CPAP treatment. After a subsequent 1-month period of CPAP use, electronic usage records were downloaded and analysed. Perceived benefits of CPAP use and perceived barriers to use showed multivariate associations with the mean number of hours of daily CPAP use, and perceived benefits of CPAP use was inversely associated with the percentage of days that CPAP was not used. Participants' confidence in their ability to use CPAP showed significant univariate, but not multivariate, relationships with both variables. Findings suggest that patients may benefit from greater levels of information and instruction in CPAP use.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2001

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References

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. New Jersey: Prentice-Hall.Google Scholar
Barnhoorn, F., & Adriaanse, H. (1992). In search of factors responsible for noncompliance among tuberculosis patients in Wardha District, India. Social Science and Medicine, 34, 291306.Google Scholar
Bearpark, H., Elliot, L., & Grunstein, R. (1993). Occurrence and correlates of sleep disordered breathing in the Australian town of Bussleton: A preliminary analysis. Sleep, 16, S35.Google Scholar
Berry, R.B., & Block, A.J. (1984). Positive nasal airway pressure eliminates snoring as well as obstructive sleep apnea. Chest, 85(1), 1520.CrossRefGoogle ScholarPubMed
Bond, G.G., Aiken, L.S., & Somerville, S.C. (1992). The health belief model and adolescents with insulin-dependent diabetes mellitus. Health Psychology, 11, 9098.Google Scholar
Brownlee-Duffeck, M., Peterson, L., Simonds, J.F., Goldstein, D., Kilo, C., & Hoette, S. (1987). The role of health beliefs in the regimen adherence and metabolic control of adolescents and adults with diabetes mellitus. Journal of Consulting and Clinical Psychology, 55, 139144.CrossRefGoogle ScholarPubMed
Cerkoney, K.A.B., & Hart, L.K. (1980). The Relationship between the Health Belief Model and compliance of persons with Diabetes Mellitus. Diabetes Care, 3, 594598.Google Scholar
Chervin, R.D., Theut, S., Bassetti, C., & Aldrich, M.S. (1997). Compliance with nasal CPAP can be improved by simple interventions. Sleep, 20, 284289.Google Scholar
Cummings, K.M., Becker, M.H., Kirscht, J.P., & Levin, N.W. (1982). Psychosocial factors affecting adherence to medical regimens in a group of hemodialysis patients. Medical Care, 20, 567580.Google Scholar
Detweiler, J.B., Bedell, B.T., Salovey, P., Pronin, E., & Rothman, A. J. (1999). Message framing and sunscreen use: Gain-framed messages motivate beachgoers. Health Psychology, 18, 189196.Google Scholar
Dyken, M.E., Somers, V.K., Yamanda, T., Ren, Z., & Zimmerman, M. (1996). Investigating the relationship between stroke and obstructive sleep apnea. Stroke, 27, 401407. Google Scholar
Engleman, H.M., Martin, S.E., Deary, I.J., & Douglas, N.J. (1994). Effect of continuous positive airway pressure treatment on daytime function in sleep apnoea/hypopnoea syndrome. The Lancet, 343, 572575.CrossRefGoogle ScholarPubMed
Findley, L.J., Levinson, M.P., & Bonnie, R.J. (1992). Driving performance and automobile accidents in patients with sleep apnea. Clinics in Chest Medicine, 13(3), 427435.Google Scholar
Findley, L., Smith, C., Hooper, J., Dineen, M., & Suratt, P.M. (2000). Treatment with nasal CPAP decreases automobile accidents in patients with sleep apnea. American Journal of Respiratory and Critical Care Medicine, 161, 857859.Google Scholar
Guilleminault, C. (1994). Clinical features and evaluation of obstructive sleep apnea. In M.H., Kryger, T., Roth, & W.C., Dement (Eds.), Principles and practice of sleep medicine (2nd ed., pp. 667677). Philadelphia: W.B., Saunders.Google Scholar
Harris, R., & Linn, M.W. (1985). Health beliefs, compliance, and control of Diabetes Mellitus. Southern Medical Journal, 78, 162166.Google Scholar
Hoffstein, V., Viner, S., Mateika, S., & Conway, J. (1992). Treatment of obstructive sleep apnea with nasal continuous positive airway pressure: Patient compliance, perception of benefits, and side effects. American Review of Respiratory Disease, 145, 841845.Google Scholar
Hughes, I., Hill, B., & Budd, R. (1997). Compliance with antipsychotic medication: From theory to practice. Journal of Mental Health, 6, 473489.CrossRefGoogle Scholar
Hung, J., Whitford, E.G., Parsons, R.W., & Hillman, D.R. (1990). Association of sleep apnoea with myocardial infarction in men. The Lancet, 336, 261264.Google Scholar
Issa, F.G., & Sullivan, C.E. (1986). The immediate effects of nasal continuous positive airway pressure treatment on sleep pattern in patients with obstructive sleep apnoea syndrome. Electroencephalography and Clinical Neurophysiology, 63, 1017.Google Scholar
Janz, N.K., & Becker, M.H. (1984). The Health Belief Model: A decade later. Health Education Quartley, 11, 147.Google Scholar
Kelly, G.R., Mamon, J.A., & Scott, J.E. (1987). Utility of the health belief model in examining medication compliance among psychiatric outpatients. Social Science and Medicine, 25, 12051211.Google Scholar
Kloeblen, A.S., & Batish, S.S. (1999). Understanding the intention to permanently follow a high folate diet among a sample of low-income pregnant women according to the health belief model. Health Education Research, 14, 327338.Google Scholar
Kribbs, N.B., Pack, A.I., Kline, L.R., Smith, P.L., Schwartz, A.R., Schubert, N.M., Redline, S., Henry, J.N., Getsy, J.E., & Dinges, D.F. (1993). Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnoea. American Review of Respiratory Disease, 147, 887895.Google Scholar
Kryger, M.H., Roth, T., & Dement, W.C. (Eds.). (1994). Principles and practice of sleep medicine (2nd Ed.) (pp. 694705). Philadelphia: W.B., Saunders.Google Scholar
Oldridge, N.B., & Steiner, D.L. (1990). The health belief model: Predicting compliance and dropout in cardiac rehabilitation. Medicine and Science in Sports and Exercise, 22, 678683.CrossRefGoogle ScholarPubMed
O’Leary, A. (1985). Self-efficacy and health. Behaviour Research and Therapy, 23, 437451.Google Scholar
Owen, N., & Brown, S.L. (1991). Smokers unlikely to quit. Journal of Behavioral Medicine, 14, 625634.CrossRefGoogle ScholarPubMed
Owen, N., Wakefield, M., Roberts, L., & Esterman, A. (1992). Stages of readiness to quit smoking: Population prevalence and correlates. Health Psychology, 11, 413417.Google Scholar
Pépin, J.L., Krieger, J., Rodenstein, D., Cornette, A., Sforza, E., Delguste, P., Deschaux, C., Griller, V., & Lévy, P. (1999). Effective compliance during the first 3 months of continuous positive airway pressure. American Journal of Respiratory Critical Care Medicine, 160, 11241129.Google Scholar
Pressman, M.R., Schetman, W.R., Figueroa, W.G., Van Uitert, B., Caplan, H.J., & Peterson, D.D. (1995). Transient ischemic attacks and minor stroke during sleep: Relationship to obstructive sleep apnoea syndrome. Stroke, 26, 23612365.Google Scholar
Prochaska, J.O., Velicer, W.F., Rossi, J.S., Goldstein, M.G., Markus, B.H., & Rakowski W. (1994). Stages of change and decisional balance for twelve problem behaviours. Health Psychology, 13, 3946.Google Scholar
Reeves-Hoche, M.K., Meck, R., & Zwillich, C.W. (1994). Nasal CPAP: An objective evaluation of patient compliance. American Journal of Respiratory Critical Care Medicine, 149, 149154.Google Scholar
Rolfe, I., Olson, L.G., & Saunders, N.A. (1991). Longterm acceptance of continuous positive airway pressure in obstructive sleep apnoea. American Review of Respiratory Disease, 144, 11301133.Google Scholar
Rosenstock, I.M. (1966). Why people use health services. Millbank Memorial Fund Quarterly, 44, 94127.Google Scholar
Rosenstock, I.M., Strecher, V.J., & Becker, M.H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15, 175183.Google Scholar
Schwarzer, R., & Fuchs, R.(1996). Self-efficacy and health behaviours. In M., Conner & P., Norman (Eds), Predicting health behaviour: Research and practice with social cognition models (pp. 163196). Buckingham, UK: Open University Press.Google Scholar
Silverberg, D.S., Oksenberg, A., & Iaina, A. (1998). Sleep-related breathing disorders as a major cause of essential hypertension: Fact or fiction? Current Opinion in Nephrology and Hypertension, 7, 353357.Google Scholar
Strollo, P.J., Jr., & Sanders, M.H. (1993). Significance and treatment of nonapneic snoring. Sleep, 16, 403408.Google ScholarPubMed
Sullivan, C.E., Issa, F.G., Berthon-Jones, M., & Eves, L. (1981). Reversal of obstructive sleep apnoea by continuous positive pressure applied through the nares. The Lancet, 18(1), 862865.Google Scholar
Sullivan, C.E., & Grunstein, R. (1994). Continuous positive airway pressure in sleep-disordered breathing. In M.H., Kryger, T., Roth, & W.C., Dement (Eds.), Principles and practice of sleep medicine (2nd Ed.) (pp, 694705). Philadelphia: W.B., Saunders Company.Google Scholar
Walhorn, R.E., Herrick, T.W., Nguyen, M.C., O’Donnell, A.E., Sodero, J., & Potolicchio, S.J. (1990). Longterm compliance with nasal continuous positive airway pressure therapy of obstructive sleep apnea. Chest, 97, 3338.Google Scholar
Weinstein, N.D. (1980). Unrealistic optimism about future life events. Journal of Personality and Social Psychology, 39, 805820.Google Scholar
Weinstein, N.D., & Klein, W.M. (1996). Unrealistic optimism: Present and future. Journal of Social and Clinical Psychology, 15, 18.CrossRefGoogle Scholar