Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA study
MICOULAUD-FRANCHI, Jean-Arthur
Sommeil, Addiction et Neuropsychiatrie [Bordeaux] [SANPSY]
Centre Hospitalier Universitaire de Bordeaux [CHU Bordeaux]
Sommeil, Addiction et Neuropsychiatrie [Bordeaux] [SANPSY]
Centre Hospitalier Universitaire de Bordeaux [CHU Bordeaux]
PÉPIN, Jean-Louis
Hypoxie et PhysioPathologie [HP2]
Centre Hospitalier Universitaire [CHU Grenoble] [CHUGA]
Hypoxie et PhysioPathologie [HP2]
Centre Hospitalier Universitaire [CHU Grenoble] [CHUGA]
BAILLY, Sébastien
Hypoxie et PhysioPathologie [HP2]
Centre Hospitalier Universitaire [CHU Grenoble] [CHUGA]
< Réduire
Hypoxie et PhysioPathologie [HP2]
Centre Hospitalier Universitaire [CHU Grenoble] [CHUGA]
Langue
EN
Article de revue
Ce document a été publié dans
Frontiers in Neurology. 2023-07-17 n° 14
Résumé en anglais
Study objectives: The prospective Self-Efficacy Measure for Sleep Apnea study (SEMSAS) is investigating thresholds for health literacy, self-efficacy and precariousness at obstructive sleep apnea (OSA) diagnosis to predict ...Lire la suite >
Study objectives: The prospective Self-Efficacy Measure for Sleep Apnea study (SEMSAS) is investigating thresholds for health literacy, self-efficacy and precariousness at obstructive sleep apnea (OSA) diagnosis to predict CPAP adherence. This paper describes the study protocol and presents baseline data from the ongoing study. Methods: Eligible individuals had confirmed OSA and were referred to a homecare provider for continuous positive airway pressure (CPAP) therapy initiation. Data on patient characteristics and comorbidities were collected, along with baseline evaluations of self-efficacy [15-item Self-Efficacy Measure for Sleep Apnea tool (SEMSA-15)], precariousness [Deprivation in Primary Care Questionnaire (DipCareQ)], and health literacy (Health Literacy Questionnaire). CPAP adherence over 12 months of follow-up will be determined using remote monitoring of CPAP device data. The primary objective is to define an optimal SEMSA-15 score threshold to predict CPAP adherence at 3-and 12-month follow-up. Results: Enrollment of 302 participants (71% male, median age 55 years, median body mass index 31.6 kg/m 2) is complete. Low self-efficacy (SEMSA-15 score ≤ 2.78) was found in 93/302 participants (31%), and 38 (12.6%) reported precariousness (DipCareQ score > 1); precariousness did not differ significantly between individuals with a SEMSA-15 score ≤ 2.78 versus >2.78. Health literacy was generally good, but was significantly lower in individuals with versus without precariousness, and with low versus high self-efficacy. Conclusion: SEMSAS is the first study using multidimensional baseline assessment of self-efficacy, health literacy and precariousness, plus other characteristics, to determine future adherence to CPAP, including CPAP adherence trajectories. Collection of follow-up data is underway.< Réduire
Mots clés en anglais
Obstructive sleep apnea
Continuous positive airway pressure
Adherence
Health behavior
Health literacy
Project ANR
MIAI @ Grenoble Alpes - ANR-19-P3IA-0003
IDEX UGA - ANR-15-IDEX-0002
IDEX UGA - ANR-15-IDEX-0002
Unités de recherche