Adherence to CPAP treatment has been systematically examined without consistent findings that suggest predictors of or interventions to promote adherence. Preliminary findings reveal differences in adherence to CPAP, with African Americans having significantly lower adherence than non-African Americans, consistent with studies examining racial differences in adherence to medication where lower adherence in African Americans was contributed to by health beliefs, treatment perceptions, and self-efficacy. CPAP adherence in African Americans may be contributed to by specific health beliefs, diagnosis/treatment perceptions, and self-efficacy. A mixed methods study is proposed to examine the specific aims: (1) to describe pretreatment beliefs and perceptions about OSA and CPAP and the associated risks in African Americans with OSA as related to subsequent adherence to CPAP; (2) to describe beliefs and perceptions of African American CPAP-users after one week of treatment, including perceived effects of CPAP and how beliefs/perceptions influence adaptation to CPAP and adherence. Future randomized clinical trials of tailored intervention strategies to improve CPAP adherence and treatment outcomes in African Americans may be informed. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
5F31NR009315-03
Application #
7124168
Study Section
National Institute of Nursing Research Initial Review Group (NRRC)
Program Officer
Mann Koepke, Kathy M
Project Start
2004-09-30
Project End
2007-07-20
Budget Start
2006-09-30
Budget End
2007-07-20
Support Year
3
Fiscal Year
2006
Total Cost
$35,655
Indirect Cost
Name
University of Pennsylvania
Department
Type
Schools of Nursing
DUNS #
042250712
City
Philadelphia
State
PA
Country
United States
Zip Code
19104