doi.org
0731 Factors Affecting Pediatric Adherence to Positive Airway Pressure: Treatment Barriers, Sleep Difficulties, and Behavioral Sleep Medicine Consultation
April 2019 • Julia K. Carmody, Narong Simakajornboon, Neepa Gurbani, Carolyn Burrows, Kendra N. Krietsch, Danielle M. Graef, Kelly C. Byars
Nonadherence to positive airway pressure therapy (PAP) limits treatment effectiveness for obstructive/central sleep apnea (O/CSA). One-third of pediatric patients fail to use PAP as prescribed; children demonstrate variable night-to-night use and inadequate within-night use, often <50% of expected sleep period. We evaluated predictors of PAP adherence and the feasibility/impact of behavioral sleep medicine consultation (BSMC) provided during a multidisciplinary CPAP clinic. Retrospective chart review of 106 patien…