Continuous positive airway pressure (CPAP) machines are the most effective treatment for obstructive sleep apnea (OSA). Despite the reported benefits of CPAP machines in treating OSA, its effectiveness is reduced by less-than-optimal adherence or use. Up to 50% of patients who accept CPAP therapy fail to adhere to it. As a lack of commitment to CPAP therapy is one of the most significant factors that hinder OSA treatment effectiveness, patient motivation and education are critical to help alleviate the problem of poor CPAP adherence or use. Three sequential studies were conducted to promote CPAP usage among adult patients with moderate-to-severe OSA. In Study I, a formative study was undertaken to develop, validate the content of, and test a theory-driven message library targeted toward newly diagnosed OSA patients. In Study II, a randomized crossover design was adopted to test the effect of a tailored sleep behavioral change support system on mean hours of CPAP use and CPAP compliance among adults with moderate-to-severe OSA. In Study III, a qualitative assessment of the tailored sleep behavioral change support system was conducted to determine the factors that influence the effectiveness of the intervention. The findings suggest that the system is feasible and an acceptable addition to patient care services. This dissertation helped better understand how the tailored support system can accommodate OSA patient needs and generates ideas to refine that system.
","abstract_html":"<p>Continuous positive airway pressure (CPAP) machines are the most effective treatment for obstructive sleep apnea (OSA). Despite the reported benefits of CPAP machines in treating OSA, its effectiveness is reduced by less-than-optimal adherence or use. Up to 50% of patients who accept CPAP therapy fail to adhere to it. As a lack of commitment to CPAP therapy is one of the most significant factors that hinder OSA treatment effectiveness, patient motivation and education are critical to help alleviate the problem of poor CPAP adherence or use. Three sequential studies were conducted to promote CPAP usage among adult patients with moderate-to-severe OSA. In Study I, a formative study was undertaken to develop, validate the content of, and test a theory-driven message library targeted toward newly diagnosed OSA patients. In Study II, a randomized crossover design was adopted to test the effect of a tailored sleep behavioral change support system on mean hours of CPAP use and CPAP compliance among adults with moderate-to-severe OSA. In Study III, a qualitative assessment of the tailored sleep behavioral change support system was conducted to determine the factors that influence the effectiveness of the intervention. The findings suggest that the system is feasible and an acceptable addition to patient care services. This dissertation helped better understand how the tailored support system can accommodate OSA patient needs and generates ideas to refine that system.</p>","abstract_has_math":false,"creators":["Alismail, Sarah"],"institution":null,"degree_name":"Information Systems and Technology, PhD","degree_level":"Restricted to Claremont Colleges Dissertation","degree_discipline":"Center for Information Systems and Technology","degree_department":null,"school":null,"contributors":["Alan Stacy","Jason Siegel"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2022,"date_issued":"2022-01-01T08:00:00Z","date_published":"2022-01-01T08:00:00Z","updated_at":"2026-07-24T01:40:15Z","subjects":[],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://scholarship.claremont.edu/cgu_etd/434","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Alan Stacy","Jason Siegel"]},{"key":"dc:creator","label":"Author","values":["Alismail, Sarah"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2024-08-28T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Center for Information Systems and Technology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Restricted to Claremont Colleges Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Information Systems and Technology, PhD"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://scholarship.claremont.edu/cgu_etd/434"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Continuous positive airway pressure (CPAP) machines are the most effective treatment for obstructive sleep apnea (OSA). Despite the reported benefits of CPAP machines in treating OSA, its effectiveness is reduced by less-than-optimal adherence or use. Up to 50% of patients who accept CPAP therapy fail to adhere to it. As a lack of commitment to CPAP therapy is one of the most significant factors that hinder OSA treatment effectiveness, patient motivation and education are critical to help alleviate the problem of poor CPAP adherence or use. Three sequential studies were conducted to promote CPAP usage among adult patients with moderate-to-severe OSA. In Study I, a formative study was undertaken to develop, validate the content of, and test a theory-driven message library targeted toward newly diagnosed OSA patients. In Study II, a randomized crossover design was adopted to test the effect of a tailored sleep behavioral change support system on mean hours of CPAP use and CPAP compliance among adults with moderate-to-severe OSA. In Study III, a qualitative assessment of the tailored sleep behavioral change support system was conducted to determine the factors that influence the effectiveness of the intervention. The findings suggest that the system is feasible and an acceptable addition to patient care services. This dissertation helped better understand how the tailored support system can accommodate OSA patient needs and generates ideas to refine that system.
"]},{"key":"dc:title","label":"Title","values":["A Tailored Sleep Behavior Change Support System to Promote the Use of Continuous Positive Airway Pressure Machines: Theorizing the Solution"]}]}],"canonical_facts":{"dc:contributor":["Alan Stacy","Jason Siegel"],"dc:creator":["Alismail, Sarah"],"dc:date.available":["2024-08-28T07:00:00Z"],"dc:description.abstract":["Continuous positive airway pressure (CPAP) machines are the most effective treatment for obstructive sleep apnea (OSA). Despite the reported benefits of CPAP machines in treating OSA, its effectiveness is reduced by less-than-optimal adherence or use. Up to 50% of patients who accept CPAP therapy fail to adhere to it. As a lack of commitment to CPAP therapy is one of the most significant factors that hinder OSA treatment effectiveness, patient motivation and education are critical to help alleviate the problem of poor CPAP adherence or use. Three sequential studies were conducted to promote CPAP usage among adult patients with moderate-to-severe OSA. In Study I, a formative study was undertaken to develop, validate the content of, and test a theory-driven message library targeted toward newly diagnosed OSA patients. In Study II, a randomized crossover design was adopted to test the effect of a tailored sleep behavioral change support system on mean hours of CPAP use and CPAP compliance among adults with moderate-to-severe OSA. In Study III, a qualitative assessment of the tailored sleep behavioral change support system was conducted to determine the factors that influence the effectiveness of the intervention. The findings suggest that the system is feasible and an acceptable addition to patient care services. This dissertation helped better understand how the tailored support system can accommodate OSA patient needs and generates ideas to refine that system.
"],"dc:identifier":["https://scholarship.claremont.edu/cgu_etd/434"],"dc:title":["A Tailored Sleep Behavior Change Support System to Promote the Use of Continuous Positive Airway Pressure Machines: Theorizing the Solution"],"thesis:degree_discipline":["Center for Information Systems and Technology"],"thesis:degree_level":["Restricted to Claremont Colleges Dissertation"],"thesis:degree_name":["Information Systems and Technology, PhD"]},"updated_at":"2026-07-24T01:40:15Z"}