A Tailored Sleep Behavior Change Support System to Promote the Use of Continuous Positive Airway Pressure Machines: Theorizing the Solution

<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>

Name thesis:degree_name

Information Systems and Technology, PhD

Level thesis:degree_level

Restricted to Claremont Colleges Dissertation

Discipline thesis:degree_discipline

Center for Information Systems and Technology

Year dc:date.available

2022

Author dc:creator

• Alismail, Sarah

Contributors dc:contributor

• Alan Stacy
• Jason Siegel

Repository record dc:identifier

https://scholarship.claremont.edu/cgu_etd/434

OAI identifier oai:identifier

oai:scholarship.claremont.edu:cgu_etd-1465