Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA study

Frontiers in Neurology

Neurology

Sébastien Bailly¹  Jean-Louis Pépin¹  Elodie Gentina²  Bernard Douay³  Thibaut Gentina³  Jean-Arthur Micoulaud-Franchi⁴ 

[1] HP2 Laboratory, INSERM U1300, Univ. Grenoble Alpes, Grenoble, France;EFCR Laboratory, Grenoble Alpes University Hospital, Grenoble, France;IESEG School of Management, CNRS, UMR 9221 – LEM – Lille Economie Management, Univ. Lille, Lille, France;Ramsey General Healthcare La Louviere Hospital, Lille, France;SANPSY, UMR 6033, University of Bordeaux, Bordeaux, France;Sleep Medicine Service, University Hospital, Bordeaux, France;

关键词: obstructive sleep apnea;    continuous positive airway pressure;    adherence;    health behavior;    health literacy;   

DOI  :  10.3389/fneur.2023.1148700

 received in 2023-01-20, accepted in 2023-06-29,  发布年份 2023

来源: Frontiers

【 摘 要 】

Study objectivesThe 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.MethodsEligible 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.ResultsEnrollment of 302 participants (71% male, median age 55 years, median body mass index 31.6 kg/m2) 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.ConclusionSEMSAS 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.

【 授权许可】

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Copyright © 2023 Gentina, Gentina, Douay, Micoulaud-Franchi, Pépin and Bailly.