Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients
Open Access
- 1 March 2021
- journal article
- research article
- Published by Taylor & Francis Ltd in Nature and Science of Sleep
- Vol. ume 13, 263-271
- https://doi.org/10.2147/nss.s294183
Abstract
Purpose: The objective of this study was to assess the utility of a fourth-generation multi-theory model (MTM) in explaining the intention for initiation and sustenance of PAP adherence among newly diagnosed sleep apnea patients. Patients and Methods: For this cross-sectional study, data were collected at a private sleep center located in the Southeastern United States. A total of 138 newly diagnosed patients with sleep apnea who had been prescribed PAP therapy completed a valid and reliable 41-item MTM instrument. Stepwise multiple regression modeling was conducted to assess MTM based explanatory variables of PAP adherence in this study sample. Results: MTM constructs namely participatory dialogue (β = 0.17, p = 0.014), behavioral confidence (β = 0.48, p < 0.001), and changes in the physical environment (β = 0.26, p = 0.001) were statistically significant predictors of the intention for initiation of PAP therapy and accounted for 53.5% of the variance. Emotional transformation (β = 0.57, p < 0.001), changes in the social environment (β = 0.16, p = 0.016), and practice for change (β = 0.16, p = 0.047) were statistically significant predictors of the intention for sustenance of PAP therapy and accounted for 60.6% of the variance. Conclusion: The MTM was found to be a promising theoretical model in explaining the intention for initiation and sustenance of PAP therapy.Keywords
This publication has 35 references indexed in Scilit:
- Spousal involvement and CPAP adherence: A dyadic perspectiveSleep Medicine Reviews, 2014
- Adherence to CPAP in Patients With Obstructive Sleep Apnea in a Chinese PopulationRespiratory Care, 2012
- A systematic review of CPAP adherence across age groups: Clinical and empiric insights for developing CPAP adherence interventionsSleep Medicine Reviews, 2011
- Health belief model predicts adherence to CPAP before experience with CPAPEuropean Respiratory Journal, 2008
- The Epidemiology of Adult Obstructive Sleep ApneaProceedings of the American Thoracic Society, 2008
- Social-cognitive correlates of CPAP adherence in experienced usersSleep Medicine, 2006
- Epidemiology of Obstructive Sleep ApneaAmerican Journal of Respiratory and Critical Care Medicine, 2002
- Can Intensive Support Improve Continuous Positive Airway Pressure Use in Patients with the Sleep Apnea/Hypopnea Syndrome?American Journal of Respiratory and Critical Care Medicine, 1999
- Compliance with CPAP therapy in patients with the sleep apnoea/hypopnoea syndrome.Thorax, 1994
- The Sleep Hypopnea SyndromeAmerican Review of Respiratory Disease, 1988