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User Compliance and Behavioral Adaptation Associated With Supine Avoidance Therapy
Journal article   Open access   Peer reviewed

User Compliance and Behavioral Adaptation Associated With Supine Avoidance Therapy

Daniel Levendowski, David Cunnington, John Swieca and Philip Westbrook
Behavioral Sleep Medicine, Vol.16(1), pp.27-37
2018
PMID: 27159044
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Abstract

Clinical Neurology Life Sciences & Biomedicine Neurosciences & Neurology Psychiatry Science & Technology
This study investigates behavioral adaptation to vibrotactile position-avoidance therapy during sleep in patients with obstructive sleep apnea (n = 135) across 15 to 52 weeks. The overall compliance, based on nights used >= 4 hr, was 71%. Overall regular use, that is, >= 4 hr/night over 70% of nights, was 88%. Poor early compliance strongly predicted poor long-term treatment adherence, with 92% of those noncompliant across the first 12 weeks of therapy remaining noncompliant. Conversely, 21% of those with compliant utilization in the short term became noncompliant in the long term. It appears that patients do not habituate to the stimulus during sleep, nor was there a training effect associated with long-term use.

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