Obstructive Sleep Apnea: African American Perceptions

描述（由申请人提供）：对CPAP治疗的依从性进行了系统的检查，没有一致的发现表明预测因素或干预措施可以促进依从性。初步研究结果揭示了CPAP依从性的差异，非洲裔美国人的依从性明显低于非非洲裔美国人，这与检查药物依从性种族差异的研究一致，其中非洲裔美国人的依从性较低是由健康信念、治疗观念和自我效能造成的。非裔美国人的CPAP依从性可能与特定的健康信念、诊断/治疗观念和自我效能有关。本文提出了一项混合方法研究，以检验其具体目的：(1)描述非裔美国人对OSA和CPAP的预处理信念和认知，以及OSA患者随后坚持CPAP的相关风险；(2)描述非裔美国CPAP使用者在治疗一周后的信念和感知，包括CPAP的感知效果以及信念/感知如何影响对CPAP的适应和依从性。未来的随机临床试验，量身定制的干预策略，以提高非裔美国人的CPAP依从性和治疗结果可能会被告知。

DESCRIPTION (provided by applicant): Adherence to CPAP treatment has been systematically examined without consistent findings that suggest predictors of or interventions to promote adherence. Preliminary findings reveal differences in adherence to CPAP, with African Americans having significantly lower adherence than non-African Americans, consistent with studies examining racial differences in adherence to medication where lower adherence in African Americans was contributed to by health beliefs, treatment perceptions, and self-efficacy. CPAP adherence in African Americans may be contributed to by specific health beliefs, diagnosis/treatment perceptions, and self-efficacy. A mixed methods study is proposed to examine the specific aims: (1) to describe pretreatment beliefs and perceptions about OSA and CPAP and the associated risks in African Americans with OSA as related to subsequent adherence to CPAP; (2) to describe beliefs and perceptions of African American CPAP-users after one week of treatment, including perceived effects of CPAP and how beliefs/perceptions influence adaptation to CPAP and adherence. Future randomized clinical trials of tailored intervention strategies to improve CPAP adherence and treatment outcomes in African Americans may be informed.