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性检查，没有一致的结果表明可预测或干预以促进依从性。初步研究结果显示，非裔美国人对CPAP的依从性明显低于非裔美国人，这与研究药物依从性的种族差异的研究一致，其中非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。提出了一项混合方法研究，以检查具体目标：（1）描述治疗前对OSA和CPAP的信念和看法，以及与随后坚持CPAP相关的非裔美国人OSA的相关风险;（2）描述治疗一周后非裔美国人CPAP使用者的信念和看法，包括CPAP的感知效果以及信念/看法如何影响CPAP的适应和坚持。未来的随机临床试验定制的干预策略，以提高CPAP的遵守和治疗结果的非洲裔美国人可能会被告知。

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.