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，但没有一致的结果表明促进依从性的预测因素或干预措施。初步研究结果显示，非洲裔美国人对CPAP的依从性存在差异，非裔美国人的依从性明显低于非非裔美国人，这与审查种族差异对药物依从性的研究一致，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。非裔美国人坚持CPAP可能是由特定的健康信念、诊断/治疗观念和自我效能所致。建议采用混合方法研究来检验具体目标：(1)描述非裔美国人对OSA和CPAP的治疗信念和看法，以及与随后坚持CPAP相关的风险；(2)描述非裔美国人CPAP使用者在治疗一周后的信念和看法，包括对CPAP的感知效果以及信念/看法如何影响对CPAP的适应和坚持。未来为改善非洲裔美国人的CPAP依从性和治疗结果而量身定制的干预策略的随机临床试验可能会被告知。

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.