Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA study
Study objectivesThe prospective Self-Efficacy Measure for Sleep Apnea study (SEMSAS) is investigating thresholds for health literacy, self-efficacy and precariousness at obstructive sleep apnea (OSA) diagnosis to predict CPAP adherence. This paper describes the study protocol and presents baseline d...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1148700/full |
| _version_ | 1797778044111290368 |
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| author | Thibaut Gentina Elodie Gentina Bernard Douay Jean-Arthur Micoulaud-Franchi Jean-Arthur Micoulaud-Franchi Jean-Louis Pépin Jean-Louis Pépin Sébastien Bailly Sébastien Bailly |
| author_facet | Thibaut Gentina Elodie Gentina Bernard Douay Jean-Arthur Micoulaud-Franchi Jean-Arthur Micoulaud-Franchi Jean-Louis Pépin Jean-Louis Pépin Sébastien Bailly Sébastien Bailly |
| author_sort | Thibaut Gentina |
| collection | DOAJ |
| description | Study objectivesThe prospective Self-Efficacy Measure for Sleep Apnea study (SEMSAS) is investigating thresholds for health literacy, self-efficacy and precariousness at obstructive sleep apnea (OSA) diagnosis to predict CPAP adherence. This paper describes the study protocol and presents baseline data from the ongoing study.MethodsEligible individuals had confirmed OSA and were referred to a homecare provider for continuous positive airway pressure (CPAP) therapy initiation. Data on patient characteristics and comorbidities were collected, along with baseline evaluations of self-efficacy [15-item Self-Efficacy Measure for Sleep Apnea tool (SEMSA-15)], precariousness [Deprivation in Primary Care Questionnaire (DipCareQ)], and health literacy (Health Literacy Questionnaire). CPAP adherence over 12 months of follow-up will be determined using remote monitoring of CPAP device data. The primary objective is to define an optimal SEMSA-15 score threshold to predict CPAP adherence at 3- and 12-month follow-up.ResultsEnrollment of 302 participants (71% male, median age 55 years, median body mass index 31.6 kg/m2) is complete. Low self-efficacy (SEMSA-15 score ≤ 2.78) was found in 93/302 participants (31%), and 38 (12.6%) reported precariousness (DipCareQ score > 1); precariousness did not differ significantly between individuals with a SEMSA-15 score ≤ 2.78 versus >2.78. Health literacy was generally good, but was significantly lower in individuals with versus without precariousness, and with low versus high self-efficacy.ConclusionSEMSAS is the first study using multidimensional baseline assessment of self-efficacy, health literacy and precariousness, plus other characteristics, to determine future adherence to CPAP, including CPAP adherence trajectories. Collection of follow-up data is underway. |
| first_indexed | 2024-03-12T23:11:40Z |
| format | Article |
| id | doaj.art-8952733cdf164a4d93dd1775c2af7009 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-03-12T23:11:40Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-8952733cdf164a4d93dd1775c2af70092023-07-18T01:06:40ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-07-011410.3389/fneur.2023.11487001148700Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA studyThibaut Gentina0Elodie Gentina1Bernard Douay2Jean-Arthur Micoulaud-Franchi3Jean-Arthur Micoulaud-Franchi4Jean-Louis Pépin5Jean-Louis Pépin6Sébastien Bailly7Sébastien Bailly8Ramsey General Healthcare La Louviere Hospital, Lille, FranceIESEG School of Management, CNRS, UMR 9221 – LEM – Lille Economie Management, Univ. Lille, Lille, FranceRamsey General Healthcare La Louviere Hospital, Lille, FranceSANPSY, UMR 6033, University of Bordeaux, Bordeaux, FranceSleep Medicine Service, University Hospital, Bordeaux, FranceHP2 Laboratory, INSERM U1300, Univ. Grenoble Alpes, Grenoble, FranceEFCR Laboratory, Grenoble Alpes University Hospital, Grenoble, FranceHP2 Laboratory, INSERM U1300, Univ. Grenoble Alpes, Grenoble, FranceEFCR Laboratory, Grenoble Alpes University Hospital, Grenoble, FranceStudy objectivesThe prospective Self-Efficacy Measure for Sleep Apnea study (SEMSAS) is investigating thresholds for health literacy, self-efficacy and precariousness at obstructive sleep apnea (OSA) diagnosis to predict CPAP adherence. This paper describes the study protocol and presents baseline data from the ongoing study.MethodsEligible individuals had confirmed OSA and were referred to a homecare provider for continuous positive airway pressure (CPAP) therapy initiation. Data on patient characteristics and comorbidities were collected, along with baseline evaluations of self-efficacy [15-item Self-Efficacy Measure for Sleep Apnea tool (SEMSA-15)], precariousness [Deprivation in Primary Care Questionnaire (DipCareQ)], and health literacy (Health Literacy Questionnaire). CPAP adherence over 12 months of follow-up will be determined using remote monitoring of CPAP device data. The primary objective is to define an optimal SEMSA-15 score threshold to predict CPAP adherence at 3- and 12-month follow-up.ResultsEnrollment of 302 participants (71% male, median age 55 years, median body mass index 31.6 kg/m2) is complete. Low self-efficacy (SEMSA-15 score ≤ 2.78) was found in 93/302 participants (31%), and 38 (12.6%) reported precariousness (DipCareQ score > 1); precariousness did not differ significantly between individuals with a SEMSA-15 score ≤ 2.78 versus >2.78. Health literacy was generally good, but was significantly lower in individuals with versus without precariousness, and with low versus high self-efficacy.ConclusionSEMSAS is the first study using multidimensional baseline assessment of self-efficacy, health literacy and precariousness, plus other characteristics, to determine future adherence to CPAP, including CPAP adherence trajectories. Collection of follow-up data is underway.https://www.frontiersin.org/articles/10.3389/fneur.2023.1148700/fullobstructive sleep apneacontinuous positive airway pressureadherencehealth behaviorhealth literacy |
| spellingShingle | Thibaut Gentina Elodie Gentina Bernard Douay Jean-Arthur Micoulaud-Franchi Jean-Arthur Micoulaud-Franchi Jean-Louis Pépin Jean-Louis Pépin Sébastien Bailly Sébastien Bailly Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA study Frontiers in Neurology obstructive sleep apnea continuous positive airway pressure adherence health behavior health literacy |
| title | Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA study |
| title_full | Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA study |
| title_fullStr | Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA study |
| title_full_unstemmed | Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA study |
| title_short | Investigating associations between social determinants, self-efficacy measurement of sleep apnea and CPAP adherence: the SEMSA study |
| title_sort | investigating associations between social determinants self efficacy measurement of sleep apnea and cpap adherence the semsa study |
| topic | obstructive sleep apnea continuous positive airway pressure adherence health behavior health literacy |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1148700/full |
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