Making choices about CPAP: Findings from a grounded theory study about living with CPAP

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dc.contributor.author Ward, Kim en
dc.contributor.author Gott, Caryl en
dc.contributor.author Hoare, Karen en
dc.date.accessioned 2017-10-15T22:55:53Z en
dc.date.issued 2017-08 en
dc.identifier.citation Collegian 24(4):371-379 Aug 2017 en
dc.identifier.issn 1322-7696 en
dc.identifier.uri http://hdl.handle.net/2292/36057 en
dc.description.abstract Untreated sleep apnoea incurs high societal and personal health costs. Although continuous positive airway pressure is a recognised, cost-effective treatment, concern exists that patients under-use this therapy. However, there is limited evidence regarding users’ views of this treatment. Therefore, we aimed to explore experiences of living with continuous positive airway pressure from participants’ perspectives. Sixteen participants, recruited through a main-centre respiratory service in New Zealand, participated in semi-structured interviews during four months of 2011 and six months of 2014. Adults prescribed positive airway pressure for sleep apnoea (n=12) and their partners (n=4) participated. Using grounded theory methods, data were analysed until theoretical saturation was reached. This paper reports the second of three main categories from the grounded theory: bargaining and balancing life with CPAP. The second category, making choices about CPAP, emphasises participants’ ability to self-motivate and develop supportive strategies via a dynamic choice-making process based on clinical information, personal opinion and belief about treatment. Based on personal choices about therapy participants chose whether and how to integrate therapy into daily life. Participants overcame barriers, such as the perception of stigma, and allowed time to persevere with decision-making and therapy management. This study highlights participants as active, reasoned decision-makers in their healthcare, who can identify choices that motivate positive airway pressure use. Focusing supportive interventions on motivations identified by participants may optimise choices for positive airway pressure use. Future studies should examine the efficacy of targeted and tailored interventions that support patient decision-making when choosing this therapy. en
dc.publisher Elsevier en
dc.relation.ispartofseries Collegian en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1322-7696/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.title Making choices about CPAP: Findings from a grounded theory study about living with CPAP en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.colegn.2016.08.002 en
pubs.issue 4 en
pubs.begin-page 371 en
pubs.volume 24 en
dc.rights.holder Copyright: Elsevier en
pubs.end-page 379 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 539587 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Nursing en
dc.identifier.eissn 1876-7575 en
pubs.record-created-at-source-date 2016-08-15 en
pubs.online-publication-date 2016-08-15 en


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