Mastering treatment for sleep apnoea: The grounded theory of bargaining and balancing life with Continuous Positive Airway Pressure (CPAP) , in the context of decisional conflict and change theories

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dc.contributor.author Ward, Kim en
dc.contributor.author Gott, Caryl en
dc.contributor.author Hoare, K en
dc.date.accessioned 2019-11-25T01:21:37Z en
dc.date.issued 2019-09 en
dc.identifier.citation Forum, qualitative social research / Forum Qualitative Sozialforschung 20(3):19 pages Article number 13 Sep 2019 en
dc.identifier.uri http://hdl.handle.net/2292/49150 en
dc.description.abstract Continuous positive airway pressure (CPAP) treatment for sleep apnoea can be challenging for patients to master. Given limited evidence on this topic, we used constructionist grounded theory methodology to explore experiences of living with CPAP from participants' perspectives. Adults (n=16) were recruited through a main-center respiratory service in New Zealand and participated in semi-structured interviews. Data were analyzed until theoretical saturation was achieved. In this article, we present the newly constructed grounded theory of bargaining and balancing life with CPAP, which explains how participants made a series of personal decisions about whether to use and how to master CPAP. To situate, support and provide explanatory power the new theory is discussed in the context of change and decision theories to illustrate the varying phases of readiness experienced by persons preparing to engage with CPAP and the decision-making process required for effective management of CPAP at home. This study provides valuable CPAP-user centered information for the development of interventions to optimize CPAP use. Acknowledging individuals' abilities to make reasoned healthcare decisions and providing clinical environments that support the active process of bargaining and balancing may increase uptake of CPAP, and potentially other long-term therapies. en
dc.description.uri https://catalogue.library.auckland.ac.nz/permalink/f/t37c0t/uoa_alma51202621530002091 en
dc.relation.ispartofseries Forum, qualitative social research / Forum Qualitative Sozialforschung 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. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.subject Continuous Positive Airway Pressure en
dc.subject chronic illness en
dc.subject grounded theory methodology en
dc.subject patient perspectives en
dc.subject sleep apnoea en
dc.subject storyline en
dc.title Mastering treatment for sleep apnoea: The grounded theory of bargaining and balancing life with Continuous Positive Airway Pressure (CPAP) , in the context of decisional conflict and change theories en
dc.type Journal Article en
dc.identifier.doi 10.17169/fqs-19.3.3137 en
pubs.issue 3 en
pubs.volume 20 en
dc.rights.holder Copyright: The authors en
pubs.author-url http://www.qualitative-research.net/index.php/fqs/article/view/3137/0 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 785358 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Nursing en
dc.identifier.eissn 1438-5627 en
pubs.number 13 en
pubs.record-created-at-source-date 2019-11-07 en
pubs.online-publication-date 2019-09 en


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