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首页> 外文期刊>Sleep Disorders >Validation of the CPAP Habit Index-5: A Tool to Understand Adherence to CPAP Treatment in Patients with Obstructive Sleep Apnea
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Validation of the CPAP Habit Index-5: A Tool to Understand Adherence to CPAP Treatment in Patients with Obstructive Sleep Apnea

机译：CPAP习惯指数5的验证：阻塞性睡眠呼吸暂停患者了解CPAP治疗依从性的工具

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Long-term adherence to continuous positive airway pressure (CPAP) is low among patients with obstructive sleep apnea (OSA). The potential role of “habit” in sustaining adherence to CPAP use has not been studied. This study aimed to establish the relevance of habit to CPAP adherence, via validation of an adaptation of the Self-Report Habit Index (the CPAP Habit Index-5; CHI-5). Analyses focused on the homogeneity, reliability, and factor structure of the CHI-5 and, in line with theoretical predictions, its utility as a predictor of long-term CPAP adherence in middle-aged patients with OSA. A prospective longitudinal design was used. 117 patients with objectively verified OSA intended for CPAP treatment were recruited. Data was collected via clinical examinations, respiratory recordings, questionnaires, and CPAP devices at baseline, 2 weeks, 6 months, and 12 months. The CHI-5 showed satisfactory homogeneity interitem correlations (0.42–0.93), item-total correlations (0.58–0.91), and reliability (α= 0.92). CHI-5 data at 6 months showed a one-factor solution and predicted 63% of variance in total CPAP use hours after 12 months. Based on the satisfactory measurement properties and the high amount of CPAP use variance it explained, the CHI-5 can be seen as a useful tool in clinical practice.
机译：阻塞性睡眠呼吸暂停（OSA）患者长期坚持持续的持续气道正压（CPAP）的情况较低。尚未研究“习惯”在维持遵守CPAP使用方面的潜在作用。这项研究旨在通过验证自我报告的习惯指数（CPAP习惯指数5; CHI-5）来建立习惯与CPAP遵守的相关性。分析集中在CHI-5的同质性，可靠性和因子结构上，并且与理论预测一致，它可作为中年OSA患者长期CPAP依从性的预测指标。使用了预期的纵向设计。招募了117名经客观验证的OSA用于CPAP治疗的患者。在基线，2周，6个月和12个月通过临床检查，呼吸记录，问卷和CPAP设备收集数据。 CHI-5表现出令人满意的同质项间相关性（0.42-0.93），项目-总相关性（0.58-0.91）和可靠性（α= 0.92）。 6个月时的CHI-5数据显示单因素解决方案，并预测12个月后CPAP总使用小时的差异为63％。基于令人满意的测量性能和大量的CPAP使用差异，CHI-5可被视为临床实践中的有用工具。

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