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Few studies have examined interventions to improve PAP therapy adherence for adults with developmental disabilities or have recruited the assistance of caregivers to improve adherence with this therapy in the home. This study evaluated the efficacy of a caregiver\u2010implemented behavioral intervention to increase PAP use for four adults with Down syndrome and OSA. The experimenters trained caregivers via telehealth to implement the intervention in their homes. The intervention consisted of graduated exposure, noncontingent reinforcement, and differential positive and negative reinforcement without escape extinction. The intervention increased the duration of PAP use for all four participants. These results provide preliminary support for the efficacy of this intervention and service\u2010delivery model.<\/jats:p>","DOI":"10.1002\/jaba.2926","type":"journal-article","created":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T04:10:41Z","timestamp":1732767041000},"page":"134-150","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Caregiver\u2010implemented intervention to increase use of positive airway pressure for adults with Down syndrome and sleep apnea"],"prefix":"10.1002","volume":"58","author":[{"given":"Emma J.","family":"Walker","sequence":"first","affiliation":[{"name":"Department of Psychological and Behavioral Health Sciences University of Houston, Clear Lake  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothea C.","family":"Lerman","sequence":"additional","affiliation":[{"name":"Department of Psychological and Behavioral Health Sciences University of Houston, Clear Lake  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Psychological and Behavioral Health Sciences University of Houston, Clear Lake  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabby","family":"Feliciano","sequence":"additional","affiliation":[{"name":"Department of Psychological and Behavioral Health Sciences University of Houston, Clear Lake  Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3890-8899","authenticated-orcid":false,"given":"Gregory","family":"Young","sequence":"additional","affiliation":[{"name":"Franciscan Children's Behavioral Health Sciences  Brighton MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,27]]},"reference":[{"issue":"4","key":"e_1_2_9_2_1","article-title":"Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea","volume":"2020","author":"Askland K. 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