{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T18:34:29Z","timestamp":1784399669037,"version":"3.55.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"vor","delay-in-days":6,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100017590","name":"Universit\u00e4tsklinikum Essen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100017590","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sleep Breath"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Positive airway pressure (PAP) therapy is the primary treatment for obstructive sleep apnea (OSA), but long-term adherence remains challenging. This study aimed to identify key predictors of patient satisfaction with PAP therapy by examining the interrelationships between disease knowledge, care provision, health beliefs, and patient-reported experiences.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A cross-sectional study was conducted at a tertiary sleep center in Germany. Adult patients with confirmed OSA diagnosis and experience with PAP therapy completed a comprehensive questionnaire assessing four domains: health attitudes and self-management, OSA care provision perceptions, OSA disease knowledge, and treatment experience. Multiple regression analysis was performed to identify predictors of treatment satisfaction.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Among 148 participants (72.8% male, mean age 57.9\u2009\u00b1\u200911.8 years), 58.8% were active PAP users. High levels of family support (&gt;\u200990%) and disease knowledge were reported, with 94.4% acknowledging the importance of regular treatment. Treatment experience emerged as the primary predictor of satisfaction in domain-level analysis. The final regression model identified four significant predictors explaining 75.9% of variance in satisfaction: treatment effectiveness (\u03b2\u2009=\u20090.304, <jats:italic>p<\/jats:italic>\u2009&lt;.\u2009001), routine integration (\u03b2\u2009=\u20090.286, <jats:italic>p<\/jats:italic>\u2009=.\u2009001), nocturnal awakening (\u03b2\u2009=\u20090.273, <jats:italic>p<\/jats:italic>\u2009&lt;.\u2009001), and mask removal (\u03b2\u2009=\u20090.198, <jats:italic>p<\/jats:italic>\u2009=.\u2009007). Patient satisfaction negatively correlated with alternative treatment usage (\u03c4=-0.274, <jats:italic>p<\/jats:italic>\u2009&lt;.\u2009001) and positively with disease duration (\u03c4\u2009=\u20090.187, <jats:italic>p<\/jats:italic>\u2009=.\u2009008).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>PAP therapy satisfaction is predominantly influenced by treatment-specific factors rather than general health attitudes or care provision perceptions. Understanding these predictors may help clinicians identify patients at risk for low satisfaction and target interventions accordingly.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s11325-025-03438-5","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T08:37:57Z","timestamp":1754555877000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Determinants of patient satisfaction in continuous positive airway pressure therapy for obstructive sleep apnea: A multivariate analysis of knowledge, technical, and psychosocial factors"],"prefix":"10.1007","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8101-3465","authenticated-orcid":false,"given":"Marcel","family":"Braun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Dietz-Terjung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torsten","family":"Eggert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Schoebel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,7]]},"reference":[{"key":"3438_CR1","doi-asserted-by":"publisher","unstructured":"Benjafield AV et al (2019) Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis, Lancet Respir. 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S.D. and T.E. declare no conflict of interest related to the topic of the article. C.S. received institutional fees for lectures, advisory tasks and\/or scientific projects from AstraZeneca, Bayer, Bioprojet, Bristol Myers Squibb, Idorsia, Inspire Medical Systems, Jazz, Mementor, ResMed, Sleepiz, and Zoll.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"265"}}