{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T03:43:46Z","timestamp":1785901426143,"version":"3.56.0"},"reference-count":27,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009886","name":"American Academy of Sleep Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009886","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012285","name":"BC Children's Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012285","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005247","name":"University of British Columbia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005247","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Sleep Medicine"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.sleep.2026.109100","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T23:40:20Z","timestamp":1782517220000},"page":"109100","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Positional obstructive sleep apnea treatments in children: A qualitative study"],"prefix":"10.1016","volume":"146","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1196-0064","authenticated-orcid":false,"given":"Kris Ysabel Miranda","family":"Sanchez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2044-0694","authenticated-orcid":false,"given":"Shania","family":"Sheth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9660-8234","authenticated-orcid":false,"given":"Adele","family":"Baker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7591-9500","authenticated-orcid":false,"given":"Indra","family":"Narang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3295-1217","authenticated-orcid":false,"given":"Lena","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.sleep.2026.109100_bib1","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1152\/physrev.00043.2008","article-title":"Pathophysiology of sleep apnea","volume":"90","author":"Dempsey","year":"2010","journal-title":"Physiol Rev"},{"issue":"8","key":"10.1016\/j.sleep.2026.109100_bib2","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1164\/rccm.200509-1442OC","article-title":"Association of nocturnal arrhythmias with sleep-disordered breathing","volume":"173","author":"Mehra","year":"2006","journal-title":"Am J Respir Crit Care Med"},{"issue":"2","key":"10.1016\/j.sleep.2026.109100_bib3","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1513\/pats.200708-135MG","article-title":"Epidemiology of pediatric obstructive sleep apnea","volume":"5","author":"Lumeng","year":"2008","journal-title":"Proc Am Thorac Soc"},{"issue":"3","key":"10.1016\/j.sleep.2026.109100_bib4","doi-asserted-by":"crossref","first-page":"1208","DOI":"10.1016\/j.chest.2020.03.021","article-title":"OSA and neurocognitive impairment in children with congenital heart disease","volume":"158","author":"Combs","year":"2020","journal-title":"Chest"},{"issue":"7","key":"10.1016\/j.sleep.2026.109100_bib5","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/j.jacc.2013.05.045","article-title":"Obstructive sleep apnea: a cardiometabolic risk in obesity and the metabolic syndrome","volume":"62","author":"Drager","year":"2013","journal-title":"J Am Coll Cardiol"},{"issue":"11","key":"10.1016\/j.sleep.2026.109100_bib6","doi-asserted-by":"crossref","first-page":"944","DOI":"10.3390\/children8110944","article-title":"Considerations in surgical management of pediatric obstructive sleep apnea: tonsillectomy and beyond","volume":"8","author":"Uwiera","year":"2021","journal-title":"Children"},{"issue":"5","key":"10.1016\/j.sleep.2026.109100_bib7","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1111\/coa.12549","article-title":"Polysomnographic findings after adenotonsillectomy for obstructive sleep apnoea in obese and Non-obese children: a systematic review and meta-analysis","volume":"41","author":"Lee","year":"2016","journal-title":"Clin Otolaryngol"},{"issue":"4","key":"10.1016\/j.sleep.2026.109100_bib8","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/j.anl.2020.10.008","article-title":"Impact of adenotonsillectomy in children with severe obstructive sleep apnea: a systematic review","volume":"48","author":"Galluzzi","year":"2021","journal-title":"Auris Nasus Larynx"},{"key":"10.1016\/j.sleep.2026.109100_bib9","doi-asserted-by":"crossref","first-page":"143","DOI":"10.2147\/TCRM.S358737","article-title":"Adherence to continuous positive airway pressure therapy in pediatric patients with obstructive sleep apnea: a meta-analysis","volume":"19","author":"Sawunyavisuth","year":"2023","journal-title":"Therapeut Clin Risk Manag"},{"issue":"4","key":"10.1016\/j.sleep.2026.109100_bib10","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1007\/s11325-019-01853-z","article-title":"Positional obstructive sleep apnea in children: prevalence and risk factors","volume":"23","author":"Verhelst","year":"2019","journal-title":"Sleep Breath"},{"issue":"10","key":"10.1016\/j.sleep.2026.109100_bib11","doi-asserted-by":"crossref","first-page":"2397","DOI":"10.5664\/jcsm.10124","article-title":"Subtypes of obstructive sleep apnea in children and related factors","volume":"18","author":"Wu","year":"2022","journal-title":"J Clin Sleep Med"},{"issue":"7","key":"10.1016\/j.sleep.2026.109100_bib12","doi-asserted-by":"crossref","first-page":"1209","DOI":"10.5665\/sleep.3840","article-title":"Long-term effectiveness and compliance of positional therapy with the sleep position trainer in the treatment of positional obstructive sleep apnea syndrome","volume":"37","author":"van Maanen","year":"2014","journal-title":"Sleep"},{"issue":"1","key":"10.1016\/j.sleep.2026.109100_bib13","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1007\/s11325-012-0683-5","article-title":"The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea-a review of the literature","volume":"17","author":"Ravesloot","year":"2013","journal-title":"Sleep Breath"},{"key":"10.1016\/j.sleep.2026.109100_bib14","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.sleep.2025.03.022","article-title":"Positional therapy for the treatment of positional obstructive sleep apnea in children: a randomized controlled crossover trial","volume":"130","author":"Xiao","year":"2025","journal-title":"Sleep Med"},{"key":"10.1016\/j.sleep.2026.109100_bib15","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int J Qual Health Care"},{"issue":"2","key":"10.1016\/j.sleep.2026.109100_bib16","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"issue":"1","key":"10.1016\/j.sleep.2026.109100_bib17","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1186\/1471-2431-14-199","article-title":"Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation","volume":"14","author":"Feudtner","year":"2014","journal-title":"BMC Pediatr"},{"key":"10.1016\/j.sleep.2026.109100_bib18","article-title":"Comparative efficacy of sleep positional therapy, oral appliance therapy, and CPAP in obstructive sleep apnea: a meta-analysis of mean changes in key outcomes","volume":"12","author":"Gao","year":"2025","journal-title":"Front Med"},{"key":"10.1016\/j.sleep.2026.109100_bib19","doi-asserted-by":"crossref","DOI":"10.1155\/2020\/7987208","article-title":"Alternative approaches to adenotonsillectomy and continuous positive airway pressure (CPAP) for the management of pediatric obstructive sleep apnea (OSA): a review","volume":"2020","author":"Rana","year":"2020","journal-title":"Sleep Disord"},{"issue":"1","key":"10.1016\/j.sleep.2026.109100_bib20","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.smrv.2013.05.003","article-title":"Comparison of positional therapy versus continuous positive airway pressure in patients with positional obstructive sleep apnea: a meta-analysis of randomized trials","volume":"18","author":"Ha","year":"2014","journal-title":"Sleep Med Rev"},{"issue":"5","key":"10.1016\/j.sleep.2026.109100_bib21","article-title":"Positional therapy for obstructive sleep apnoea","volume":"2019","author":"Srijithesh","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"10.1016\/j.sleep.2026.109100_bib22","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1001\/jamaoto.2016.2400","article-title":"Parent experience of care and decision making for children who snore","volume":"143","author":"Boss","year":"2017","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"5","key":"10.1016\/j.sleep.2026.109100_bib23","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1002\/ppul.26903","article-title":"Improvement in quality of life with continuous positive airway pressure outweighs the treatment burden in children with obstructive sleep apnea","volume":"59","author":"Nisbet","year":"2024","journal-title":"Pediatr Pulmonol"},{"issue":"3","key":"10.1016\/j.sleep.2026.109100_bib24","doi-asserted-by":"crossref","first-page":"407","DOI":"10.5664\/jcsm.10890","article-title":"The lived experience of positive airway pressure therapy in patients with obstructive sleep apnea across the lifespan: a qualitative study","volume":"20","author":"Simon","year":"2024","journal-title":"J Clin Sleep Med"},{"issue":"8","key":"10.1016\/j.sleep.2026.109100_bib25","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.5664\/jcsm.11708","article-title":"Caregivers' outcome prioritization for home positive airway pressure in children: a mixed-methods study","volume":"21","author":"Dannenberg","year":"2025","journal-title":"J Clin Sleep Med"},{"issue":"11","key":"10.1016\/j.sleep.2026.109100_bib26","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1177\/0009922817702939","article-title":"Physician perspectives on decision making for treatment of pediatric sleep-disordered breathing","volume":"56","author":"Boss","year":"2017","journal-title":"Clin Pediatr (Phila)"},{"issue":"1","key":"10.1016\/j.sleep.2026.109100_bib27","doi-asserted-by":"crossref","first-page":"25","DOI":"10.46747\/cfp.720125","article-title":"Approach to obstructive sleep apnea: interdisciplinary considerations for optimal management","volume":"72","author":"Harris","year":"2026","journal-title":"Can Fam Physician"}],"container-title":["Sleep Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1389945726003394?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1389945726003394?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T02:44:21Z","timestamp":1785897861000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1389945726003394"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":27,"alternative-id":["S1389945726003394"],"URL":"https:\/\/doi.org\/10.1016\/j.sleep.2026.109100","relation":{},"ISSN":["1389-9457"],"issn-type":[{"value":"1389-9457","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Positional obstructive sleep apnea treatments in children: A qualitative study","name":"articletitle","label":"Article Title"},{"value":"Sleep Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.sleep.2026.109100","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"109100"}}