{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T08:40:12Z","timestamp":1765701612807,"version":"3.48.0"},"reference-count":18,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"unspecified","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"NIHR Doctoral Fellowship","award":["302337"],"award-info":[{"award-number":["302337"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,4,16]]},"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Sleep disordered breathing is a chronic condition often requiring patient commitment to positive airway pressure (PAP) therapy. Understanding the lived experience of PAP therapy users is crucial for clinicians to support successful treatment and identify research priorities. There is a lack of evidence in this area, and published data predominantly explore the negative experiences of PAP. This study aims to explore the lived experiences of patients using PAP therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>This study employs a phenomenological approach, appropriate for researching human experiences where there is little existing research. Heideggerian theory underpins the research, recognising that the researcher\u2019s beliefs influence meaning, allowing for rich analysis of the lived experience.<\/jats:p>\n                    <jats:p>Participants will be recruited from a randomised controlled trial investigating the medium-term clinical impact of customised interfaces for patients requiring PAP therapy. Purposive sampling will be used to seek representation from various demographics, with a maximum of 30 participants.<\/jats:p>\n                    <jats:p>Data collection will be via 1:1 semistructured interviews. Data will be analysed using Braun and Clarke\u2019s six-phase reflexive thematic analysis. Data will be analysed inductively through an interpretivism lens. Data will be managed with computer-assisted qualitative data analysis software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>This protocol has been approved by the Hampshire B Research Ethics Committee (REC reference: 22\/SC\/0405). Results will be disseminated to healthcare professionals and patients through conferences, open-access journals, newsletters, the study webpage, infographics, animations, social media and healthcare awards. Tracy\u2019s eight \u2018big tent\u2019 criteria for excellent qualitative research are comprehensive and encompassing, and this protocol has aimed to meet the criteria. The Consolidated Criteria for Reporting Qualitative Research has also been used. The findings of this study will contribute to a more holistic understanding of the lived experience of PAP therapy users, informing clinical practice and future research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"isrctn\" xlink:href=\"ISRCTN74082423\">ISRCTN74082423<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-093622","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T07:15:30Z","timestamp":1746602130000},"page":"e093622","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Lived experiences of patients using positive airway pressure (PAP) therapy: a nested phenomenological study within the 3DPiPPIn randomised controlled trial"],"prefix":"10.1136","volume":"15","clinical-trial-number":[{"clinical-trial-number":"isrctn74082423","registry":"10.18810\/isrctn"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2806-380X","authenticated-orcid":false,"given":"Stephanie K","family":"Mansell","sequence":"first","affiliation":[{"name":"University College London Institute of Cardiovascular Science, London, UK"},{"name":"Therapy Services, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9349-7703","authenticated-orcid":false,"given":"Francesca","family":"Gowing","sequence":"additional","affiliation":[{"name":"Therapy Services, Royal Free London NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen T.","family":"Hilton","sequence":"additional","affiliation":[{"name":"UCL School of Pharmacy, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9739-3167","authenticated-orcid":false,"given":"Eleanor","family":"Main","sequence":"additional","affiliation":[{"name":"Physiotherapy, University College London Institute of Child Health, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swapna","family":"Mandal","sequence":"additional","affiliation":[{"name":"Thoracic Medicine, Royal Free London NHS Foundation Trust, London, UK"},{"name":"UCL Medical School, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvia","family":"Schievano","sequence":"additional","affiliation":[{"name":"Institute of Cardiovascular Science, University College London Institute of Cardiovascular Science, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2045-1883","authenticated-orcid":false,"given":"Cherry","family":"Kilbride","sequence":"additional","affiliation":[{"name":"Therapy Services, Royal Free London NHS Foundation Trust, London, UK"},{"name":"Brunel University Division of Physiotherapy, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"2025121400370123000_15.5.e093622.1","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1016\/j.smrv.2014.01.001","article-title":"What is known about the experiences of using CPAP for OSA from the users\u2019 perspective? A systematic integrative literature review","volume":"18","author":"Ward","year":"2014","journal-title":"Sleep Med Rev"},{"key":"2025121400370123000_15.5.e093622.2","unstructured":"National Institute for Clinical Excellence . Obstructive sleep apnoea\/hypopnoea syndrome and obesity hypoventilation syndrome in over 16s. NICE guideline [NG202]. NICE; 2021. 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