{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T14:36:06Z","timestamp":1789914966229,"version":"4.0.1"},"reference-count":35,"publisher":"European Respiratory Society (ERS)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur Respir J"],"accepted":{"date-parts":[[2008,11,24]]},"published-print":{"date-parts":[[2009,4]]},"abstract":"<jats:p>Continuous positive airway pressure (CPAP) is an effective treatment for obstructive sleep apnoea syndrom (OSAS) but therapy adherence is often low. The hypothesis that CPAP-adherence and clinical outcomes can be improved by either using an autoadjusting-CPAP (APAP) device or an intensive support was tested.<\/jats:p><jats:p>A controlled parallel group study was performed with 100 newly diagnosed OSAS patients, randomised into 4 groups (n\u200a=\u200a25 each): standard or intensive support plus either APAP or CPAP. Intensive support included education and monthly home visits for 6\u2005months. Clinical outcome was monitored by polysomnography at CPAP initiation and, after 3 and 9\u2005months, compliance data were downloaded from the CPAP devices.<\/jats:p><jats:p>After 9\u2005months, intensively supported patients returned for follow-up in 88<jats:italic>versus<\/jats:italic>68% in the standard-support-group. Daily usage (mean\u00b1<jats:sc>sem<\/jats:sc>5.7\u00b10.2 for intensive support<jats:italic>versus<\/jats:italic>4.6\u00b10.4\u2005h for standard support), percentage of days used (80.4\u00b12.8<jats:italic>versus<\/jats:italic>57.0\u00b15.9%) and proportion of individual sleep time (80.6\u00b13.2<jats:italic>versus<\/jats:italic>64.9\u00b16.2%) were also higher. There was no significant difference between APAP or CPAP, (daily usage 5.2\u00b10.4<jats:italic>versus<\/jats:italic>5.1\u00b10.3\u2005h, percentage of days 67.9\u00b15.0<jats:italic>versus<\/jats:italic>69.2\u00b14.9%, proportion of sleep time 72.5\u00b15.0%<jats:italic>versus<\/jats:italic>72.1\u00b15.2%, for APAP and CPAP) but retention rate was higher with CPAP.<\/jats:p><jats:p>In summary, intensive support after continuous positive airway pressure initiation, rather than the application of autoadjusting-continuous positive airway pressure, increased therapy adherence.<\/jats:p>","DOI":"10.1183\/09031936.00023408","type":"journal-article","created":{"date-parts":[[2009,1,8]],"date-time":"2009-01-08T01:45:21Z","timestamp":1231379121000},"page":"804-811","source":"Crossref","is-referenced-by-count":67,"title":["Compliance in sleep apnoea therapy: influence of home care support and pressure mode"],"prefix":"10.1183","volume":"33","author":[{"given":"D.","family":"Damjanovic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Fluck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Bremer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"M\u00fcller-Quernheim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Idzko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Sorichter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2009,1,7]]},"reference":[{"key":"2024102019461245000_33.4.804.1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.2109080"},{"key":"2024102019461245000_33.4.804.2","doi-asserted-by":"publisher","DOI":"10.1159\/000089814"},{"key":"2024102019461245000_33.4.804.3","first-page":"CD001106","volume":"3","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"2024102019461245000_33.4.804.4","doi-asserted-by":"publisher","DOI":"10.1378\/chest.115.3.863"},{"key":"2024102019461245000_33.4.804.5","first-page":"862","volume":"1","year":"1981","journal-title":"Lancet"},{"key":"2024102019461245000_33.4.804.6","doi-asserted-by":"publisher","DOI":"10.1378\/chest.127.6.2076"},{"key":"2024102019461245000_33.4.804.7","first-page":"15","volume":"126","year":"1996","journal-title":"Schweiz Med Wochenschr"},{"key":"2024102019461245000_33.4.804.8","doi-asserted-by":"publisher","DOI":"10.1378\/chest.105.2.429"},{"key":"2024102019461245000_33.4.804.9","first-page":"509","volume":"196","year":"1996","journal-title":"Rev Clin Esp"},{"key":"2024102019461245000_33.4.804.10","doi-asserted-by":"crossref","unstructured":"Haniffa M, Lasserson TJ, Smith I. 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