{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T08:49:27Z","timestamp":1791535767207,"version":"4.3.4"},"reference-count":34,"publisher":"European Respiratory Society (ERS)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur Respir J"],"accepted":{"date-parts":[[2008,3,20]]},"published-print":{"date-parts":[[2008,9]]},"abstract":"<jats:p>Adherence to continuous positive airway pressure (CPAP) therapy for obstructive sleep apnoea (OSA) is often poor. Biomedical indices explain little of the variance in CPAP use. The present study tested a health belief model of adherence in order to determine the contribution of psychological constructs as compared to biomedical indices in the prediction of CPAP adherence.<\/jats:p>\n                  <jats:p>Consecutive patients (n\u200a=\u200a77) newly diagnosed with OSA and na\u00efve to CPAP treatment (had never tried CPAP before) completed questionnaires at baseline (prior to CPAP treatment). The questionnaires assessed: outcome expectancy with treatment, self-efficacy, functional outcomes of sleepiness, and perceived risk of negative health outcomes. Physiological data were obtained from a standard clinical diagnostic sleep study. CPAP adherence was assessed at 4-month follow-up.<\/jats:p>\n                  <jats:p>Health belief model constructs alone explained 21.8% of the variance in CPAP adherence, whereas health belief model constructs and biomedical indices together explained 31.8% of the variance in CPAP adherence. The greatest proportion of CPAP adherence was explained by higher outcome expectancies with treatment, greater functional limitations as a result of sleepiness and lower risk perception.<\/jats:p>\n                  <jats:p>The results suggest that patients have developed beliefs and expectations about obstructive sleep apnoea and continuous positive airway pressure even before they try continuous positive airway pressure treatment. These beliefs and expectations predict the patients' adherence to effective therapy.<\/jats:p>","DOI":"10.1183\/09031936.00127507","type":"journal-article","created":{"date-parts":[[2008,4,16]],"date-time":"2008-04-16T20:45:21Z","timestamp":1208378721000},"page":"710-717","source":"Crossref","is-referenced-by-count":120,"title":["Health belief model predicts adherence to CPAP before experience with CPAP"],"prefix":"10.1183","volume":"32","author":[{"given":"S.","family":"Olsen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Oei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Douglas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2008,4,16]]},"reference":[{"key":"2024102019353135000_32.3.710.1","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1093\/sleep\/20.6.406","volume":"20","year":"1997","journal-title":"Sleep"},{"key":"2024102019353135000_32.3.710.2","unstructured":"American Academy of Sleep Medicine. . The International Classification of Sleep Disorders: Diagnostic and Coding Manual. 2nd Edn. Westchester, American Academy of Sleep Medicine, 2005"},{"key":"2024102019353135000_32.3.710.3","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1093\/sleep\/22.5.667","volume":"22","year":"1999","journal-title":"Sleep"},{"key":"2024102019353135000_32.3.710.4","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.2109080"},{"key":"2024102019353135000_32.3.710.5","doi-asserted-by":"publisher","DOI":"10.1016\/S1087-0792(97)90004-6"},{"key":"2024102019353135000_32.3.710.6","doi-asserted-by":"publisher","DOI":"10.1097\/00063198-200111000-00005"},{"key":"2024102019353135000_32.3.710.7","doi-asserted-by":"publisher","DOI":"10.1053\/smrv.2001.0197"},{"key":"2024102019353135000_32.3.710.8","doi-asserted-by":"crossref","first-page":"S42","DOI":"10.1093\/sleep\/15.suppl_6.S42","volume":"15","year":"1992","journal-title":"Sleep"},{"key":"2024102019353135000_32.3.710.9","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1093\/sleep\/27.1.134","volume":"27","year":"2004","journal-title":"Sleep"},{"key":"2024102019353135000_32.3.710.10","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.96.09050939"},{"key":"2024102019353135000_32.3.710.11","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.149.1.8111574"},{"key":"2024102019353135000_32.3.710.12","first-page":"CD003531","volume":"4","year":"2004","journal-title":"Interventions to improve compliance with continuous positive airway pressure for obstructive sleep apnoea. Cochrane Database Syst Rev"},{"key":"2024102019353135000_32.3.710.13","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(01)00162-9"},{"key":"2024102019353135000_32.3.710.14","doi-asserted-by":"publisher","DOI":"10.1159\/000023448"},{"key":"2024102019353135000_32.3.710.15","doi-asserted-by":"crossref","first-page":"346","DOI":"10.5664\/jcsm.26359","volume":"1","year":"2005","journal-title":"J Clin Sleep Med"},{"key":"2024102019353135000_32.3.710.16","doi-asserted-by":"crossref","first-page":"1116","DOI":"10.2466\/pms.1994.78.3c.1116","volume":"78","year":"1994","journal-title":"Percept Mot Skills"},{"key":"2024102019353135000_32.3.710.17","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.01.00209301"},{"key":"2024102019353135000_32.3.710.18","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1093\/sleep\/25.7.758","volume":"25","year":"2002","journal-title":"Sleep"},{"key":"2024102019353135000_32.3.710.19","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.04.00114603"},{"key":"2024102019353135000_32.3.710.20","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2003.12.007"},{"key":"2024102019353135000_32.3.710.21","unstructured":"Clark N, Becker M. Theoretical models and strategies for improving adherence and disease management. In: Shumaker S, Schron E, Ockene J, McBee W, eds. The Handbook of Health Behavior Change. 2nd Edn. New York, Springer Publishing Company, 1998; pp.\u20055\u201332"},{"key":"2024102019353135000_32.3.710.22","unstructured":"Quine L, Rutter D, Arnold L. Comparing the theory of planned behaviour and the health belief model: the example of safety helmet use among schoolboy cyclists. In: Norman P, Abraham C, Connor M, eds. Understanding and Changing Health Behaviour: From Health Beliefs to Self-Regulation. Amsterdam, Harwood Academic Publishers, 2000; pp.\u200573\u201398"},{"key":"2024102019353135000_32.3.710.23","doi-asserted-by":"publisher","DOI":"10.1375\/bech.18.3.177"},{"key":"2024102019353135000_32.3.710.24","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1093\/sleep\/14.6.540","volume":"14","year":"1991","journal-title":"Sleep"},{"key":"2024102019353135000_32.3.710.25","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(03)00031-5"},{"key":"2024102019353135000_32.3.710.26","first-page":"835","volume":"20","year":"1997","journal-title":"Sleep"},{"key":"2024102019353135000_32.3.710.27","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1093\/sleep\/26.6.727","volume":"26","year":"2003","journal-title":"Sleep"},{"key":"2024102019353135000_32.3.710.28","doi-asserted-by":"crossref","unstructured":"Lovibond S, Lovibond P. Manual for the Depression Anxiety Stress Scales. Sydney, The Psychology Foundation of Australia, Inc., 1995","DOI":"10.1037\/t01004-000"},{"key":"2024102019353135000_32.3.710.29","doi-asserted-by":"publisher","DOI":"10.1097\/00063198-200011000-00005"},{"key":"2024102019353135000_32.3.710.30","unstructured":"Tabachnick B, Fidell L. Using Multivariate Statistics. 4th Edn. Boston, Allyn & Bacon, 2001"},{"key":"2024102019353135000_32.3.710.31","doi-asserted-by":"publisher","DOI":"10.1378\/chest.109.6.1470"},{"key":"2024102019353135000_32.3.710.32","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1164\/ajrccm.159.4.9808008","volume":"159","year":"1999","journal-title":"Am J Respir Crit Care Med"},{"key":"2024102019353135000_32.3.710.33","doi-asserted-by":"publisher","DOI":"10.1378\/chest.120.1.170"},{"key":"2024102019353135000_32.3.710.34","doi-asserted-by":"publisher","DOI":"10.1207\/s15402010bsm0204_3"}],"container-title":["European Respiratory Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1183\/09031936.00127507","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T01:10:18Z","timestamp":1740359418000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.ersnet.org\/lookup\/doi\/10.1183\/09031936.00127507"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,4,16]]},"references-count":34,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2008,8,29]]},"published-print":{"date-parts":[[2008,9]]}},"alternative-id":["10.1183\/09031936.00127507"],"URL":"https:\/\/doi.org\/10.1183\/09031936.00127507","relation":{},"ISSN":["0903-1936","1399-3003"],"issn-type":[{"value":"0903-1936","type":"print"},{"value":"1399-3003","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,4,16]]}}}