Experiences of Using Positive Airway Pressure for Treatment of Obstructive Sleep Apnoea : A Systematic Review and Thematic Synthesis

Brown, Amy and Jones, Steven and Perez Algorta, Guillermo (2021) Experiences of Using Positive Airway Pressure for Treatment of Obstructive Sleep Apnoea : A Systematic Review and Thematic Synthesis. SLEEP, 44 (10): zsab135. ISSN 0161-8105

[thumbnail of CLEAN_MANUSCRIPT_REV_2_Brown_Jones_and_Perez_Algorta_SLEEP_journal_submission]
Text (CLEAN_MANUSCRIPT_REV_2_Brown_Jones_and_Perez_Algorta_SLEEP_journal_submission)
CLEAN_MANUSCRIPT_REV_2_Brown_Jones_and_Perez_Algorta_SLEEP_journal_submission.pdf - Accepted Version
Available under License Creative Commons Attribution-NonCommercial.

Download (682kB)


Study objectives Sub-optimal use of positive airway pressure (PAP) to treat obstructive sleep apnoea (OSA) continues to be a major challenge to effective treatment. Meanwhile, the individual and societal impacts of untreated OSA make effective treatment a priority. Although extensive research has been conducted into factors that impact PAP use, it is estimated that at least half of users do not use it as prescribed. However, the voice of users is notably minimal in the literature. A systematic review and qualitative metasynthesis of PAP user experience was conducted to contribute to understandings of how PAP is experienced and to inform how usage could be improved. Methods PsycINFO, MEDLINE, CINAHL and EMBASE databases were systematically searched. Primary research findings of adult experiences using PAP that had been inductively analysed were included. Papers were critically appraised using the CASP qualitative checklist to generate a “hierarchy of evidence”. Thematic synthesis was then conducted to generate analytical themes. Results were presented in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Results 25 papers reporting on over 398 people’s experiences were analysed to generate 4 themes: Journey to PAP, Discomfort from and around PAP, Adapting to and using PAP, and Benefits from PAP. Author reflexivity and vulnerability to bias is acknowledged. Conclusions This metasynthesis gave voice to user experiences of PAP, revealing barriers to PAP use at a healthcare service level across the world. The findings highlight ways in which services may be able to address these barriers to enhance PAP use.

Item Type:
Journal Article
Journal or Publication Title:
Additional Information:
This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Sleep following peer review. The definitive publisher-authenticated version Amy Brown, Steven Jones, Guillermo Perez-Algorta, Experiences of using positive airway pressure for treatment of obstructive sleep apnea: a systematic review and thematic synthesis, Sleep, Volume 44, Issue 10, October 2021, zsab135, https://doi.org/10.1093/sleep/zsab135 is available online at: https://academic.oup.com/sleep/article-abstract/44/10/zsab135/6286002
Uncontrolled Keywords:
?? obstructive sleep apneapositive airway pressureexperiencemetasynthesisclinical neurologyphysiology (medical) ??
ID Code:
Deposited By:
Deposited On:
20 May 2021 10:00
Last Modified:
12 Feb 2024 00:40