CHEST 2023 On Demand Pass-PAP Adherence: Gaps and Opportunities

Video Transcription

Video Summary

In this video, three speakers discuss the topic of CPAP adherence, particularly in relation to race, ethnicity, socioeconomic status, and pregnancy. Dr. Lauren Tobias from Yale University discusses how race, ethnicity, and socioeconomic status can influence CPAP adherence. She explains that marginalized populations, such as racial and ethnic minorities, tend to have a greater burden of poor sleep and are more likely to have severe sleep apnea at the time of diagnosis. Dr. Tobias presents evidence that shows black individuals and other racial minorities have lower CPAP usage compared to whites and that there are underlying factors that contribute to these disparities, such as neighborhood violence, housing situation, discrimination, and systemic racism. She emphasizes the need for culturally tailored and patient-centered interventions to improve CPAP adherence in marginalized groups. Dr. Amy Sawyer from the University of Pennsylvania discusses general strategies to improve CPAP adherence in the general adult population. She notes that barriers to adherence include factors related to treatment, symptoms, psychological factors, and social factors. Dr. Sawyer highlights the importance of education, hands-on training, and individualized treatment approaches to address these barriers. She also emphasizes the need for ongoing assessment, monitoring, and support from healthcare providers to promote sustained CPAP usage. Finally, Dr. Wilma Pierre-Louis discusses CPAP adherence in pregnancy. She presents evidence that sleep apnea in pregnancy is associated with adverse cardiovascular and metabolic outcomes and increased maternal morbidity. Dr. Pierre-Louis shares data on CPAP adherence in pregnant women, which shows low adherence rates and challenges specific to pregnancy, such as concerns for the health of the fetus and barriers related to intimacy and cost concerns. She emphasizes the need for further research and effective interventions to improve CPAP adherence in pregnancy. Overall, the speakers highlight the importance of addressing barriers to CPAP adherence, particularly in marginalized populations and pregnant women, and call for culturally tailored and patient-centered approaches to promote sustained usage of CPAP therapy.

Meta Tag

Category Sleep Disorders

Session ID 1023

Speaker Martha Billings

Speaker Ghada Bourjeily

Speaker Amy Sawyer

Track Sleep Disorders

Keywords

CPAP adherence

race

ethnicity

socioeconomic status

pregnancy

marginalized populations

sleep apnea

disparities

culturally tailored interventions

patient-centered interventions