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Postgraduate Education Corner: Contemporary Reviews in Sleep Medicine |

Maximizing Positive Airway Pressure Adherence in AdultsMaximizing Positive Airway Pressure Adherence: A Common-Sense Approach

Emerson M. Wickwire, PhD; Christopher J. Lettieri, MD, FCCP; Alyssa A. Cairns, PhD; Nancy A. Collop, MD, FCCP
Author and Funding Information

From the Pulmonary Disease and Critical Care Associates (Drs Wickwire and Cairns), Columbia, MD; Department of Psychiatry and Behavioral Sciences (Dr Wickwire), Johns Hopkins School of Medicine, Baltimore, MD; Uniformed Services University and Walter Reed National Military Medical Center (Dr Lettieri), Bethesda, MD; and the Departments of Medicine and Neurology (Dr Collop), Emory University, Atlanta, GA.

Correspondence to: Emerson M. Wickwire, PhD, Pulmonary Disease and Critical Care Associates, 10710 Charter Dr, Ste 310, Columbia, MD 21044; e-mail: emerson@ewickwire.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;144(2):680-693. doi:10.1378/chest.12-2681
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Positive airway pressure (PAP) therapy is considered the most efficacious treatment of obstructive sleep apnea (OSA), especially moderate to severe OSA, and remains the most commonly prescribed. Yet suboptimal adherence presents a challenge to sleep-medicine clinicians. The purpose of the current review is to highlight the efficacy of published interventions to improve PAP adherence and to suggest a patient-centered clinical approach to enhancing PAP usage.

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