Effectiveness of peer-delivered sleep health education and social support in increasing OSA evaluation among at-risk blacks

IF 3.4 3区 医学 Q2 CLINICAL NEUROLOGY Journal of Sleep Research Pub Date : 2024-05-21 DOI:10.1111/jsr.14213
Girardin Jean-Louis, P. Jin, R. Moise, J. Blanc, A. Rogers, O. M. Bubu, D. Chung, F. Zizi, A. A. Seixas
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Abstract

To assess the effectiveness of culturally and linguistically tailored, peer-delivered obstructive sleep apnea education and of social support to increase adherence to physician-recommended obstructive sleep apnea evaluation among blacks. In a two-arm randomised controlled trial, we ascertained the effectiveness of peer-delivered obstructive sleep apnea education in increasing obstructive sleep apnea evaluation among 319 blacks at risk of obstructive sleep apnea (intervention = 159 and control = 160); their average age was 47 ± 12.9 years, and 41% were male. Obstructive sleep apnea risk was assessed with the Apnea Risk Evaluation System questionnaire, administered in community venues. Participants in the intervention arm received tailored obstructive sleep apnea education during a 6 month period; those in the control arm received standard sleep and healthy lifestyle information. Analysis focussed on the effectiveness of peer-delivered obstructive sleep apnea education on adherence to obstructive sleep apnea evaluation, but also considered the role of psychosocial factors. The results showed no significant differences in baseline demographic and clinical measures when contrasting participants in the study arms. The adherence rates for home-based obstructive sleep apnea evaluation in the intervention and control arms were 45.9% and 45.6%, respectively. Overall, participants in both study arms (adherers) who underwent obstructive sleep apnea evaluations were likely to experience a greater level of social support (8.2 ± 2.4 vs. 7.3 ± 2.4; p = 0.06). Moreover, adherers showed greater psychosocial scores (i.e., Dysfunctional Beliefs and Attitudes about Sleep scale, Apnea Beliefs Scale (ABS) (and Apnea Knowledge) compared with non-adherers (6.0 ± 1.8 vs. 4.9 ± 2.2; p = 0.02; 77.0 ± 7.1 vs. 73.2 ± 7.4; p = 0.04, and 6.4 ± 3.1 vs. 7.6 ± 2.4; p = 0.06, respectively). The results of the present randomised controlled trial favoured a potential role of peer-based social support and psychosocial factors, associated with obstructive sleep apnea adherence behaviour.

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由同伴提供的睡眠健康教育和社会支持对提高高危黑人 OSA 评估的有效性。
目的:评估根据文化和语言定制、由同伴提供的阻塞性睡眠呼吸暂停教育以及社会支持对提高黑人对医生建议的阻塞性睡眠呼吸暂停评估的依从性的有效性。在一项双臂随机对照试验中,我们确定了在 319 名有阻塞性睡眠呼吸暂停风险的黑人(干预组 = 159 人,对照组 = 160 人)中开展同伴传递阻塞性睡眠呼吸暂停教育对增加阻塞性睡眠呼吸暂停评估的有效性;他们的平均年龄为 47 ± 12.9 岁,41% 为男性。阻塞性睡眠呼吸暂停风险通过在社区场所进行的呼吸暂停风险评估系统问卷进行评估。干预组的参与者在 6 个月的时间里接受了量身定制的阻塞性睡眠呼吸暂停教育;对照组的参与者则接受了标准的睡眠和健康生活方式信息。分析的重点是同伴传递阻塞性睡眠呼吸暂停教育对坚持阻塞性睡眠呼吸暂停评估的效果,同时也考虑了社会心理因素的作用。结果表明,在对比研究臂中的参与者时,基线人口统计学和临床测量结果无明显差异。干预组和对照组对家庭阻塞性睡眠呼吸暂停评估的坚持率分别为 45.9% 和 45.6%。总体而言,两个研究组中接受阻塞性睡眠呼吸暂停评估的参与者(坚持者)可能会获得更多的社会支持(8.2 ± 2.4 vs. 7.3 ± 2.4; p = 0.06)。此外,与非坚持者相比,坚持者的社会心理评分(即睡眠功能障碍信念和态度量表、呼吸暂停信念量表(ABS)和呼吸暂停知识)更高(分别为 6.0 ± 1.8 vs. 4.9 ± 2.2;p = 0.02;77.0 ± 7.1 vs. 73.2 ± 7.4;p = 0.04 和 6.4 ± 3.1 vs. 7.6 ± 2.4;p = 0.06)。本随机对照试验的结果表明,基于同伴的社会支持和社会心理因素可能与阻塞性睡眠呼吸暂停的坚持行为有关。
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来源期刊
Journal of Sleep Research
Journal of Sleep Research 医学-临床神经学
CiteScore
9.00
自引率
6.80%
发文量
234
审稿时长
6-12 weeks
期刊介绍: The Journal of Sleep Research is dedicated to basic and clinical sleep research. The Journal publishes original research papers and invited reviews in all areas of sleep research (including biological rhythms). The Journal aims to promote the exchange of ideas between basic and clinical sleep researchers coming from a wide range of backgrounds and disciplines. The Journal will achieve this by publishing papers which use multidisciplinary and novel approaches to answer important questions about sleep, as well as its disorders and the treatment thereof.
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