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SLEEP 2011 Abstract Supplement

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B. Clinical Sleep Science I. Sleep Disorders – Breathing<br />

improve adherence have had inconsistent benefits. Education in group<br />

settings has been shown to improve outcomes in other disease states.<br />

The purpose of this study was to compare the impact of individual versus<br />

group educational programs on CPAP adherence.<br />

Methods: Retrospective review of consecutive patients newly diagnosed<br />

with OSA between January 2009 and March 2010. All patients<br />

received extensive education prior to initiating CPAP therapy either<br />

individually or as part of a group educational program. We compared<br />

objective measures of CPAP use between these two groups.<br />

Results: 1858 patients (996 group, 862 education) were included.<br />

79.1% were men with a mean age of 47.4±10.5 years. Mean BMI and<br />

apnea-hypopnea index were 30.3±5.1 Kg/m2 and 31.9±22.2 events/<br />

hour, respectively. Mean baseline ESS was 13.1±5.2. Patients who underwent<br />

a group educational program had significantly greater use of<br />

CPAP. Specifically, percentage of nights CPAP was used (66.4% vs.<br />

61.6%, p=0.022) and the hours used per night CPAP was utilized (4.0h<br />

vs. 3.7h, p=0.043) were greater in those undergoing group versus individual<br />

education. Discontinuation was also less common among those<br />

undergoing group education (15.6% vs. 10.0%, p

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