Nature and Science of Sleep (Mar 2021)
Utility of Multi-Theory Model (MTM) to Explain the Intention for PAP Adherence in Newly Diagnosed Sleep Apnea Patients
Abstract
Manoj Sharma,1 Anuj Chandra,2 Ryan Toth,2 Vinayak K Nahar3,4 1Department of Environmental & Occupational Health, School of Public Health, University of Nevada, Las Vegas, NV, USA; 2Advanced Center for Sleep Disorders, Chattanooga, TN, USA; 3Department of Dermatology, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USA; 4Department of Preventive Medicine, School of Medicine, University of Mississippi Medical Center, Jackson, MS, USACorrespondence: Vinayak K NaharDepartment of Dermatology, School of Medicine, University of Mississippi Medical Center, 2500 North State Street – L216, Jackson, MS, 39216, USATel +1 601 495 5876Fax +1 601 984 1150Email [email protected]: The objective of this study was to assess the utility of a fourth-generation multi-theory model (MTM) in explaining the intention for initiation and sustenance of PAP adherence among newly diagnosed sleep apnea patients.Patients and Methods: For this cross-sectional study, data were collected at a private sleep center located in the Southeastern United States. A total of 138 newly diagnosed patients with sleep apnea who had been prescribed PAP therapy completed a valid and reliable 41-item MTM instrument. Stepwise multiple regression modeling was conducted to assess MTM based explanatory variables of PAP adherence in this study sample.Results: MTM constructs namely participatory dialogue (β = 0.17, p = 0.014), behavioral confidence (β = 0.48, p < 0.001), and changes in the physical environment (β = 0.26, p = 0.001) were statistically significant predictors of the intention for initiation of PAP therapy and accounted for 53.5% of the variance. Emotional transformation (β = 0.57, p < 0.001), changes in the social environment (β = 0.16, p = 0.016), and practice for change (β = 0.16, p = 0.047) were statistically significant predictors of the intention for sustenance of PAP therapy and accounted for 60.6% of the variance.Conclusion: The MTM was found to be a promising theoretical model in explaining the intention for initiation and sustenance of PAP therapy.Keywords: sleep apnea, positive airway pressure, compliance, predictors, multi-theory model
