Date of Award

Fall 2022

Degree Type

Restricted to Claremont Colleges Dissertation

Degree Name

Information Systems and Technology, PhD

Program

Center for Information Systems and Technology

Advisor/Supervisor/Committee Chair

Lorne Olfman

Dissertation or Thesis Committee Member

Alan Stacy

Dissertation or Thesis Committee Member

Jason Siegel

Terms of Use & License Information

Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Rights Information

© 2022 Sarah Alismail

Abstract

Continuous positive airway pressure (CPAP) machines are the most effective treatment for obstructive sleep apnea (OSA). Despite the reported benefits of CPAP machines in treating OSA, its effectiveness is reduced by less-than-optimal adherence or use. Up to 50% of patients who accept CPAP therapy fail to adhere to it. As a lack of commitment to CPAP therapy is one of the most significant factors that hinder OSA treatment effectiveness, patient motivation and education are critical to help alleviate the problem of poor CPAP adherence or use. Three sequential studies were conducted to promote CPAP usage among adult patients with moderate-to-severe OSA. In Study I, a formative study was undertaken to develop, validate the content of, and test a theory-driven message library targeted toward newly diagnosed OSA patients. In Study II, a randomized crossover design was adopted to test the effect of a tailored sleep behavioral change support system on mean hours of CPAP use and CPAP compliance among adults with moderate-to-severe OSA. In Study III, a qualitative assessment of the tailored sleep behavioral change support system was conducted to determine the factors that influence the effectiveness of the intervention. The findings suggest that the system is feasible and an acceptable addition to patient care services. This dissertation helped better understand how the tailored support system can accommodate OSA patient needs and generates ideas to refine that system.

ISBN

9798845410634

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