Validation of the French Cues to CPAP Use Questionnaire in patients with OSAS: A step forward for evaluating cues to CPAP use in order to predict treatment adherence
Journal of Psychosomatic Research. 2022-07-01; 158: 110943
DOI: 10.1016/J.JPSYCHORES.2022.110943
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1. J Psychosom Res. 2022 Jul;158:110943. doi: 10.1016/j.jpsychores.2022.110943.
Epub 2022 May 13.
Validation of the French Cues to CPAP Use Questionnaire in patients with OSAS: A
step forward for evaluating cues to CPAP use in order to predict treatment
adherence.
Gauld C(1), Rhanmi H(2), Philip P(3), Micoulaud-Franchi JA(4).
Author information:
(1)Service de Psychopathologie de l’Enfant et du Développement, Hospices Civils
de Lyon, Lyon, France; UMR CNRS 8590 IHPST, Sorbonne University, Paris 1,
France.
(2)University Sleep Clinic, University Hospital of Bordeaux, Place Amélie
Raba-Leon, 33 076 Bordeaux, France.
(3)University Sleep Clinic, University Hospital of Bordeaux, Place Amélie
Raba-Leon, 33 076 Bordeaux, France; USR CNRS 3413 SANPSY, University Hospital
Pellegrin, University of Bordeaux, France.
(4)University Sleep Clinic, University Hospital of Bordeaux, Place Amélie
Raba-Leon, 33 076 Bordeaux, France; USR CNRS 3413 SANPSY, University Hospital
Pellegrin, University of Bordeaux, France. Electronic address:
.
PURPOSE: The cues to starting CPAP are important in patients with Obstructive
Sleep Apnea Syndrome (OSAS) to predict CPAP use and behavioral change. The Cues
to CPAP Use Questionnaire (CCUQ) is a short practical self-reported scale to
evaluate such cues to action. This study sought to examine the psychometric
reliability and validity of the French version.
METHODS: A forward-backward translation of the CCUQ was performed. Principal
research tools were CCUQ, SEMSA and ESS. Subjects with OSAS were invited to
complete the CCUQ just before CPAP initiation and 10 days after CPAP initiation.
The ESS was completed just before CPAP initiation and one month after CPAP
initiation. The SEMSA was completed just before CPAP initiation. Statistical
analyses methods aim to evaluate the psychometric properties of the French CCUQ
version in terms of its construct validity, internal structural validity,
test-retest and external validity. Mean CPAP use on the previous month was
recorded at one, six and twelve months after CPAP initiation.
RESULTS: A total of 140 patients with OSAS were included with 61.4% of men and a
mean age of 55.3 (±12.9), BMI of 29.8 (±4.9), initial ESS of 11.97 (±5.68), and
initial AHI 37.2/h (±19.3). Factor analysis confirmed the three-factor structure
of the CCUQ. Cronbach’s alpha coefficient was 0.64. Test-retest reliability (at
t-0 and at 10 days) of the CCUQ was satisfactory. External validity shown
significant correlation of the CCUQ with SEMSA and of the dimension “Partner
cues” of the CCUQ with mean CPAP use at one month.
CONCLUSION: The French CCUQ scale is a reliable and valid tool for measuring
cues to action in adults with OSAS initiating CPAP treatment. Further studies
are necessary to confirm the predictive value of cues to action and
self-efficacy for CPAP use and adherence. Such investigations would underpin
public health CPAP interventions in accordance with models of behavioral change.
Copyright © 2022 Elsevier Inc. All rights reserved.
DOI: 10.1016/j.jpsychores.2022.110943
PMID: 35580454 [Indexed for MEDLINE]