MEntA Program Based on Motivational Interview to Improve Adherence to Treatment of Obstructive Sleep Apnea With Continuous Positive Airway Pressure (CPAP)

Set of factors, both internal and external, that drive a person to initiate, maintain, and direct their behavior toward the use of CPAP. The Motivation to Use CPAP Scale (MUC-S) is used for its evaluation. It is a 5-point Likert-type scale from strongly agree (5) to strongly disagree (1). The possible range for the scale is 9-45. A higher score indicates greater motivation to use CPAP treatment.

An individual's subjective belief in their own effectiveness and ability to learn and execute skills within a specific context, such as academics or social interactions. The OSA-CPAP Perceived Competence Evaluation Interview, composed of 13 items with a Yes or No response option, is used for its evaluation. Minimum score = 0; Maximum score = 13. The higher the score, the more competent the patient perceives himself to be in the use of CPAP and the better his self-efficacy.

Subjective perception of a person about their overall well-being. For its evaluation, Visual analogical well-being scale for sleep apnea is used. It consists of a 120-mm straight line on which the patient indicates his or her health status with respect to the symptoms which were the motivation for the consultation (e.g., OSA). The ends of the line indicate the least favorable and the most favorable well-being status. It functions as an Analog Rating Scale, with scores ranging from 0 (minimum) to 10 (maximum). The higher the score, the better the well-being in relation to the symptoms of obstructive sleep apnea.

Strong desire to sleep or a state of excessive drowsiness. For its evaluation, the Epworth test is used, a self-administered questionnaire with eight questions used to measure a person's general level of daytime sleepiness. It assesses the likelihood of dozing off in common situations, and a total score is calculated from (0) (never doze) to (3) (high chance of dozing) for each question. Minimum score = 0 and maximum score = 24. Scores between 0-10 are considered normal; scores between 11-14 are considered mild daytime sleepiness; scores between 15-18 are considered moderate daytime sleepiness; scores between 19-24 are considered severe daytime sleepiness.

Individual's experience of feelings and moods, such as happiness, sadness, anger, or anxiety, which can be influenced by internal factors and external events. For its evaluation, an ad hoc scale with 3 possible categories is used, which the patient chooses: bad (score 0), normal (score 1), better (score 2). A higher score is interpreted as a better mood

Regular actions people perform each day, encompassing personal care (like bathing and eating), work or school, and leisure (like reading or hobbies). For its evaluation, an ad hoc scale with 3 possible categories is used, which the patient chooses: bad (score 0), normal (score 1), better (score 2). A higher score is interpreted as a greater ability to perform activities of daily living.

Regular actions people perform each day, encompassing personal care (like bathing and eating), work or school, and leisure (like reading or hobbies). For its evaluation, an ad hoc scale with 3 possible categories is used, which the patient chooses: bad (score 0), normal (score 1), better (score 2). A higher score is interpreted as a greater ability to participate in social activities.