User Compliance and Behavioral Adaptation Associated With Supine Avoidance Therapy

Behav Sleep Med. 2018 Jan-Feb;16(1):27-37. doi: 10.1080/15402002.2016.1163704. Epub 2016 May 9.


This study investigates behavioral adaptation to vibrotactile position-avoidance therapy during sleep in patients with obstructive sleep apnea (n =135) across 15 to 52 weeks. The overall compliance, based on nights used ≥ 4 hr, was 71%. Overall regular use, that is, ≥ 4 hr/night over 70% of nights, was 88%. Poor early compliance strongly predicted poor long-term treatment adherence, with 92% of those noncompliant across the first 12 weeks of therapy remaining noncompliant. Conversely, 21% of those with compliant utilization in the short term became noncompliant in the long term. It appears that patients do not habituate to the stimulus during sleep, nor was there a training effect associated with long-term use.

MeSH terms

  • Adaptation, Psychological*
  • Avoidance Learning*
  • Humans
  • Male
  • Patient Compliance*
  • Retrospective Studies
  • Sleep
  • Sleep Apnea, Obstructive / psychology*
  • Sleep Apnea, Obstructive / therapy*
  • Supine Position*