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

Christophe Gauld; Hatim Rhanmi; Pierre Philip; Jean-Arthur Micoulaud-Franchi

doi:10.1016/j.jpsychores.2022.110943

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

J Psychosom Res. 2022 Jul:158:110943. doi: 10.1016/j.jpsychores.2022.110943. Epub 2022 May 13.

Authors

Christophe Gauld¹, Hatim Rhanmi², Pierre Philip³, Jean-Arthur Micoulaud-Franchi⁴

Affiliations

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: jarthur.micoulaud@gmail.com.

PMID: 35580454
DOI: 10.1016/j.jpsychores.2022.110943

Abstract

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.

Keywords: Adherence; CPAP; Obstructive sleep apnea syndrome; Scale; Sleep; Validation.

MeSH terms

Adult
Continuous Positive Airway Pressure / methods
Cues*
Humans
Male
Middle Aged
Reproducibility of Results
Sleep Apnea, Obstructive* / therapy
Surveys and Questionnaires
Treatment Adherence and Compliance