Journal article

Understanding the clinical management of obstructive sleep apnoea in tetraplegia: a qualitative study using the theoretical domains framework

Marnie Graco, David J Berlowitz, Sally E Green

BMC HEALTH SERVICES RESEARCH | BMC | Published : 2019

Abstract

BACKGROUND: Clinical practice guidelines recommend further testing for people with tetraplegia and signs and symptoms of obstructive sleep apnoea (OSA), followed by treatment with positive airway pressure therapy. Little is known about how clinicians manage OSA in tetraplegia. The theoretical domains framework (TDF) is commonly used to identify determinants of clinical behaviours. This study aimed to describe OSA management practices in tetraplegia, and to explore factors influencing clinical practice. METHODS: Semi-structured interviews were conducted with 20 specialist doctors managing people with tetraplegia from spinal units in Europe, UK, Canada, USA, Australia and New Zealand. Intervie..

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Grants

Awarded by Australian Government NHMRC


Funding Acknowledgements

MG was funded by an Australian Government NHMRC post-graduate scholarship (1114181) and an Australasian Spinal Cord Injury Network PhD scholarship. None of the funders had any role in the design of the study, the collection, analysis and interpretation of the data, or in writing the manuscript.