Having a CPAP user’s spouse involved may improve adherence. A study in the April issue of the Journal of Clinical Sleep Medicine followed 23 married men who were treated with continuous positive airway pressure. CPAP is the first-line treatment for sleep apnea. The men reported that when their spouse’s assisted them with CPAP, they were more likely to use the treatment.

Researchers looked at whether the spouses were encouraging or negative about their husband’s using CPAP, and whether they collaborated or were demanding. When spouses worked with their husbands, there was a moderate influence improving CPAP adherence. When spouses were negative or demanding, or even encouraging, there was no effect on CPAP compliance. The study suggested that physicians could improve CPAP compliance by teaching spouses how to become involved.