BMC Pulmonary Medicine
“I know a little, but I can’t do more”: a COM-B-based qualitative study of CPAP use and sleep behaviour change among hospitalised patients with COMISA in China
Abstract Background Co-morbid insomnia and sleep apnoea (COMISA) is a highly prevalent condition associated with worse health outcomes and greater treatment complexity than either disorder alone. Patients with COMISA demonstrate lower acceptance and use of continuous positive airway pressure (CPAP) therapy compared with those who have obstructive sleep apnoea (OSA) alone, yet the subjective mechanisms underlying this adherence penalty remain poorly understood. Qualitative research on CPAP use and sleep behaviour ch …