Intervention Design and Trial Protocol: Mindfulness-based Exposure for PAP-associated Claustrophobia

Michael J. Gawrysiak, Michael Baime, Tonya S. King, Alexa J. Watach, Miranda V. McPhillips, Ann Kolanowski, Sharon Schutte-Rodin, Amy M. Sawyer

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Positive airway pressure (PAP) associated claustrophobia is common among obstructive sleep apnea patients and plays a prominent role in low adherence and treatment failure. As there are no evidence-based interventions for PAP-associated claustrophobia, the objective of the present research is to pilot test Mindfulness-based Exposure for PAP-associated Claustrophobia, in sleep apnea adults that present with treatment non-adherence and claustrophobia. This approach combines Mindfulness-based Stress Reduction with exposure-based treatment components to target this treatment-associated claustrophobia. The present article outlines the mindfulness exposure intervention design and methods and reports the pilot trial study protocol. Trial findings are intended to: (a) develop a preliminary effect size of the intervention on PAP-associated claustrophobia; (b) explore differences in treatment adherence by group (intervention vs control); and (c) establish feasibility for expanded protocol implementation, delivery, and participant acceptability of the intervention to support subsequent design of a fully powered randomized controlled trial.

Original languageEnglish (US)
Pages (from-to)261-272
Number of pages12
JournalWestern Journal of Nursing Research
Issue number3
StatePublished - Mar 2021

All Science Journal Classification (ASJC) codes

  • General Nursing


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