What is the best recommendation for a non-compliant patient who refuses CPAP therapy but has an AHI of 8?

Position therapy is often recommended for individuals with obstructive sleep apnea (OSA) who are non-compliant with continuous positive airway pressure (CPAP) therapy, especially in cases where the apnea-hypopnea index (AHI) is moderate, like an AHI of 8. This approach involves encouraging patients to sleep in specific positions, typically on their sides, which can help reduce the frequency of apneic events. Many patients may find this method more appealing because it avoids the discomfort or inconvenience associated with CPAP, making it a practical alternative that can be implemented at home without the need for complex equipment.

Position therapy is particularly effective for those whose OSA is exacerbated by supine sleep, as gravity can play a significant role in airway obstruction in these cases. By making lifestyle adjustments, such as using specially designed pillows or positional alarms, patients can often improve their sleep quality and reduce AHI while maintaining a sense of autonomy over their treatment.

Other options, like surgery or prescribing an oral appliance, may also be considered later based on further evaluation and the patient’s willingness. However, these interventions can involve more commitment, cost, and potential risks compared to position therapy, especially for patients who are resistant to traditional methods. Suggesting a higher