Oregon Military Employee Sleep and Health Study

Not Applicable

Completed

Conditions: Health Behavior
Well-Being
Sleep

Interventions: Behavioral: FSSB/Sleep Leadership Training
Behavioral: Actigraphy Feedback

Registration Number: NCT02946736

Lead Sponsor: Oregon Health and Science University

Brief Summary: This study is a randomized controlled trial that assesses the effects of (1) the Family-Supportive Supervisor Behavior (FSSB) and Sleep Leadership training and (2) sleep/cognitive effectiveness feedback intervention on health and well-being among full-time employees in the Oregon National Guard, their supervisors, and their families. The interventions involving both health protection and health promotion are expected to contribute to improvements in employees' and their supervisors' sleep, risk behaviors, mental and physical health, and injury, as well as employees' and their spouse/partners' family experiences, health and well-being, and workplace outcomes.

Detailed Description: The overall goal of the Military Employee Sleep and Health (MESH) study is to improve safety, health and well-being of service members in the Oregon National Guard and their families. The MESH Study seeks to do this by training supervisors to support Oregon National Guard service members by focusing on a reduction in work-life stress while increasing sleep health.

The Oregon MESH Study proposes that leadership can influence a fundamental change in the recognition of sleep health and service members' overall well-being and the well-being of their family members. With the support of the Oregon National Guard, the MESH Study will provide family-support and sleep leadership training for supervisors while raising awareness of sleep through daily non-invasive sleep measurements.

The investigators of the Oregon MESH Study expect positive results for study participants, including reduced stress and increased social support. Longer term, these effects are expected to create a more supportive work environment, which has positive effects on safety, health, well-being, family, and organizational outcomes. The investigators also expect that providing service members with individual sleep feedback will reduce sleep problems and improve sleep awareness.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 704

Inclusion Criteria

Full-time employees in the Oregon National Guard, including Military Technicians and Active Guard Reserves.

Exclusion Criteria

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Supervisor Intervention	FSSB/Sleep Leadership Training	Supervisors in the intervention group will go through the FSSB/sleep leadership training and receive actigraphy feedback.
Supervisor Intervention	Actigraphy Feedback	Supervisors in the intervention group will go through the FSSB/sleep leadership training and receive actigraphy feedback.
Employee Intervention	Actigraphy Feedback	Employees in the intervention group will receive actigraphy feedback.

Primary Outcome Measures

Name	Time	Method
Self-Reported Sleep Duration	9 months	Total number of hours calculated from reported bed time and wake time. Minimum 0 hours, Maximum 24 hours. Longer duration indicates longer sleep duration. Ideal range is 7-9 hours of sleep per night.
Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Disturbance Insomnia Subscale	9 months	Four item subscale of the larger 8 item Sleep Disturbance scale. Likert-type responses: 1 = Not at all to 5 = Very much). T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more of the concept being measured.
Patient Reported Outcomes Measurement Information System (PROMIS): Dissatisfaction With Sleep Subscale	9 months	Four item subscale of the larger 8 item Sleep Disturbance scale. Likert-type responses: 1 = Not at all to 5 = Very much). T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates for Dissatisfaction with Sleep were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more of the concept being measured (worse).
Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Related Impairment Subscale (SRI)	9 months	8 item scale. Likert-type responses: 1 = Not at all to 5 = Very much). T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates for SRI were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more sleep impairment (worse).
Actigraphic Sleep Duration: Total Sleep Time (TST)	9 months	Actigraphic measurements obtained using Actiwatch2 worn for 3 weeks Average sleep duration in hours Great duration generally better, with target range of 7-9 hours each sleep period.
Actigraphic Sleep Efficiency: Wake After Sleep Onset (WASO)	9-months	Actigraphic measurements obtained using Actiwatch2 worn for 3 weeks Average number of minutes spent awake during the sleep period. More minutes indicates worse outcome.
Overall Job Satisfaction Scale	9-months	Service member satisfaction with current job; Likert-type scale 1 = Strongly disagree to 5 = Strongly agree, mean created from the 3 items. Scores could range from 0-5 with higher levels indicating greater satisfaction. Source: Cammann et al., 1983
Turnover Intentions	9-months	Service member intention to quit current job; Two items with responses on Likert-type scale 1 = Strongly disagree to 5 = Strongly agree. Overall score created with a mean of the two items, with higher levels indicating greater intention to leave one's job. Source: Boroff \& Lewin, 1997
Perceived Stress Scale	9-months	Service member self-reported stress; Likert-type scale 0 = Never to 4 = Very often, combined to a mean score, with a possible range from 0 to 4. Higher scores indicate greater stress (worse). Source: Cohen \& Williamson, 1988
Walter Reed Functional Impairment: Occupational Subscale (OFI)	9-months	Service member difficulty with completing work tasks and quality; 6 items with Likert-type responses: 1 = No difficulty at all to 5 = Extreme difficulty, mean score created from all items, with possible score range from 1 to 5. Higher levels indicating greater impairment (worse). Source: Subscale of Overall Functional Impairment by Herrell et al., 2014
Walter Reed Functional Impairment Scale: Personal Functioning Subscale (PFI)	9-months	Service member difficulty with getting personal life skills completed; 2 items with Likert-type responses: 1 = No difficulty at all to 5 = Extreme difficulty, mean score created from all items, with possible score range from 1 to 5. Higher levels indicating greater impairment (worse). Source: Subscale of Overall Functional Impairment by Herrell et al., 2014
Walter Reed Functional Impairment Scale: Social Functional Impairment Subscale (SFI)	9-months	Service member difficulty functioning in social situations; 4 items with Likert-type responses: 1 = No difficulty at all to 5 = Extreme difficulty, mean score created from all items, with possible score range from 1 to 5. Higher levels indicating greater impairment (worse). Source: Subscale of Overall Functional Impairment by Herrell et al., 2014

Secondary Outcome Measures

Name	Time	Method
Family Supportive Supervisor Behaviors (FSSB)	4-months	Perceived supervisor support for work-family integration as reported by service member, 4 items, with responses on Likert-type scale 1=Strongly disagree to 5= Strongly agree, overall score created by mean score, with possible scores ranging from 1 to 5.. Higher scores indicating higher levels of support (better) Source: Hammer et al., 2013
Sleep Leadership	4-months	Perceived supervisor support for sleep health as reported by service member, 8 items, with responses on Likert-type scale 1=Never to 5= Always, overall score created by mean score, with possible scores ranging from 1 to 5.. Higher scores indicating higher levels of support (better) Source: Modified version of Gunia et al., 2015