Inpatient Sleep Loss: Educating and Empowering Patients
- Conditions
- Sleep
- Registration Number
- NCT04151251
- Lead Sponsor
- University of Chicago
- Brief Summary
While many interventions have targeted hospital staff to improve sleep, few have been successful, and often suffer from limited adherence to staff protocols. Given preliminary data that suggests that empowered patients are more likely to obtain better sleep and have objectively lower noise levels in their rooms, it is plausible that partnering directly with patients can mitigate sleep loss and improve health outcomes. Patients will be randomized to receive the I-SLEEP education and empowerment program and test the effectiveness of this program on patient sleep and health outcome in the hospital and post-discharge. The aim of the project is to reduce environmental, healthcare-related, and patient-related factors that disrupt sleep of hospitalized patients by use of patient education and empowerment intervention.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 256
- Admitted to the general/hospitalist medicine departments
- Stayed at least one night in hospital since admission
- Admitted >72 hours ago
- Patient has been diagnosed with a sleep disorder such as narcolepsy, insomnia, or sleep apnea
- Patient was transferred from ICU or outside hospital
- Patient under strict, droplet, or airborne isolation precautions
- Unable to ambulate
- Too confused or incoherent to provide consent
- Patient cannot speak English
- Pregnancy
- Residence in a nursing home or assisted living facility
- Patient was admitted in a hospital within two weeks of current admission
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Karolinska Sleep Log - Sleep Times Through stay in the hospital until discharge, usually 2-3 days A self-reported measure of time spent sleeping, time it took to fall asleep, etc.
- Secondary Outcome Measures
Name Time Method Karolinska Sleep Log - Outcomes of Sleep Through stay in the hospital until discharge, usually 2-3 days Subjective quality of sleep as determined by scales such as "On a scale of 1 to 5, with 5 being the most, how refreshed did you feel upon waking up this morning?"
Actigraphy - Objective Measure of Sleep Duration During stay at the hospital, for a week after, and for a week three months after discharge Actiwatch Spectrum Pros used to determine sleep duration
Actigraphy - Objective Measure of Sleep Quality During stay at the hospital, for a week after, and for a week three months after discharge Actiwatch Spectrum Pros used to determine sleep quality
Frequency of Sleep Disruptions in the Hospital Setting Through stay in the hospital until discharge, usually 2-3 days Administered to obtain a subjective view of typical disruptions to sleep such as bed comfort, room temperature, and pain. Items will also assess the disruptions that are caused by healthcare, such as vital signs, medication administration, and lab-work. This survey includes an item on how disruptive noise was to the patient's sleep, broken down into as many sources of hospital noise as possible.
Number of nighttime disruptions to sleep Through stay in the hospital until discharge, usually 2-3 days Measure of disruptions patients receive between 11 PM and 7 AM, determined by hospital hand sanitizer stations outside doors and electronic health record audits
Patients Who Report Talking to Clinicians About Their Healthcare Through stay in the hospital until discharge, usually 2-3 days Measure of number of patients who advocate for their sleep by making lifestyle changes, including speaking to their clinicians to reduce nighttime disruptions
Trial Locations
- Locations (1)
University of Chicago Medical Center
🇺🇸Chicago, Illinois, United States
University of Chicago Medical Center🇺🇸Chicago, Illinois, United States