White Noise to Improve Sleep in the MICU: a Pilot and Feasibility Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Sleep Deprivation
- Sponsor
- Yale University
- Enrollment
- 7
- Locations
- 1
- Primary Endpoint
- Intervention fidelity: percent of intervention time during which white noise is actually delivered
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
A feasibility study to evaluate the use of white noise to improve sleeping conditions in an ICU setting.
Detailed Description
The ICU is full of alarms and critically ill patients, so it is no surprise that sleep is very much fragmented and poor in this setting, as documented in numerous studies. White noise is a simple intervention that has been shown to improve sleep, including in the ICU setting. The aim is to conduct a pilot trial evaluating the feasibility of providing white noise to patients in the ICU at night to help improve sleep. The plan to measure feasibility metrics including patient acceptance, patient tolerance, and intervention fidelity; also to seek feedback from patients, nurses, and providers. Secondly is to evaluate the benefits of providing white noise at night in the ICU on sleep as measured by actigraphy and Richards-Campbell Sleep Questionnaires and total room sound.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adults \>18yo admitted to MICU with expected stay of at least two nights after enrollment
Exclusion Criteria
- •Excluding intubated patients (so communication can be better) and patients on high-flow nasal cannula (which is already high background noise).
- •Patients who are on therapeutic hypothermia or are on comfort measures only will also be excluded
Outcomes
Primary Outcomes
Intervention fidelity: percent of intervention time during which white noise is actually delivered
Time Frame: 48 hours
percent of intervention time during which white noise is actually delivered
Secondary Outcomes
- Sound Levels(48 hours)
- Sleep Questionnaire: Sleep Questionnaire. Patients will be surveyed after Study Night 1 and Study Night 2 with Richards- Campbell Sleep Questionnaires.(48 hours)
- Actigraphic rest-activity :Patients will wear Actiwatch Spectrum devices to measure rest-activity patterns. Sleep will be identified using Actiwatch Software as provided by the manufacture.(48 hours)
- Patient acceptance: percent of patients or surrogates who agree to receive white noise at night(48 hours)
- Patient tolerance: percent of days that patients agree to continue white noise(48 hours)