Real-time Fatigue Mitigation With Air-medical Personnel: The SleepTrackTXT2 Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 83
- 试验地点
- 1
- 主要终点
- Sleep Quality
研究概览
简要总结
The overarching goal of this proposal is to address the MedEvac foundation priority of educational techniques and technologies and improve Helicopter Emergency Medical Services (HEMS) safety by determining if overall sleep quality and intra-shift fatigue of HEMS clinicians can be improved with real-time assessment and intervention.
Aim 1: To determine the short-term impact of an enhanced SleepTrackTXT intervention on HEMS clinician fatigue reported in real-time during and at the end of shift work.
Aim 2: To determine the long-term impact of the SleepTrackTXT intervention on sleep quality and sleep health indicators including hours of sleep and recovery between shift work.
详细描述
The investigators will examine short term impact by examining self-reported fatigue captured at the start, during, and end of scheduled shifts.
The investigators will determine longer-term impact on sleep quality by comparing scores on the Pittsburgh Sleep Quality Index (PSQI) taken at baseline and then again at 4 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •18 years of age and older
- •working clinically at a study site
- •currently working in shifts
- •has a smart phone and
- •willing to take part in a research study that requires the sending and receiving of multiple text messages daily over 4-months
排除标准
- •does not meet inclusion criteria
研究组 & 干预措施
SleepTrackTXT2
Participants will receive text-message based assessment during shift work (intra-shift) and between shifts (inter-shift). Participants in the experimental group that report high levels of fatigue, sleepiness, or difficulty with concentration during shift work (intra-shift) will receive tailored text-messages promoting adoption of behaviors that can improve alertness. Participants will also receive a summary of their sleep debt once a week and suggestions for paying back sleep debt. Participants will also have access to a graphic summary of their sleep hours over previous 30-days.
干预措施: SleepTrackTXT2 (Behavioral)
Text-Message Assessments Only
Participants in the non-intervention group/arm will receive text-message based assessment during shift work (intra-shift) and between shifts (inter-shift). The inter-shift assessments will query the participant about his/her sleep hours, fatigue, sleepiness, and difficulty with concentration. No intervention messages sent to this group/arm.
结局指标
主要结局
Sleep Quality
时间窗: 4 months
Measured by the Pittsburgh Sleep Quality Index (PSQI); Scores range from 0 to 21. Higher scores indicate poorer sleep quality. Scores \>6 indicate poor sleep quality.
次要结局
- Sleepiness During Shiftwork(Every 4 hours up to 12 hours within a work shift)
- Inter-Shift Recovery(4 months)
- Difficulty With Concentration During Shiftwork(Every 4 hours up to 12 hours at end of work shift)
- Fatigue During Shiftwork(Every 4 hours up to 12 hours within work shifts)
研究者
Daniel Patterson, PhD, NRP
Assistant Professor
University of Pittsburgh