Fatigue mitigation with SleepTrackTXT2 in air medical emergency care systems: study protocol for a randomized controlled trialReport as inadecuate




Fatigue mitigation with SleepTrackTXT2 in air medical emergency care systems: study protocol for a randomized controlled trial - Download this document for free, or read online. Document in PDF available to download.

Trials

, 18:254

First Online: 05 June 2017Received: 02 August 2016Accepted: 19 May 2017DOI: 10.1186-s13063-017-1999-z

Cite this article as: Patterson, P.D., Moore, C.G., Guyette, F.X. et al. Trials 2017 18: 254. doi:10.1186-s13063-017-1999-z

Abstract

BackgroundMost air medical Emergency Medical Services EMS clinicians work extended duration shifts, and more than 50% report inadequate sleep, poor sleep quality, and-or poor recovery between shifts. The SleepTrackTXT pilot trial ClinicalTrials.gov, NCT02063737 showed that use of mobile phone text messages could impact EMS clinician self-reported fatigue and sleepiness during long duration shifts. The purpose of the SleepTrackTXT2 trial is to leverage lessons learned from the first SleepTrackTXT study and test an enhanced intervention targeting air medical EMS clinicians.

Methods-designWe will conduct a multi-site randomized trial with a sample of adult EMS clinicians recruited from four air medical EMS systems located in the midwest, northeastern, and southern USA. Participants will be allocated to one of two possible arms for a 4-month 120-day study period. The intervention arm will involve text-message assessments of sleepiness, fatigue, and difficulty concentrating at the beginning, every 4 hours during, and at the end of scheduled shifts. Participants reporting high levels of sleepiness, fatigue, or difficulty with concentration will receive one of nine randomly selected intervention messages to promote behavior change during shift work to improve alertness. Intervention participants will receive a text-message report on Friday of each week that shows their sleep debt over the previous 7 days followed by a text message to promote paying back sleep debt recovery when feasible. Participants in the control group receive text messages that only include assessments. Both arms will receive text-message assessments of perceived recovery since last shift, sleepiness, fatigue, or difficulty with concentration at noon 1200 hours on days between scheduled shifts off-duty days. We have two aims for this study: 1 to determine the short-term impact of the enhanced SleepTrackTXT2 intervention on air medical clinician fatigue reported in real time during and at the end of shift work, and 2 to determine the long-term impact of the SleepTrackTXT2 intervention on sleep quality and sleep health indicators including hours of sleep and recovery between shift work.

DiscussionThe SleepTrackTXT2 trial may provide evidence of real-world effectiveness that would support widespread expansion of fatigue mitigation interventions in emergency care clinician shift workers. The trial may specifically support use of real-time assessments and interventions delivered via mobile technology such as text messaging.

Trial registrationClinicalTrials.gov, NCT02783027. Registered on 23 May 2016.

KeywordsShiftwork Sleepiness Fatigue Alertness Emergency medicine Randomized controlled trial AbbreviationsCFQChalder Fatigue Questionnaire

EDEmergency department

EMAEcological momentary assessment

EMSEmergency Medical Services

mHealthMobile health

OFEROccupational Fatigue Exhaustion Recovery scale

PSQIPittsburgh Sleep Quality Index

SASSchedule Attitudes Survey

SFABSleep, Fatigue, and Alertness Behavior survey

SMSShort message service

USUSA, United States

Electronic supplementary materialThe online version of this article doi:10.1186-s13063-017-1999-z contains supplementary material, which is available to authorized users.





Author:

Source: https://link.springer.com/



DOWNLOAD PDF




Related documents