- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02895997
Turning Night Into Day: Transcontinental Provision of Telehealth By and For the Emory Community
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The purpose of the study is to determine if temporarily relocating clinicians who deliver remote care using the eICU telehealth system to Sydney Australia will lead to greater job satisfaction, reduced physiologic stress, and improve performance. Four nurses and six physicians will be sent to a site in Sydney Australia on a rotating basis to determine whether providing care during the Australian daytime is more efficient and precise than providing care during the night in the United States.
As part of this pilot, each participant will undergo a series of evaluations before leaving, while in Australia, and after returning. The evaluations will include questionnaires related to well-being, task assessment (such as completing a paper maze or performing arithmetic), physiology assessment (such as continuous measure of heart rate by a wristwatch type device), and stress assessment (by sampling saliva and measuring cortisol and interleukin-1 Beta).
The researchers would like to determine whether normalization of the provider's (physician or nurse who are the research subjects) sleep-wake cycle improves subjective and objective well-being. Additionally, investigators seek to determine whether normalization of the provider's (physician or nurse who are the research subjects) sleep-wake cycle improves alertness and focus, and determine whether normalization of the provider's (physician or nurse who are the research subjects) sleep-wake cycle improves job performance.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Georgia
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Atlanta, Georgia, United States, 30322
- Emory University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Clinicians working in the clinical operations room at Emory University Hospital who volunteer participation in the study
Exclusion Criteria:
- Declining to participate after the first phase of data collection
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Clinical Operations Room Staff
Clinicians and critical care nurse volunteers from the clinical operations room (COR) staff at Emory University Hospital will travel to Sydney Australia to deliver telemedicine.
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Clinical Operations Room (COR) staff will travel to Sydney Australia to deliver telehealth to patients in Georgia United States.
Upon arrival, participants will have eight nights and seven days free of clinical responsibilities.
Thereafter, each participant will work four consecutive days of 12 hour shifts followed by four consecutive days with no clinical assignment.
The following week, participants will work three consecutive days of 12 hour shifts followed by four consecutive days with no clinical assignment.
Upon return to the USA, participants will have a week free of clinical responsibilities.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Salivary Cortisol Levels
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
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Saliva will be collected via a mouth swab and tested for cortisol levels.
Cortisol is a stress biomarker.
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Baseline, Post Intervention (Up to 8 weeks)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Stanford Sleepiness Scale Score
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
|
The Stanford Sleepiness Scale is a seven point scale that asks participants to assess how alert they are feeling throughout the day.
A result of 4 or below may indicate that a participant could be suffering from a lack of sleep
|
Baseline, Post Intervention (Up to 8 weeks)
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Change in the Trail Making Test A Score
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
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During the Trail Making Test A, participants will be asked to draw lines to connect circled numbers in a numerical sequence (i.e., 1-2-3, etc.) as rapidly in possible.
A shorter time indicates better cognition.
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Baseline, Post Intervention (Up to 8 weeks)
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Change in the Trail Making Test B Score
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
|
During the Trail Making Test B, participants will be asked to draw lines to connect circled numbers and letters in an alternating numeric and alphabetic sequence (i.e., 1-A-2-B, etc.) as rapidly as possible.
A shorter time indicates better cognition.
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Baseline, Post Intervention (Up to 8 weeks)
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Change in Physical Activity assessed by Multi-Scale Entropy
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
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Multi-scale entropy will be measured using a Jawbone wristband device provided to participants upon enrollment.
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Baseline, Post Intervention (Up to 8 weeks)
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Change in Physical Activity assessed by Multi-Scale Complexity
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
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Multi-scale complexity will be measured using a Jawbone wristband device provided to participants upon enrollment.
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Baseline, Post Intervention (Up to 8 weeks)
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Change in Heart Rate Variability assessed by Deceleration Capacity
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
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Deceleration capacity will be measured using a Jawbone wristband device provided to participants upon enrollment.
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Baseline, Post Intervention (Up to 8 weeks)
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Change in Heart Rate Variability assessed by Acceleration Capacity
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
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Acceleration capacity will be measured using a Jawbone wristband device provided to participants upon enrollment.
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Baseline, Post Intervention (Up to 8 weeks)
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Frequency of Arrhythmias
Time Frame: Duration of Study (Up to 31 Days)
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The frequency of arrhythmias will be collected using a Jawbone wristband device provided to participants upon enrollment.
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Duration of Study (Up to 31 Days)
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Change in Sleep Latency
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
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Sleep latency is the length of time it takes to accomplish the transition from full wakefulness to sleep.
This will be measured in minutes using a Jawbone wristband device provided to participants upon enrollment.
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Baseline, Post Intervention (Up to 8 weeks)
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Number of Awakenings per Hour
Time Frame: Duration of Study (Up to 31 Days)
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The number of times a participants awakes during sleep will be monitored at every hour using a Jawbone wristband device provided to participants upon enrollment.
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Duration of Study (Up to 31 Days)
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Change in Percent of Non Rapid Eye Movement (REM) Sleep
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
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Change is the difference between the percentage of non REM sleep taken during performance phases.
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Baseline, Post Intervention (Up to 8 weeks)
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Change in Mood Symptom Questionnaire Score
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
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The Mood Symptom Questionnaire was originally designed to diagnose bipolar disorder.
The questionnaire takes about five minutes to complete, and can provide important insights into diagnosis and treatment.If the patient answers "Yes" to seven or more of the 13 items in question number 1 AND "Yes" to question number 2 AND "Moderate" or "Serious" to question number 3, there is a positive screen.
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Baseline, Post Intervention (Up to 8 weeks)
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Change in Patient Health Questionnaire-9 (PHQ-9) Score
Time Frame: Baseline, Post Intervention (Up to 8 weeks)
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The PHQ-9 is a multi-purpose instrument for screening, diagnosing, monitoring, and measuring the severity of depression.
A score of 5-9 represents signs of minimal depression symptoms.
A score of 10-14 represents symptoms of minor depression.
A score of 15-19 represents symptoms of major depression, moderately severe.
A score of greater than 20 represents symptoms of major depression, severe.
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Baseline, Post Intervention (Up to 8 weeks)
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Change in Number of Camera Sessions
Time Frame: Day 1, Day 31
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Difference in the number of camera sessions completed during performance phases.
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Day 1, Day 31
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Change in Duration of Camera Sessions
Time Frame: Day 1, Day 31
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Difference in the duration of camera sessions during performance phases measured in minutes.
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Day 1, Day 31
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Change in Urgency of Clinical Contacts
Time Frame: Day 1, Day 31
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Difference in priority levels assigned to each clinical contact (levels: preventative; informative/procedural; urgent; life-threatening)
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Day 1, Day 31
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Change in Number if Clinical Record Entries
Time Frame: Day 1, Day 31
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Difference in the number of clinical record entries made by physicians only during the performance phases.
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Day 1, Day 31
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Change in Duration of Service
Time Frame: Day 1, Day 31
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Difference in the duration of physician services during each performance phase measured in hours.
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Day 1, Day 31
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Timothy Buchman, MD, Emory University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB00088367
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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