The Sleep Health and Fatigue Education Program for the Administrators of Emergency Medical Services Agencies (CODE3)
The CODE3 First Responder Sleep Health Program
The investigators aim to pilot test an education program designed to address workplace sleep health and fatigue. The education program targets employers (administrators) of United States (U.S.)-based emergency medical services (EMS) and fire department operations. Data from this pilot, proof-of-concept study will provide data to inform larger studies.
Tutkimuksen yleiskatsaus
Tila
Tila
Ehdot
Ehdot
Interventio / Hoito
Interventio / Hoito
Yksityiskohtainen kuvaus
Poor sleep and fatigue are widespread among first responder personnel such as EMTs and paramedics. Prior research shows that greater than 80% of frontline EMS personnel report fatigue. Unfortunately, there is no gold standard education program specifically for the administrators of EMS / first responder operations that raises awareness of current evidence based guidelines for sleep health and fatigue risk management.
The investigators aim to pilot test an education program specifically designed for employers (administrators) of U.S.-based EMS / fire operations. Data from this pilot study will provide much needed data regarding this type of education program and guide future, larger studies focused on poor sleep and fatigue in first responder operations.
Opintotyyppi
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Ilmoittautuminen
Vaihe
Vaihe
- Ei sovellettavissa
Yhteystiedot ja paikat
Opiskeluyhteys
Opiskeluyhteys
- Nimi: Paul D Patterson, PhD
- Puhelinnumero: 412-647-3078
- Sähköposti: pdp3@pitt.edu
Tutki yhteystietojen varmuuskopiointi
- Nimi: Maureen Morgan
- Puhelinnumero: 412-647-3078
- Sähköposti: morganma@upmc.edu
Osallistumiskriteerit
Kelpoisuusvaatimukset
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
-
EMS administrators are eligible if they are:
- 18 years of age or older
- Actively working as EMS administrator at any type of EMS agency
Frontline EMS personnel are eligible if they are:
- 18 years of age or older
- Actively working a minimum of 1 shift per week on the ambulance
- Affiliated with an agency involved in this research study based on an EMS administrator signing up first
Exclusion Criteria:
-
EMS administrators are not eligible if they are:
- Affiliated with a first responder organization that does not employ frontline EMS clinicians
- Daily operations do not involve frontline EMS personnel operating ambulances and taking care of patients either in an emergent or non-emergent situation 24 hours a day
- Administrator does not provide direct oversight of frontline EMS personnel
Frontline EMS personnel are not eligible if they:
- Are not affiliated with an EMS operation that is enrolled in this research study by an EMS administrator at their agency/operation
- Do not work at least 1 shift per week at the agency as a frontline EMS personnel taking care of patients in emergent or non-emergent situations
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Terveyspalvelututkimus
- Jako: Ei satunnaistettu
- Inventiomalli: Rinnakkaistehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseiden lukumäärä
Aseet ja interventiot
Osallistujaryhmä / ArmOsallistujaryhmä / Arm |
Interventio / HoitoInterventio / Hoito |
|---|---|
|
Kokeellinen: EMS Administrators
A short education program focused on importance of sleep health and fatigue delivered to emergency medical services administrators (EMS Administrator Arm) |
A short education program focused on importance of sleep health and fatigue delivered to emergency medical services administrators
Muut nimet:
|
|
Kokeellinen: Frontline EMS personnel
Frontline EMS personnel employed at EMS agencies where EMS administrators are exposed to the Sleep Health and Fatigue Education Program |
A short education program focused on importance of sleep health and fatigue delivered to emergency medical services administrators
Muut nimet:
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Change in policy (EMS Administrators)
Aikaikkuna: At baseline and at 6-9 months follow-up
|
A single question: "Did participant's EMS agency create a new or change an existing policy after watching the CODE3 Sleep & Fatigue in EMS Program? __Yes. __No." |
At baseline and at 6-9 months follow-up
|
|
Change in sleep quality (Frontline EMS personnel)
Aikaikkuna: At baseline and at 6-9 months follow-up
|
Sleep quality as measured by the Pittsburgh Sleep Quality Index (PSQI) among frontline EMS personnel. The PSQI solicits self-reported responses on 19 survey items that primarily use a Likert type response scale that are weighted using prescribed formulas and reference the prior month. Scores range from 0 - 21 with scores 6- 21 indicating poor sleep quality. A PSQI score decrease > = 3 points is considered clinically meaningful and associated with a reduction in signs and symptoms of poor sleep. |
At baseline and at 6-9 months follow-up
|
Toissijaiset tulostoimenpiteet
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Change in sleep health (Frontline EMS personnel)
Aikaikkuna: At baseline and at 6-9 months follow-up
|
Sleep health as measured by the RU-SATED survey instrument (Regularity, Satisfaction, Alertness, Timing, Efficiency, and Duration). The survey solicits self-reported responses on a Likert type response scale to 6 items that reference the prior month. Six items, each scored 0-2. Response of 0 = Never/rarely; 1 = Sometimes; 2 = Usually/always. Total score = sum of six items. There are no universally established clinical cut points for the RU-SATED; however, higher scores suggest good sleep health. |
At baseline and at 6-9 months follow-up
|
|
Change in daytime sleepiness (Frontline EMS personnel)
Aikaikkuna: At baseline and at 6-9 months follow-up
|
Daytime sleepiness is measured with the Epworth Sleepiness Scale (ESS). The ESS solicits self-reported responses on a Likert type scale to 8 items. Items are scored using a prescribed algorithm with scores ranging from 0 - 24. Higher scores indicate greater daytime sleepiness. A score decrease of > = 2 points is considered clinically meaningful and associated with a reduction in signs and symptoms of daytime sleepiness. |
At baseline and at 6-9 months follow-up
|
|
Change in fatigue (Frontline EMS personnel)
Aikaikkuna: At baseline and at 6-9 months follow-up
|
Fatigue (mental and physical) is measured with the Chalder Fatigue Questionnaire (CFQ). The CFQ solicits self-reported responses on a Likert type response scale to 11 survey items. One approach to scoring includes: Less than usual = 0; No more than usual = 1; More than usual = 2; Much more than usual = 3. The more commonly used approach to scoring (bimodal approach) includes: Less than usual = 0; No more than usual = 0; More than usual = 1; Much more than usual = 1. Scores > = 4 suggest severe mental and physical fatigue. |
At baseline and at 6-9 months follow-up
|
|
Change in chronic fatigue (Frontline EMS personnel)
Aikaikkuna: At baseline and at 6-9 months follow-up
|
Chronic fatigue (CF) is measured with the CF sub-scale survey instrument of the Occupational Fatigue Exhaustion/Recovery Scale (OFER-15). Responses for the CF sub-scale are solicited for 5 items using a Likert response scale: 0 = strongly disagree to 6 = strongly agree. Scoring involves summing the 5 items, dividing by 30 and then multiplying by 100. Scores range from 0 to 100. Final scores 0 - 25 suggest Low CF; scores 26 - 50 suggest Low to Moderate CF; scores 51 - 75 suggest Moderate to High CF; scores 76 to 100 suggest High CF. |
At baseline and at 6-9 months follow-up
|
|
Change in acute fatigue (Frontline EMS personnel)
Aikaikkuna: At baseline and at 6-9 months follow-up
|
Acute fatigue (AF) is measured with the AF sub-scale survey instrument of the Occupational Fatigue Exhaustion/Recovery Scale (OFER-15). Responses for the AF sub-scale are solicited for 5 items using a Likert response scale: 0 = strongly disagree to 6 = strongly agree. Scoring involves summing the 5 items, dividing by 30 and then multiplying by 100. Scores range from 0 to 100. Final scores 0 - 25 suggest Low AF; scores 26 - 50 suggest Low to Moderate AF; scores 51 - 75 suggest Moderate to High AF; scores 76 to 100 suggest High AF. Two items of the AF sub-scale are reverse scored/coded. |
At baseline and at 6-9 months follow-up
|
|
Change in Intershift Recovery (Frontline EMS personnel)
Aikaikkuna: At baseline and at 6-9 months follow-up
|
Intershift Recovery between shifts (IR) is measured with the IR sub-scale survey instrument of the Occupational Fatigue Exhaustion/Recovery Scale (OFER-15). Responses for the IR sub-scale are solicited for 5 items using a Likert response scale: 0 = strongly disagree to 6 = strongly agree. Scoring involves summing the 5 items, dividing by 30 and then multiplying by 100. Scores range from 0 to 100. Final scores 0 - 25 suggest Low IR; scores 26 - 50 suggest Low to Moderate IR; scores 51 - 75 suggest Moderate to High IR; scores 76 to 100 suggest High IR. Three items of the IR sub-scale are reverse scored/coded. |
At baseline and at 6-9 months follow-up
|
Yhteistyökumppanit ja tutkijat
Sponsori
Sponsori
Yhteistyökumppanit
Yhteistyökumppanit
Tutkijat
Tutkijat
- Päätutkija: Paul D Patterson, PhD, University of Pittsburgh
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Arvioitu)
Opiskelun aloitus
Ensisijainen valmistuminen (Arvioitu)
Ensisijainen valmistuminen
Opintojen valmistuminen (Arvioitu)
Opintojen valmistuminen
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Ensimmäinen Lähetetty
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin päivitys julkaistu
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muita asiaankuuluvia MeSH-ehtoja
Muut tutkimustunnusnumerot
Muut tutkimustunnusnumerot
- STUDY26070003
- 307-SR-23 (Muu apuraha/rahoitusnumero: American Academy of Sleep Medicine Foundation)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
De-identified data and a data dictionary will be shared with other researchers (investigators) on a case-by-case basis and based on the required procedures and guidance as outlined by the University of Pittsburgh in the Data Use Agreements provided by the Office of Sponsored Programs.
IPD-jaon aikakehys
Requests for sharing data will be reviewed 12 months after publication of the study's main findings by the study investigators.
IPD-jaon käyttöoikeuskriteerit
Requests must adhere to the policies and requirements of the University of Pittsburgh as outlined in Data Use Agreements. De-identified data files and a data dictionary can be shared using University of Pittsburgh approved mechanisms.
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
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