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.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
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.
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Coordonnées de l'étude
- Nom: Paul D Patterson, PhD
- Numéro de téléphone: 412-647-3078
- E-mail: pdp3@pitt.edu
Sauvegarde des contacts de l'étude
- Nom: Maureen Morgan
- Numéro de téléphone: 412-647-3078
- E-mail: morganma@upmc.edu
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
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
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Recherche sur les services de santé
- Répartition: Non randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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
Autres noms:
|
|
Expérimental: 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
Autres noms:
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Change in policy (EMS Administrators)
Délai: 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)
Délai: 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
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Change in sleep health (Frontline EMS personnel)
Délai: 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)
Délai: 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)
Délai: 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)
Délai: 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)
Délai: 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)
Délai: 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
|
Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Les enquêteurs
- Chercheur principal: Paul D Patterson, PhD, University of Pittsburgh
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- STUDY26070003
- 307-SR-23 (Autre subvention/numéro de financement: American Academy of Sleep Medicine Foundation)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
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.
Délai de partage IPD
Requests for sharing data will be reviewed 12 months after publication of the study's main findings by the study investigators.
Critères d'accès au partage IPD
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.
Informations sur les médicaments et les dispositifs, documents d'étude
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