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Shift Workers' Health Behavior Action Program Across Europe (SHAPE)

18 augustus 2026 bijgewerkt door: Marco Mensink, Wageningen University
This study evaluates the effects of a Combined Lifestyle Intervention Program (CLIP) on sleep, lifestyle behaviors, obesity risk and health in night-shift workers. The primary objective is to assess the effect of the CLIP on objectively measured sleep duration. Secondary objectives include behavioral outcomes related to sleep, diet, physical activity, and stress, as well as body weight and metabolic outcomes, . It is hypothesized that CLIP participants will show a greater increase in sleep duration than controls, alongside favorable changes in lifestyle and health outcomes.

Studie Overzicht

Studietype

Ingrijpend

Inschrijving (Geschat)

400

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

      • Bremen, Duitsland
        • Werving
        • Uni Bremen
        • Contact:
          • U. Klink
          • Telefoonnummer: 0049 421 218 68980
      • Bremerhaven, Duitsland
        • Nog niet aan het werven
        • TTZ
      • Rotterdam, Nederland
        • Werving
        • Erasmus Medical Centre
        • Contact:
          • H. Lammers-van der Holst
          • Telefoonnummer: 0031 10 704 0704
      • Wageningen, Nederland
        • Werving
        • Wageningen University & Research
        • Contact:
          • M. Mensink
          • Telefoonnummer: 0031 (0)317 480 100
      • Lodz, Polen

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

  • Volwassen
  • Oudere volwassene

Accepteert gezonde vrijwilligers

Ja

Beschrijving

Inclusion Criteria:

  • Age ≥ 21 years
  • Work ≥ 24 hours per week
  • Shift work duration > 3 years and currently doing night shifts
  • Expected to continue night shiftwork for at least 1 year after inclusion
  • On average working ≥ 4 night shifts per month
  • Working generally ≥ 2 consecutive night shifts
  • In possession of a smartphone and willing to download the study application

Exclusion Criteria:

  • Body Mass Index (BMI) < 18.5 or > 40 kg/m2
  • Pregnant or lactating
  • Chronic diseases with ongoing therapy (e.g. renal failure, active hepatitis, cirrhosis, myocardial infarction, chronic obstructive pulmonary disease and cancer)
  • Current or recent use of medications interfering with sleep, including: Central nervous system stimulants (e.g., Ritalin, Adderall, Modafinil or similar); Chronic use of sleep agents (e.g., benzodiazepine, non-hypnotic benzodiaze-pine, first-generation antihistamine, melatonin receptors agonists or similar); Other medications or combinations significantly affecting sleeping patterns
  • Recent or ongoing psychotherapy for sleep disorders
  • Current or recent use of medications affecting appetite or weight regulation, including: Appetite-enhancing/weight-gain medications (e.g., atypical antipsychotics, cor-ticosteroids such as prednisone, mirtazapine or similar); Appetite-suppressing/weight-loss medications (e.g., CNS stimulants such as Ritalin, Adderall, GLP-1 receptors agonists or similar); Other medications or combinations significantly influencing appetite or body weight
  • Participation in another human trial, lifestyle program or weight loss intervention within the past 3 months
  • Planned surgical procedure during the study period
  • History of or planned bariatric surgery/treatment

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Preventie
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Experimenteel: Intervention
Intervention group receives access to the 24-week combined lifestyle intrevention, which includes the mobile intervention app and four interactive workshops.
The 24-week lifestyle intervention is structured in four 6-week blocks focusing on sleep and stress management or diet and physical activity. Lifestyle advice and behavior change techniques are delivered via a mobile application, complemented by workshops.
Geen tussenkomst: Control
The control group receives informational brochures with general advice on the four life-style domains, without active behavioral support. The control group receives access to the combined lifestyle intrevention after the intervention period has ended.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Sleep duration
Tijdsspanne: From enrollment to the end of intervention (24 weeks)
Total sleep time (min/24h)
From enrollment to the end of intervention (24 weeks)

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Body weight
Tijdsspanne: From enrollment to end of intervention (24 weeks)
(kg)
From enrollment to end of intervention (24 weeks)
BMI
Tijdsspanne: From enrollment to end of intervention (24 weeks)
(kg/m2)
From enrollment to end of intervention (24 weeks)
Objective sleep quality
Tijdsspanne: From enrollment to end of intervention (24 weeks)
Wake after sleep onset (min spent awake/main sleep episode), derived from actigraphy data
From enrollment to end of intervention (24 weeks)
Overall diet quality
Tijdsspanne: From enrollment to end of intervention (24 weeks)
Diet quality score: Eetscore™, a 55-item FFQ which is scored with the Dutch Healthy Diet 2015-index to evaluate adherence to the Dutch food-based dietary guideline; resulting in a total score between zero (no adherence) and 100 (complete adherence).
From enrollment to end of intervention (24 weeks)
Physical activity level
Tijdsspanne: From enrollment to end of intervention (24 weeks)
Light, moderate, vigorous activity (min), Sedentary time (min) as measured with an actigraphy (Motionwatch)
From enrollment to end of intervention (24 weeks)
Perceived stress
Tijdsspanne: From enrollment to end of intervention (24 weeks)
Perceived stress score (PSS-10), a 10-item validated questionnaire assessing the extent to which individuals perceive their lives as unpredictable, uncontrollable, and overloaded. Items are rated on a 5-point Likert scale referring to experiences over the past month; higher score mean more stress.
From enrollment to end of intervention (24 weeks)
Subjective sleep quality (Insomina)
Tijdsspanne: From enrollment to end of intervention (24 weeks)
Insomnia severity (0-28): a 7-item self-administered questionnaire validated in shift workers as a proxy for sleep quality. Items assess the severity of insomnia symptoms, including difficulties with sleep onset, maintenance, and early awakening. Each item is scored 0-4, with total scores ranging from 0 to 28; higher scores indicate more severe insomnia
From enrollment to end of intervention (24 weeks)
Subjective leep quality (pattern)
Tijdsspanne: [Time Frame: From enrollment to end of intervention (24 weeks)]
Shift Work Disorder Questionnaire (SWDQ): a 4-item questionnaire assessing sleep patterns, excessive sleepiness, and functional impairment related to shift work (53). Each item is scored 1-4, yielding a total score of 4-16, with higher scores reflecting greater symptom severit
[Time Frame: From enrollment to end of intervention (24 weeks)]
Chrono-nutrition patterns
Tijdsspanne: From enrollment to end of intervention (24 weeks)
Meal timing, frequency, regularity; using the Chrono nutrition Questionnaire for Shift Workers (CNQ-Shift). The questionnaire contains 20-23 questions, five questions each for morning, afternoon, and night shifts, three split shifts questions (if applicable), and two questions for work-free days.
From enrollment to end of intervention (24 weeks)
Food preferences
Tijdsspanne: From enrollment to end of intervention (24 weeks)
FFPQ (liking/wanting scores): Participants rate "how pleasant it would be to try a bite of this food," using a 100-point visual analogue scale (explicit liking). A forced choice procedure is then carried used to assess which food participants would "most like to eat now" (implicit wanting).
From enrollment to end of intervention (24 weeks)
Occupational physical activity
Tijdsspanne: From enrollment to end of intervention (24 weeks)
OSPAQ (min)
From enrollment to end of intervention (24 weeks)
Work-related sense of coherence
Tijdsspanne: From enrollment to end of intervention (24 weeks)
Work-related sense of coherence Work-Soc (5-point Likert scale), a 9-scale assessing individuals' perceived comprehensibility, manageability, and meaningfulness at work.
From enrollment to end of intervention (24 weeks)
Satisfaction With Life
Tijdsspanne: [Time Frame: From enrollment to end of intervention (24 weeks)]
Satisfaction With Life Scale (SWLS): a 5-item questionnaire evaluating global life satisfaction (66). Items are rated on a 7-point scale
[Time Frame: From enrollment to end of intervention (24 weeks)]

Andere uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Body composition
Tijdsspanne: From enrollment to end of intervention (24 weeks)
body Fat percentage (%) measured with bio-impedance analysis (BIA)
From enrollment to end of intervention (24 weeks)
waist to hip circumference
Tijdsspanne: [Time Frame: From enrollment to end of intervention (24 weeks)]
ratio of waist and hip circumference (cm/cm)
[Time Frame: From enrollment to end of intervention (24 weeks)]
Behavior assessment
Tijdsspanne: From enrollment to end of intervention (24 weeks)
Action planning, Coping planning, Habit formation, Intention. All items are scored on a either a 5 or 7-point Likert scale ranging from totally disagree to totally agree.
From enrollment to end of intervention (24 weeks)
Stress biomarker
Tijdsspanne: From enrollment to end of intervention (24 weeks)
Hair cortisol concentraition (HCC), pg/mg hair
From enrollment to end of intervention (24 weeks)
glucose
Tijdsspanne: [Time Frame: From enrollment to end of intervention (24 weeks)]
fasted blood glucose (mM)
[Time Frame: From enrollment to end of intervention (24 weeks)]
Insulin
Tijdsspanne: [Time Frame: From enrollment to end of intervention (24 weeks)]
fasted plasma insulin (pmol/L)
[Time Frame: From enrollment to end of intervention (24 weeks)]
blood lipids
Tijdsspanne: [Time Frame: From enrollment to end of intervention (24 weeks)]
fasted blood lipids (mmol/L)
[Time Frame: From enrollment to end of intervention (24 weeks)]
blood pressure
Tijdsspanne: [Time Frame: From enrollment to end of intervention (24 weeks)]
Diastolic and systolic blood pressure in fasted state (mmHg)
[Time Frame: From enrollment to end of intervention (24 weeks)]
circadian biomarker
Tijdsspanne: [Time Frame: From enrollment to end of intervention (24 weeks)]
urinary melatonin (ng/mL)
[Time Frame: From enrollment to end of intervention (24 weeks)]
Participant satisfaction and feasibility
Tijdsspanne: end of intervention (week 24)
assessed using a study-specific questionnaire evaluating participants' experiences with the intervention content, delivery, usability, and perceived burden of the intervention
end of intervention (week 24)

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Nuttige links

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

15 mei 2026

Primaire voltooiing (Geschat)

1 juli 2027

Studie voltooiing (Geschat)

1 december 2027

Studieregistratiedata

Eerst ingediend

1 mei 2026

Eerst ingediend dat voldeed aan de QC-criteria

1 juni 2026

Eerst geplaatst (Werkelijk)

8 juni 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

20 augustus 2026

Laatste update ingediend die voldeed aan QC-criteria

18 augustus 2026

Laatst geverifieerd

1 mei 2026

Meer informatie

Termen gerelateerd aan deze studie

Plan Individuele Deelnemersgegevens (IPD)

Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?

ONBESLIST

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Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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