Denne siden ble automatisk oversatt og nøyaktigheten av oversettelsen er ikke garantert. Vennligst referer til engelsk versjon for en kildetekst.

The Sleep Health and Fatigue Education Program for the Administrators of Emergency Medical Services Agencies (CODE3)

4. november 2026 oppdatert av: Daniel Patterson, PhD, NRP, University of Pittsburgh

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.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

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.

Studietype

Intervensjonell

Registrering (Antatt)

184

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

  • Navn: Paul D Patterson, PhD
  • Telefonnummer: 412-647-3078
  • E-post: pdp3@pitt.edu

Studer Kontakt Backup

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Ja

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Helsetjenesteforskning
  • Tildeling: Ikke-randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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

Andre navn:
  • Sleep health and fatigue education program
Eksperimentell: 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

Andre navn:
  • Sleep health and fatigue education program

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in policy (EMS Administrators)
Tidsramme: 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)
Tidsramme: 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

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Change in sleep health (Frontline EMS personnel)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Samarbeidspartnere

Etterforskere

  • Hovedetterforsker: Paul D Patterson, PhD, University of Pittsburgh

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

1. desember 2026

Primær fullføring (Antatt)

31. august 2027

Studiet fullført (Antatt)

31. oktober 2027

Datoer for studieregistrering

Først innsendt

4. november 2026

Først innsendt som oppfylte QC-kriteriene

4. november 2026

Først lagt ut (Faktiske)

10. november 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

10. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

4. november 2026

Sist bekreftet

1. november 2026

Mer informasjon

Begreper knyttet til denne studien

Andre studie-ID-numre

  • STUDY26070003
  • 307-SR-23 (Annet stipend/finansieringsnummer: American Academy of Sleep Medicine Foundation)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

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-delingstidsramme

Requests for sharing data will be reviewed 12 months after publication of the study's main findings by the study investigators.

Tilgangskriterier for IPD-deling

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.

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .