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Improving Sleep and Reducing External Stimuli With the Maya

4. oktober 2021 oppdatert av: Bram Tilburgs, Radboud University Medical Center

Improving Sleep and Reducing External Stimuli With the Maya: a Pilot Study on Experience, Feasibility and Applicability

Lack of sleep is a large problem for many patients in hospitals. Common causes are nuisances by light and sound. Especially with critically ill patients in the Intensive Care unit (ICU), Medium Care Unit (MCU) and Cardiac Care Unit (CCU), who are are monitored intensively, a lack of sleep often occurs.

Patients with a lack of sleep more offer suffer from delirium, are more often anxious and stressed, and have a longer length of stay in the hospital. Also, patients' lack of sleep enhances nurses workloads during nightshifts. Because of this, there is a strong need for innovative devices which aim to limit the light and sound nuisances and thereby enhance patients' quality of sleep in the ICU, MC and CCU.

The Maya is a special "cover" which can be placed over the head of the bed. As a result patients are able to limit light and sound nuisances and enhance their privacy.

With this pilot-study we aim to determine:

  • The feasibility and experiences of patients and healthcare professionals with the Maya.
  • To determine the effect size of dependent variables which can be used in future studies.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Forventet)

20

Fase

  • Ikke aktuelt

Kontakter og plasseringer

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

Studiekontakt

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

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • adult ICU, MC or CCU patients with 5 to 7 expected number of admission days
  • patients with an expected Richmond Agitation Sedation Scale (RASS) of >-3 and < +3
  • patients who speak Dutch (because of the qualitative evaluation of the Maya)

Exclusion Criteria:

  • patients with severe brain damage
  • patients with a severe psychiatric disorder

Studieplan

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

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Annen
  • Tildeling: Randomisert
  • Intervensjonsmodell: Crossover-oppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Annen: Group 1: Maya use on 1st, 3th and 5th day
Group 1 uses the Maya on the 1st, 3th and 5th day and not on the 2nd, 4th and 6th day of their admission to either the ICU, MC or CCU.
The Maya is a cover which can be placed over the end of the patients bed. The Maya aims to reduce light and sound nuisances and enhance patients' privacy
Annen: Group 2: Maya use on the 2nd, 4th, and 6th day
Group 2 uses the Maya on the 2nd, 4th and 6th day and not on the 1st, 3th, and 5th day of their admission to either the ICU, MC or CCU.
The Maya is a cover which can be placed over the end of the patients bed. The Maya aims to reduce light and sound nuisances and enhance patients' privacy

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Quality of sleep
Tidsramme: up to six days
patients' quality of sleep is measured once a day with the Richard Campbell Sleep Questionnaire (RCSQ); (minimum score 0 = worst sleep - maximum score 100 = best sleep)
up to six days

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
NRS sleep
Tidsramme: up to six days
Patients' sleep is measured once a day with the sleep numeric rating scale (NRS sleep); (minimum score 0 = worst sleep - maximum score 10 = best sleep)
up to six days
Anxiety
Tidsramme: up to six days
Patients' anxiety is measured once a day with the Daily Assesment of symptoms of Anxiety (DAS-A); (minimum score 0 = no anxiety - maximum score 24 = a lot of anxiety)
up to six days
NRS Stress
Tidsramme: up to six days
Patients' stress is measured once a day with the stress numeric rating scale (NRS-stress); (minimum score 0 = no stress - maximum score 10 = most imaginable stress)
up to six days
Arousal
Tidsramme: up to six days
patients' arousal is measured once a day with the Richmond Agitation Sedation Scale (RASS); (minimum score -5 = no reaction - maximum score = 4 very agitated)
up to six days
Delirium CCU
Tidsramme: up to six days
CCU patients' delirium is measured once a day with the delirium observation scale (DOSS); (minimum score 0 = no delirium; a score of >= 3 means delirium; maximum score 65)
up to six days
Delirium ICU/MC
Tidsramme: up to seven days
ICU/MC patients' delirium is measured once a day with the Intensive Care Delirium Checklist (ICDSC); (minimum score 0 = no delirium; a score of 1 - 3 means subsyndromal delirium; a score of 4 - 8 means delirium; maximum score 8)
up to seven days
Light
Tidsramme: up to six days
Light level (LUX). This will be measured with a validated application on a mobile phone
up to six days
Sound
Tidsramme: up to six days
Sound levels (decibel). This will be measured with a validated application on a mobile phone
up to six days
Hart rate
Tidsramme: up to six days
hart rate is measured with a heart rate monitor and reported every two hours as beats per minute (BPM)
up to six days
Respiratory rate
Tidsramme: up to six days
Respiratory rate is measured every two hours with a respiratory rate monitor and reported as rate per minute
up to six days
oxygen saturation
Tidsramme: up to six days
Oxygen saturation is measured every two hours with a oxygen saturation monitor and reported as a percentage
up to six days
Blood pressure
Tidsramme: up to six days
Blood pressure is measured every two hours with a intra-arterial catheter or a bloodpressure cuff and reported as diastolic value and systolic value (mmHg)
up to six days

Samarbeidspartnere og etterforskere

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

Etterforskere

  • Hovedetterforsker: Bram Tilburgs, Dr., adboudumc, intensive care, research

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 (Forventet)

1. november 2021

Primær fullføring (Forventet)

1. juni 2022

Studiet fullført (Forventet)

1. november 2022

Datoer for studieregistrering

Først innsendt

13. september 2021

Først innsendt som oppfylte QC-kriteriene

4. oktober 2021

Først lagt ut (Faktiske)

14. oktober 2021

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

14. oktober 2021

Siste oppdatering sendt inn som oppfylte QC-kriteriene

4. oktober 2021

Sist bekreftet

1. oktober 2021

Mer informasjon

Begreper knyttet til denne studien

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • 2021-13078

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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