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Sleep Disorders Management, Health and Safety in Police

Primary Purpose

Sleep Disorders, Sleep Apnea, Obstructive, Restless Legs Syndrome

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Sleep Hygiene Education
Screening and Treatment of Sleep Disorders
Sponsored by
Brigham and Women's Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Sleep Disorders focused on measuring Police, Sleep, Fatigue, Work Hours, Sleep disorder, Performance

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: Active sworn police officers Exclusion Criteria: none

Sites / Locations

  • Brigham and Women's Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Other

Other

Other

Arm Label

In Person Training

Train the Trainer

Online Group

Arm Description

These firefighters received the sleep education and sleep disorders screening in person by one of our research staff.

These firefighters received the education and sleep disorder screening in person with someone taught by our research staff.

These firefighters took the sleep disorder screening and education online.

Outcomes

Primary Outcome Measures

Motor vehicle accidents as a function of miles traveled
Number of on-the-job injuries
Number of citations issued
Number of arrests made
Number of warnings issued
Number of officer-initiated vehicle assists
Number of sick leave days
Sleep duration
Sleep quality
Alertness
Performance

Secondary Outcome Measures

Job satisfaction
Burnout
Works hours

Full Information

First Posted
September 13, 2005
Last Updated
March 15, 2016
Sponsor
Brigham and Women's Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT00207285
Brief Title
Sleep Disorders Management, Health and Safety in Police
Official Title
Sleep Disorders Management, Health and Safety in Police
Study Type
Interventional

2. Study Status

Record Verification Date
March 2016
Overall Recruitment Status
Completed
Study Start Date
May 2005 (undefined)
Primary Completion Date
September 2010 (Actual)
Study Completion Date
September 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Brigham and Women's Hospital

4. Oversight

5. Study Description

Brief Summary
The purpose of the study is to test the effect of a sleep disorders detection and treatment program for police officers on their safety, quality of life, and job performance. The program is called Operation Healthy Sleep. We will develop and test a sleep health detection and treatment program that we aim to apply nationwide to reduce police officer fatigue and stress; enhance the ability of officers and their families to cope with police work; improve the health, safety and performance of law enforcement officers; and thereby improve public safety. Part of this program will include a questionnaire asking about about work hours and health related issues. We will then look at how these survey data relate with data on police officer safety and job performance that we are collecting through police department's databases. Sleep disorders are common and treatable, but often remain undiagnosed and untreated. Police officers work some of the most demanding schedules known, which increases their risk of sleep disorders. The public expects officers to perform flawlessly, but unrecognized sleep disorders lead to severe disruption of sleep, which significantly reduces an individual's ability to think clearly and perform well. In addition, sleep loss and sleep disruption affect personal health, increasing the risk of gastrointestinal and cardiovascular. We also know that sleep loss increases the risk of injury due to motor vehicle crashes. The goals of Operation Healthy Sleep are to improve officers' health, safety, and performance by reducing the impact of fatigue. The study will take place over two years. In the first year, half of the police officers will take part in Operation Healthy Sleep, and in the second year, the second half will participate. We will carefully select the year 1 and year 2 groups so that the data collected across the two years can be validly compared.
Detailed Description
Information Session and Surveys We will visit police stations and present an information session about Operation Healthy Sleep. The session will take place during work time. During this session, we will also provide a short education session aimed to help officers to improve their sleep habits and alertness. During the session, we will invite officers to take part in Operation Healthy Sleep. If the officer agrees to take part, he/she will be asked to provide informed consent, and then complete a survey. The survey is comprehensive and includes questions regarding work schedules, past medical history, health habits, accidents, quality of life, and mood. The survey will also include a screening test to see if they might have a sleeping disorder. The total time commitment involved in attending the information/education session and completing the survey will be about 1 to 2 hours. Officers will be asked to provide email address and other contact information. Officers will then receive information on how to link to our monthly web-based nationwide survey. The brief monthly surveys include questions regarding work schedules, accidents and injuries, health, quality of life, and mood. The survey should take about 10-15 minutes to complete each month. Finally, a version of the survey will be completed at the end of each year until the study is completed (i.e. at most, two years). These yearly surveys will be completed during regular work time. During the study, we will be tracking work hours, accidents, and job performance of all officers using the police department's computerized and paper records. Data collected through this system may be compared with other data we collect from officers directly. Protection of officers' confidentiality will be our highest priority. Assessment and Treatment of Sleep Disorders After the initial information/education session is completed, we will review responses to the survey to check whether officers are at risk of having a sleep disorder. If officers are found to be at risk, we will contact them and recommend that they undergo assessment and, if necessary, treatment by a physician or sleep specialist. We will provide the officer with referrals to local sleep disorders testing and treatment centers and physicians. Officers are free to choose another sleep disorders specialist or another physician if they prefer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sleep Disorders, Sleep Apnea, Obstructive, Restless Legs Syndrome, Sleep Disorders, Circadian Rhythm, Sleep Initiation and Maintenance Disorders
Keywords
Police, Sleep, Fatigue, Work Hours, Sleep disorder, Performance

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Factorial Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
731 (Actual)

8. Arms, Groups, and Interventions

Arm Title
In Person Training
Arm Type
Other
Arm Description
These firefighters received the sleep education and sleep disorders screening in person by one of our research staff.
Arm Title
Train the Trainer
Arm Type
Other
Arm Description
These firefighters received the education and sleep disorder screening in person with someone taught by our research staff.
Arm Title
Online Group
Arm Type
Other
Arm Description
These firefighters took the sleep disorder screening and education online.
Intervention Type
Behavioral
Intervention Name(s)
Sleep Hygiene Education
Intervention Description
Baseline general meetings with officers in intervention districts, in which we will provide an introductory program on optimal caffeine use (caffeine re-education) and sleep hygiene, as these are cost-effective measures that may effectively address difficulties adjusting to night work, and low-grade sleep disorders such as mild shift work sleep disorder across the cohort as a whole.
Intervention Type
Procedure
Intervention Name(s)
Screening and Treatment of Sleep Disorders
Intervention Description
All individuals who screen positive in the questionnaires on the baseline survey will be referred to one of the physicians at Sleep HealthCenters® or other sleep clinics in Massachusetts. Individuals will be paid $40 for attending an initial consultation visit with a sleep clinician and $400 if they are then asked to undergo an overnight sleep study and they complete the sleep study. Individuals will also be asked to wear an ApneaLink device for 2 nights at home and for 1 night during the overnight visit at Sleep HealthCenters®. Subjects may be asked to wear the ApneaLink device for more than 2 nights if there are not 4 hours of usable data each night. If the data is inadequate, subjects will be asked to wear the device until 4 hours of usable data on 2 nights is achieved. The ApneaLink device is an FDA approved sleep-screening tool that is used to identify individuals that are at risk for Obstructive Sleep Apnea Syndrome.
Primary Outcome Measure Information:
Title
Motor vehicle accidents as a function of miles traveled
Time Frame
05/2005 - 07/2009
Title
Number of on-the-job injuries
Time Frame
05/2005 - 07/2009
Title
Number of citations issued
Time Frame
05/2005 - 07/2009
Title
Number of arrests made
Time Frame
05/2005 - 07/2009
Title
Number of warnings issued
Time Frame
05/2005 - 07/2009
Title
Number of officer-initiated vehicle assists
Time Frame
05/2005 - 07/2009
Title
Number of sick leave days
Time Frame
05/2005 - 07/2009
Title
Sleep duration
Time Frame
05/2005 - 07/2009
Title
Sleep quality
Time Frame
05/2005 - 07/2009
Title
Alertness
Time Frame
05/2005 - 07/2009
Title
Performance
Time Frame
05/2005 - 07/2009
Secondary Outcome Measure Information:
Title
Job satisfaction
Time Frame
05/2005 - 07/2009
Title
Burnout
Time Frame
05/2005 - 07/2009
Title
Works hours
Time Frame
05/2005 - 07/2009

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Active sworn police officers Exclusion Criteria: none
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Charles A Czeisler, Ph.D., M.D.
Organizational Affiliation
Brigham and Women's Hospital, Harvard Medical School
Official's Role
Principal Investigator
Facility Information:
Facility Name
Brigham and Women's Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States

12. IPD Sharing Statement

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Sleep Disorders Management, Health and Safety in Police

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