Impact of Exercise Intervention on Well-being in Shift-working Acute Care Nurses

AdventHealth21 enrolled

Overview

This is a randomized, wait-list control pilot study to analyze the impact of a 12-week exercise training intervention on post-traumatic growth and whole-person well-being (mental health, physical health, spiritual well-being, perceived social support, and occupational health) among shift-working acute care nurses within AdventHealth.

This study has five phases: Phase I: Screening; Phase II: Baseline Assessments (Pre-Intervention); Phase III: Exercise training; Phase IV: Post-Intervention; and Phase V: Repeat assessments at 3-months and 6-months post-intervention. Phase I (90 minutes): This phase consists of reviewing and obtaining consent, screening for inclusion/exclusion criteria, reviewing study details, and assessing the need for medical clearance to participate in the exercise intervention, and a single blood draw for fasted blood profiles. Phase II (7 hours): Upon successful screening, all participants will complete baseline assessments. Phase III (Exercise Training Group 34 hours/Wait-List Control 4.5 hours): Upon completion of Phase II, participants will be randomized to the exercise training intervention group or the wait-list control group. Phase IV (7 hours): All participants will enter a post-intervention phase that includes repeat assessments of Phase II outcomes. Phase V (\~2 hours): A subset of psychometric questionnaires will be repeated 3- and 6-months post-exercise training intervention to ascertain sustainability of the intervention. \*Subjects randomized to the wait-list control group will be offered the exercise training intervention upon completion of the Phase V assessments.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Psychological Wellness

Interventions

Exercise training groupBEHAVIORAL

12-Week Exercise intervention on mentaL, metabolic, physicaL, spiritual, social, and occupational well-being among shift-working acute care NURSE

Wait-List Control GroupBEHAVIORAL

Control group

Eligibility

Sex: ALLMin age: 21 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion: 1. Age 21-65 years 2. Nurse working in an AdventHealth inpatient acute care setting 3. Currently working as a shift-working acute care nurse within AdventHealth. 4. Weight stable prior to beginning the study exercise training intervention. 5. Able to speak and understand written and spoken English. 6. Understands the procedures and agrees to participate by giving written informed consent. 7. Willing and able to comply with scheduled visits, laboratory tests, and other study procedures including a 12-week exercise training program. Exclusion Criteria: 1. Positive urine pregnancy test prior to DEXA scan 2. Uncontrolled Type 1 or Type 2 diabetes mellitus 3. Bleeding disorders 4. Acute or chronic infections 5. Chronic obstructive pulmonary disease 6. Renal insufficiency or nephritis 7. Uncontrolled hypertension (BP\>160 mmHg systolic or \>100 mmHg diastolic) 8. History of Cushing's disease or syndrome 9. Active rheumatoid arthritis or other inflammatory rheumatic disorder 10. Major surgery within 4 weeks prior to Screening 11. Participation in studies involving investigational drug(s) within 30 days prior to Screening 12. History or presence of cardiovascular disease (unstable angina, myocardial infarction or coronary revascularization within 6 months, presence of cardiac pacemaker, implanted cardiac defibrillator) 13. Any malignancy not considered cured, except basal cell carcinoma and squamous cell carcinoma of the skin (a participant is considered cured if there has been no evidence of cancer recurrence in the previous 5 years) 14. Presence of any condition that, in the opinion of the Investigator or medical investigator, compromises participant safety or data integrity or the participant's ability to complete study days. 15. More than 1-day a week of intentional exercise 16. Medically diagnosed sleep disorder 17. Weight \>450 lbs

Locations (1)

AdventHealth

Orlando, Florida, United States

Outcomes

Primary Outcomes

Post-traumatic growth

Post-traumatic growth inventory (PTGI) (21-item questionnaire with Likert scale of 0-5, with 0 for "I did not experience this change as a result of my crisis" and 5 for "I experienced this change to a very great degree as a result of my crisis")

Time frame: Group comparison baseline, 3 months, and 6 months follow-up

Secondary Outcomes

Depression

Patient Health Questionnaire (PHQ-2) (2-items measuring depression using Likert scale of 0 to 3 with 0 for "not at all" and 3 for "nearly every day)

Time frame: Group comparisons baseline, 3 months, and 6 months follow-up

Anxiety

Generalized Anxiety Disorder Scale (GAD-2) (2-items measuring anxiety with 4-point Likert scale with 0 for "not at all" and 3 for "nearly every day")

Time frame: Group comparisons baseline, 3 months, and 6 months follow-up

Professional Quality of Life for Health care workers

Professional Quality of Life Health (Pro-QOL Health) (30-items covering five domains (6 items each domain): 1) Compassion Satisfaction, 2) Perceived Support, 3) Burnout, 4) Secondary Traumatic Stress, and 5) Moral Distress using a Likert scale of 1-5 with 1 for "never" and 5 for "very often")

Time frame: Group comparisons baseline, 3 months, and 6 months follow-up

Cardiorespiratory fitness

Cardiopulmonary exercise test (CPX-T). (Aerobic fitness will be determined by measuring maximal O2 consumption (VO2max) during a stationary bicycle test)

Time frame: Group comparisons baseline, 3 months follow-up

24-H Physical activity patterns

GT3-X-BT, ActiGraph, LLC) monitor integrates motion sensor data from the tri-axial accelerometer to estimate the energy cost of free-living activity

Data from ClinicalTrials.gov

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