Shift Worker Intervention for Sleep Health

Oregon State University60 enrolled

Overview

The aim of this study is to pilot test a comprehensive, personalized, media-augmented telehealth intervention ("SWISH") designed to improve sleep health among shift workers.

Night shift nurses with insomnia who meet all study criteria will receive insomnia therapy, modified for shift workers that is designed to improve sleep health among shift workers by targeting shift workers' unique sleep health problems which manifest during both sleep and wake. Participants will be randomized to either SWISH, a multicomponent behavioral intervention based on cognitive behavioral therapy for insomnia that is individually administered via telehealth across approximately weekly sessions that range in length from 30-60 minutes, or delayed treatment control, which will involve weekly assessments but no active treatment until the delay period is over, at which point they will be offered the intervention. The therapy will be conducted over telehealth by interventionists trained in behavioral sleep medicine.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Shift Work Type Circadian Rhythm Sleep Disorder Insomnia, Psychophysiological

Interventions

Shift Worker Intervention for Sleep HealthBEHAVIORAL

SWISH, a multicomponent behavioral intervention based on cognitive behavioral therapy for insomnia that is individually administered via telehealth across nine approximately weekly sessions that range in length from 15-60 minutes

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Provision of signed and dated informed consent form * Any gender; Ages 18-65 * Currently employed as a nurse or nursing staff member (e.g., CNA) in the United States * Currently have shift work schedules (i.e., stable night shift or rotating shifts that include nights, \>=2 nights/week) and have worked shift work \>=2 nights/week for at least 3 months * Expect to have a shift work schedule \>=2 nights/week over the next 6 months * endorse poor sleep, as evidenced by T-score \>=60 on the PROMIS Sleep Disturbance OR Sleep-Related Impairment measure * Have daily access to the internet on a smartphone, table, or computer; and * Can read and write in English. Exclusion Criteria: * Conditions which make study treatment likely to be ineffective. For example, current chronic use of medications that interfere with sleep, alcohol or substance use disorder, or thought disorder (as determined by DIAMOND psychiatric interview), unstable sleep or medical conditions that necessitate additional medical care not provided by study treatments (e.g., known untreated sleep apnea). * Presence of safety risk or condition in which study participation may result in increased risk to safety (e.g., elevated risk for suicide, self-reported uncontrolled seizure disorder, history of manic or hypomanic episode, current pregnancy), * Currently receiving non-pharmacological treatment for insomnia (e.g., cognitive behavioral therapy for insomnia) and/or current unstable hypnotic/alerting medication use OR * Currently participating in other research studies with substantial overlap in terms of methods/procedures (e.g., PI's ongoing study "Piloting an Adaptation of Cognitive Behavioral Therapy for Insomnia for Shift Workers (CBTI-Shift)"

Locations (1)

Oregon State University

Corvallis, Oregon, United States

RECRUITING

Outcomes

Primary Outcomes

Retention Rate

Defined as \[number of participants who complete minimal therapeutic dose (at least 4 sessions)\] / \[number of randomized participants in treatment arm\]

Time frame: At the post-treatment assessment (occurring at approximately 12 weeks)

Session Attendance

For enrolled participants, attendance rates will be calculated as \[number of visits attended\] / \[number of total visits\]

Time frame: At the post-treatment assessment (occurring at approximately 12 weeks)

Implementation Assessment Measure

Validated questionnaire; total score range between 12 and 60, with higher numbers representing greater feasibility, acceptability, and appropriateness.

Time frame: At the post-treatment assessment (occurring at approximately 12 weeks)

Secondary Outcomes

Change in PROMIS Sleep Related Impairment

A validated 8-item Common Data Element measures which assess sleep health broadly as manifested during wake. Validated questionnaire; total score range between 8-40, with higher numbers indicating greater sleep-related wake time impairment

Time frame: At baseline and at the post-treatment assessment (occurring at approximately 12 weeks)

Change in PROMIS Sleep Disturbances

A validated 8-item Common Data Element measures which assess sleep health broadly as manifested during sleep. Validated questionnaire; total score range between 8-40, with higher numbers indicating greater sleep disturbances.

Time frame: At baseline and at the post-treatment assessment (occurring at approximately 12 weeks)

Patient Adherence

Self-rated adherence to recommendations (items added to standard sleep diary)

Central Contacts

Jessica R Dietch, PhD

CONTACT

5417371358 jessee.dietch@oregonstate.edu

Liudmyla Kozii, MD, MPH

CONTACT

koziil@oregonstate.edu

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.