Clinical trial NCT06015646: Lifestyle Coaching for Fatigue Mitigation in Emergency Medicine Residents
Official title: Lifestyle Education and Personalized Coaching for Fatigue Mitigation in Emergency Medicine Residents: A Pilot Study
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Lifestyle, Healthy
Sleepiness
Alertness
Shift-Work Related Sleep Disturbance
Work Related Stress
Self Efficacy
Self-Compassion
Keywords: physician well-being
occupational well-being
resident well-being
physician coaching
lifestyle coaching
night shifts
Lead sponsor: Stanford University
Sponsor class: OTHER
First posted: 2023-08-29
Enrollment: 30
Sex: ALL
Minimum age (years): 21
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The investigators will randomize the participants who have consented to participate in the study to intervention or control arms at the beginning of each of the 3-week study periods. Participants will wear a Fitbit watch for one week prior and one week after 3-4 night shifts. The baseline online survey will collect data on sex, training year, current satisfaction levels with lifestyle strategies, morning-evening chronotype, Sleep-related Impairment, and Task Load. During the nightshifts, the following outcome measures: psychomotor vigilance test, Stanford Sleepiness Scale, Task Load Index, and Noordsy-Dahle Subjective Experience Scale will be assessed during the window of circadian low (2 to 6 am) and at a time that is most convenient time for each participant. A final online survey will assess satisfaction levels with lifestyle strategies, Sleep-related Impairment, Task Load, and satisfaction and feedback about the program at the end of the study.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The purpose of this study is to determine whether personalized lifestyle coaching minimizes the negative impact of circadian disruption on performance and recovery in emergency medicine physician trainees during night shifts.

Detailed description: The goal of this study is to examine whether a brief personalized fatigue-mitigation lifestyle coaching (PFMLC) for emergency medicine residents on overnight shifts would minimize the negative effects of circadian rhythm disruptions on performance and recovery compared to those who receive one-time passive information on lifestyle practices.

Eligibility criteria: Inclusion Criteria:

* Stanford Health Care (SHC) Emergency Medicine residents (PGY 1 to 4)
* Scheduled to work at least 3 consecutive overnight shifts at SHC Emergency Department.

Exclusion Criteria:

* Non-Stanford Health Care (SHC) Emergency Medicine residents
* Stanford Health Care (SHC) Emergency Medicine residents who are not rotating in Stanford Emergency Medicine Department

Primary outcomes:
measure: Mean of the 3 overnight reaction time reciprocal of the psychomotor vigilance test
timeFrame: 3 night shifts
measure: Mean of the 3 overnight number of lapses in psychomotor vigilance test
timeFrame: 3 night shifts
measure: Mean of the 3 overnight number of false starts in the psychomotor vigilance test
timeFrame: 3 night shifts
measure: Mean of the 3 overnight Aggregate Scores of the psychomotor vigilance test
timeFrame: 3 night shifts
measure: Mean of the 3 overnight Stanford Sleepiness Scale
timeFrame: 3 night shifts
measure: Mean of the 3 overnight Noordsy-Dahle Subjective Experience Scale (NDSE)
timeFrame: 3 night shifts
Secondary outcomes:
measure: Mean of total sleep hours
timeFrame: 3 weeks
measure: Mean of heartrate variability
timeFrame: 3 weeks
Other outcomes:
measure: Percentage change from baseline in NIH PROMIS Short Form Sleep-Related Impairment
timeFrame: 3 weeks
measure: Percentage change from baseline in Task Load Index
timeFrame: 3 weeks
Locations:
city: Palo Alto
country: United States
facility: Stanford Medicine
state: California
Study officials:
affiliation: Stanford University
name: Al'ai Alvarez, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Stanford University
name: Maryam S Makowski, PhD
role: PRINCIPAL_INVESTIGATOR
References: