Clinical trial NCT00207285: Sleep Disorders Management, Health and Safety in Police
Official title: Sleep Disorders Management, Health and Safety in Police
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: 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
Lead sponsor: Brigham and Women's Hospital
Sponsor class: OTHER
First posted: 2005-09-21
Enrollment: 731
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: DIAGNOSTIC

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.

Eligibility criteria: Inclusion Criteria:

* Active sworn police officers

Exclusion Criteria:

* none

Primary outcomes:
measure: Motor vehicle accidents as a function of miles traveled
timeFrame: 05/2005 - 07/2009
measure: Number of on-the-job injuries
timeFrame: 05/2005 - 07/2009
measure: Number of citations issued
timeFrame: 05/2005 - 07/2009
measure: Number of arrests made
timeFrame: 05/2005 - 07/2009
measure: Number of warnings issued
timeFrame: 05/2005 - 07/2009
measure: Number of officer-initiated vehicle assists
timeFrame: 05/2005 - 07/2009
measure: Number of sick leave days
timeFrame: 05/2005 - 07/2009
measure: Sleep duration
timeFrame: 05/2005 - 07/2009
measure: Sleep quality
timeFrame: 05/2005 - 07/2009
measure: Alertness
timeFrame: 05/2005 - 07/2009
measure: Performance
timeFrame: 05/2005 - 07/2009
Secondary outcomes:
measure: Job satisfaction
timeFrame: 05/2005 - 07/2009
measure: Burnout
timeFrame: 05/2005 - 07/2009
measure: Works hours
timeFrame: 05/2005 - 07/2009
Other outcomes:
Locations:
city: Boston
country: United States
facility: Brigham and Women's Hospital
state: Massachusetts
Study officials:
affiliation: Brigham and Women's Hospital, Harvard Medical School
name: Charles A Czeisler, Ph.D., M.D.
role: PRINCIPAL_INVESTIGATOR
References: