Clinical trial NCT02895997: Turning Night Into Day: Transcontinental Provision of Telehealth By and For the Emory Community
Official title: Turning Night Into Day: Transcontinental Provision of Telehealth By and For the Emory Community
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Fatigue
Keywords: mental fatigue
critical care
Lead sponsor: Emory University
Sponsor class: OTHER
First posted: 2016-09-12
Enrollment: 7
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The purpose of the study is to determine if temporarily relocating clinicians who deliver remote care using the eICU telehealth system to Sydney, Australia will lead to greater job satisfaction, reduced physiologic stress, and improve performance. Four nurses and six physicians will be sent to a site in Sydney Australia on a rotating basis to determine whether providing care during the Australian daytime is more efficient and precise than providing care during the night in the United States.

Detailed description: The purpose of the study is to determine if temporarily relocating clinicians who deliver remote care using the eICU telehealth system to Sydney Australia will lead to greater job satisfaction, reduced physiologic stress, and improve performance. Four nurses and six physicians will be sent to a site in Sydney Australia on a rotating basis to determine whether providing care during the Australian daytime is more efficient and precise than providing care during the night in the United States.

As part of this pilot, each participant will undergo a series of evaluations before leaving, while in Australia, and after returning. The evaluations will include questionnaires related to well-being, task assessment (such as completing a paper maze or performing arithmetic), physiology assessment (such as continuous measure of heart rate by a wristwatch type device), and stress assessment (by sampling saliva and measuring cortisol and interleukin-1 Beta).

The researchers would like to determine whether normalization of the provider's (physician or nurse who are the research subjects) sleep-wake cycle improves subjective and objective well-being. Additionally, investigators seek to determine whether normalization of the provider's (physician or nurse who are the research subjects) sleep-wake cycle improves alertness and focus, and determine whether normalization of the provider's (physician or nurse who are the research subjects) sleep-wake cycle improves job performance.

Eligibility criteria: Inclusion Criteria:

* Clinicians working in the clinical operations room at Emory University Hospital who volunteer participation in the study

Exclusion Criteria:

* Declining to participate after the first phase of data collection

Primary outcomes:
measure: Change in Salivary Cortisol Levels
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
Secondary outcomes:
measure: Change in Stanford Sleepiness Scale Score
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
measure: Change in the Trail Making Test A Score
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
measure: Change in the Trail Making Test B Score
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
measure: Change in Physical Activity assessed by Multi-Scale Entropy
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
measure: Change in Physical Activity assessed by Multi-Scale Complexity
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
measure: Change in Heart Rate Variability assessed by Deceleration Capacity
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
measure: Change in Heart Rate Variability assessed by Acceleration Capacity
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
measure: Frequency of Arrhythmias
timeFrame: Duration of Study (Up to 31 Days)
measure: Change in Sleep Latency
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
measure: Number of Awakenings per Hour
timeFrame: Duration of Study (Up to 31 Days)
measure: Change in Percent of Non Rapid Eye Movement (REM) Sleep
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
measure: Change in Mood Symptom Questionnaire Score
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
measure: Change in Patient Health Questionnaire-9 (PHQ-9) Score
timeFrame: Baseline, Post Intervention (Up to 8 weeks)
measure: Change in Number of Camera Sessions
timeFrame: Day 1, Day 31
measure: Change in Duration of Camera Sessions
timeFrame: Day 1, Day 31
measure: Change in Urgency of Clinical Contacts
timeFrame: Day 1, Day 31
measure: Change in Number if Clinical Record Entries
timeFrame: Day 1, Day 31
measure: Change in Duration of Service
timeFrame: Day 1, Day 31
Other outcomes:
Locations:
city: Atlanta
country: United States
facility: Emory University
state: Georgia
Study officials:
affiliation: Emory University
name: Timothy Buchman, MD
role: PRINCIPAL_INVESTIGATOR
References: