Comprehensive Police Fatigue Management Program

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Charles Andrew Czeisler, MD, PhD, Brigham and Women's Hospital
ClinicalTrials.gov Identifier:
NCT00246051
First received: September 13, 2005
Last updated: August 13, 2013
Last verified: August 2013

September 13, 2005
August 13, 2013
November 2005
December 2009   (final data collection date for primary outcome measure)
  • Motor vehicle accidents as a function of miles traveled [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Number of on-the-job injuries [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Number of citations issued [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Number of arrests made [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Number of warnings issued [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Number of officer-initiated vehicle assists [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Number of sick leave days [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Sleep duration [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Sleep quality [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Alertness [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Performance [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Motor vehicle accidents as a function of miles traveled
  • Number of on-the-job injuries
  • Number of citations issued
  • Number of arrests made
  • Number of warnings issued
  • Number of officer-initiated vehicle assists
  • Number of sick leave days
  • Sleep duration
  • Sleep quality
  • Alertness
  • Performance
Complete list of historical versions of study NCT00246051 on ClinicalTrials.gov Archive Site
  • Job satisfaction [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Burnout [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Works hours [ Time Frame: 05/2005 - 07/2009 ] [ Designated as safety issue: No ]
  • Job satisfaction
  • Burnout
  • Works hours
Not Provided
Not Provided
 
Comprehensive Police Fatigue Management Program
Testing the Effectiveness of a Comprehensive Fatigue Management for the Police

Police officers work some of the most demanding schedules known, which increases their risk of sleep deprivation and sleep disorders. The need to work frequent overnight shifts and long work weeks leads to acute and chronic partial sleep deprivation as well as misalignment of circadian phase. The public expects officers to perform flawlessly, but sleep deprivation and unrecognized sleep disorders significantly degrade cognition, alertness, reaction time and performance. In addition, both acute and chronic sleep deprivation adversely affect personal health, increasing the risk of gastrointestinal and heart disease, impairing glucose metabolism, and substantially increasing the risk of injury due to motor vehicle crashes.

We propose to conduct a randomized, prospective study of the effect on the safety, health, and performance of a police department of a Comprehensive Police Fatigue Management Program (CPFMP) consisting of the following interventions:

  1. identification and treatment of police with sleep disorders;
  2. caffeine re-education; and
  3. initiation of a sleep, health and safety educational program.

These interventions were chosen because we believe them most likely to lead to measurable improvements on work hours, health, safety, and job performance, and because they are cost effective. The success of the CPFMP will be assessed through an experimental comparison with a standard treatment group that will receive sleep education in the absence of any accompanying interventions. The overall goal of our team will be sleep health detection and treatment program that can be disseminated to practitioners, policymakers and researchers nationwide to reduce police officer fatigue and stress; enhance the ability of officers to cope with shift schedules; improve the health, safety and performance of law enforcement officers; and thereby improve public safety.

Not Provided
Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Diagnostic
  • Sleep Disorders
  • Sleep Apnea, Obstructive
  • Restless Legs Syndrome
  • Sleep Disorders, Circadian Rhythm
  • Sleep Initiation and Maintenance Disorders
  • Behavioral: Sleep Hygiene Education
    An education program, consisting of materials from experts in the field of fatigue management, will be provided to all police officers in the intervention group. Videotapes, slides, handouts and other educational material will be compiled to create a variety of information sources for police officers. Examples of materials to be incorporated into this training program would be the Operation Healthy Sleep Training Video, powerpoint created by the Harvard Work Hours, Health and Safety Group and pamphlets provided by the American Academy of Sleep Medicine.
  • Other: Expert-Led Sleep Disorders Screening and Treatment

    Expert-led sleep disorder screening and treatment will consist of visiting police stations and presenting an information session about Operation Healthy Sleep. The session will take place during work time. During the session, we will invite officers to take the Operation Healthy Sleep survey. All subjects that answer the survey indicating that they are at high risk on the Berlin Questionnaire will be contacted to arrange an initial appointment at our OSA research clinic. If they don't meet the criteria they will be disempanelled.

    1. Positive on the Berlin Questionnaire
    2. Clinic visit, exam with a physician, given a home diagnostic device (HDD)
    3. High risk on HDD, seen by physician, given a CPAP machine
    4. Follow up visit after 2-3 weeks, CPAP data downloaded and reviewed
    5. Contacted by a sleep health clinic at 3, 6, 12 months
    6. After 12 months subject will be referred to their primary care physician
  • Other: Online Sleep Disorders Screening
    Online sleep disorder screening will be available to all police officers nation-wide through the Operation Healthy Sleep survey. All subjects that answer the survey questions indicating that they are at high risk of a sleep disorder will be notified either online following the completion of the survey or by email or a letter. Treatment and follow up will not be conducted for individuals who screen positive on the online version of the Operation Healthy Sleep survey.
  • Sleep Hygiene Education
    Intervention: Behavioral: Sleep Hygiene Education
  • Expert-Led Sleep Disorders Screening and Treatment
    Intervention: Other: Expert-Led Sleep Disorders Screening and Treatment
  • Online Sleep Disorders Screening
    Intervention: Other: Online Sleep Disorders Screening
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
683
December 2010
December 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Active Sworn Police Officers

Exclusion Criteria:

  • None
Both
18 Years and older
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00246051
SL00067
Not Provided
Charles Andrew Czeisler, MD, PhD, Brigham and Women's Hospital
Brigham and Women's Hospital
Not Provided
Principal Investigator: Charles A. Czeisler, Ph.D., M.D. Brigham and Women's Hospital
Brigham and Women's Hospital
August 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP