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
  Purpose

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.


Condition Intervention
Sleep Disorders
Sleep Apnea, Obstructive
Restless Legs Syndrome
Sleep Disorders, Circadian Rhythm
Sleep Initiation and Maintenance Disorders
Behavioral: Sleep Hygiene Education
Other: Expert-Led Sleep Disorders Screening and Treatment
Other: Online Sleep Disorders Screening

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Official Title: Testing the Effectiveness of a Comprehensive Fatigue Management for the Police

Resource links provided by NLM:


Further study details as provided by Brigham and Women's Hospital:

Primary Outcome Measures:
  • 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 ]

Secondary Outcome Measures:
  • 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 ]

Enrollment: 683
Study Start Date: November 2005
Study Completion Date: December 2010
Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Sleep Hygiene Education 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.
Expert-Led Sleep Disorders Screening and Treatment 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
Online Sleep Disorders Screening 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.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Active Sworn Police Officers

Exclusion Criteria:

  • None
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00246051

Locations
United States, Massachusetts
Brigham and Women's Hospital
Boston, Massachusetts, United States, 02115
Sponsors and Collaborators
Brigham and Women's Hospital
Investigators
Principal Investigator: Charles A. Czeisler, Ph.D., M.D. Brigham and Women's Hospital
  More Information

No publications provided

Responsible Party: Charles Andrew Czeisler, MD, PhD, Charles A Czeisler, Ph.D., M.D.,, Brigham and Women's Hospital
ClinicalTrials.gov Identifier: NCT00246051     History of Changes
Other Study ID Numbers: SL00067
Study First Received: September 13, 2005
Last Updated: August 13, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by Brigham and Women's Hospital:
Police
Sleep
Fatigue
Work Hours
Sleep disorder
Performance

Additional relevant MeSH terms:
Fatigue
Disease
Restless Legs Syndrome
Sleep Disorders
Parasomnias
Sleep Apnea, Obstructive
Sleep Disorders, Circadian Rhythm
Signs and Symptoms
Pathologic Processes
Nervous System Diseases
Sleep Disorders, Intrinsic
Dyssomnias
Mental Disorders
Neurologic Manifestations
Sleep Apnea Syndromes
Apnea
Respiration Disorders
Respiratory Tract Diseases
Chronobiology Disorders
Occupational Diseases

ClinicalTrials.gov processed this record on October 01, 2014