COVID-19 is an emerging, rapidly evolving situation.
Get the latest public health information from CDC:

Get the latest research information from NIH: Menu

Comprehensive Police Fatigue Management Program

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00246051
Recruitment Status : Completed
First Posted : October 30, 2005
Last Update Posted : August 15, 2013
Information provided by (Responsible Party):
Charles Andrew Czeisler, MD, PhD, Brigham and Women's Hospital

Brief Summary:

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 or disease Intervention/treatment Phase
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 Not Applicable

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 683 participants
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)
Primary Purpose: Diagnostic
Official Title: Testing the Effectiveness of a Comprehensive Fatigue Management for the Police
Study Start Date : November 2005
Actual Primary Completion Date : December 2009
Actual Study Completion Date : December 2010

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
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.

Primary Outcome Measures :
  1. Motor vehicle accidents as a function of miles traveled [ Time Frame: 05/2005 - 07/2009 ]
  2. Number of on-the-job injuries [ Time Frame: 05/2005 - 07/2009 ]
  3. Number of citations issued [ Time Frame: 05/2005 - 07/2009 ]
  4. Number of arrests made [ Time Frame: 05/2005 - 07/2009 ]
  5. Number of warnings issued [ Time Frame: 05/2005 - 07/2009 ]
  6. Number of officer-initiated vehicle assists [ Time Frame: 05/2005 - 07/2009 ]
  7. Number of sick leave days [ Time Frame: 05/2005 - 07/2009 ]
  8. Sleep duration [ Time Frame: 05/2005 - 07/2009 ]
  9. Sleep quality [ Time Frame: 05/2005 - 07/2009 ]
  10. Alertness [ Time Frame: 05/2005 - 07/2009 ]
  11. Performance [ Time Frame: 05/2005 - 07/2009 ]

Secondary Outcome Measures :
  1. Job satisfaction [ Time Frame: 05/2005 - 07/2009 ]
  2. Burnout [ Time Frame: 05/2005 - 07/2009 ]
  3. Works hours [ Time Frame: 05/2005 - 07/2009 ]

Information from the National Library of Medicine

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, Learn About Clinical Studies.

Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Active Sworn Police Officers

Exclusion Criteria:

  • None

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00246051

Layout table for location information
United States, Massachusetts
Brigham and Women's Hospital
Boston, Massachusetts, United States, 02115
Sponsors and Collaborators
Brigham and Women's Hospital
Layout table for investigator information
Principal Investigator: Charles A. Czeisler, Ph.D., M.D. Brigham and Women's Hospital

Layout table for additonal information
Responsible Party: Charles Andrew Czeisler, MD, PhD, Charles A Czeisler, Ph.D., M.D.,, Brigham and Women's Hospital Identifier: NCT00246051    
Other Study ID Numbers: SL00067
First Posted: October 30, 2005    Key Record Dates
Last Update Posted: August 15, 2013
Last Verified: August 2013
Keywords provided by Charles Andrew Czeisler, MD, PhD, Brigham and Women's Hospital:
Work Hours
Sleep disorder
Additional relevant MeSH terms:
Layout table for MeSH terms
Sleep Apnea, Obstructive
Sleep Wake Disorders
Restless Legs Syndrome
Sleep Initiation and Maintenance Disorders
Sleep Disorders, Circadian Rhythm
Pathologic Processes
Sleep Apnea Syndromes
Respiration Disorders
Respiratory Tract Diseases
Sleep Disorders, Intrinsic
Nervous System Diseases
Signs and Symptoms
Neurologic Manifestations
Mental Disorders
Chronobiology Disorders
Occupational Diseases