Trial Outcomes & Findings for The SleepTrackTXT2 Randomized Trial With Air-medical Personnel (NCT NCT02783027)

NCT ID: NCT02783027

Last Updated: 2019-12-26

Results Overview

Measured by the Pittsburgh Sleep Quality Index (PSQI); Scores range from 0 to 21. Higher scores indicate poorer sleep quality. Scores \>6 indicate poor sleep quality.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

83 participants

Primary outcome timeframe

4 months

Results posted on

2019-12-26

Participant Flow

Participant milestones

Participant milestones
Measure
SleepTrackTXT2
Participants receive text-message assessment during shift work (intra-shift) and between shifts (inter-shift). Participants in the experimental group that report high levels of fatigue, sleepiness, or difficulty with concentration during shift work (intra-shift) will receive tailored text-messages promoting adoption of behaviors that can improve alertness. Participants will also receive a summary of their sleep debt once a week and suggestions for paying back sleep debt. Participants will also have access to a graphic summary of their sleep hours over previous 30-days.
Text-Message Assessments Only
Participants in the non-intervention group/arm will receive text-message based assessment during shift work (intra-shift) and between shifts (inter-shift). The inter-shift assessments will query the participant about his/her sleep hours, fatigue, sleepiness, and difficulty with concentration. No intervention messages sent to this group/arm.
Overall Study
STARTED
39
44
Overall Study
COMPLETED
16
27
Overall Study
NOT COMPLETED
23
17

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

2 participants in each group did not complete the age information

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
SleepTrackTXT2
n=39 Participants
Participants receive text-message assessment during shift work (intra-shift) and between shifts (inter-shift). Participants in the experimental group that report high levels of fatigue, sleepiness, or difficulty with concentration during shift work (intra-shift) will receive tailored text-messages promoting adoption of behaviors that can improve alertness. Participants will also receive a summary of their sleep debt once a week and suggestions for paying back sleep debt. Participants will also have access to a graphic summary of their sleep hours over previous 30-days.
Text-Message Assessments Only
n=44 Participants
Participants in the non-intervention group/arm will receive text-message based assessment during shift work (intra-shift) and between shifts (inter-shift). The inter-shift assessments will query the participant about his/her sleep hours, fatigue, sleepiness, and difficulty with concentration. No intervention messages sent to this group/arm.
Total
n=83 Participants
Total of all reporting groups
Age, Continuous
40.9 years
STANDARD_DEVIATION 9.5 • n=37 Participants • 2 participants in each group did not complete the age information
41.8 years
STANDARD_DEVIATION 9.8 • n=42 Participants • 2 participants in each group did not complete the age information
41.4 years
STANDARD_DEVIATION 9.7 • n=79 Participants • 2 participants in each group did not complete the age information
Sex: Female, Male
Female
19 Participants
n=38 Participants • 1 participant in the intervention group and 2 in the control did not complete sex information
15 Participants
n=42 Participants • 1 participant in the intervention group and 2 in the control did not complete sex information
34 Participants
n=80 Participants • 1 participant in the intervention group and 2 in the control did not complete sex information
Sex: Female, Male
Male
19 Participants
n=38 Participants • 1 participant in the intervention group and 2 in the control did not complete sex information
27 Participants
n=42 Participants • 1 participant in the intervention group and 2 in the control did not complete sex information
46 Participants
n=80 Participants • 1 participant in the intervention group and 2 in the control did not complete sex information
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Most Common Shift Length
24 Hours
18 Participants
n=38 Participants • 1 participant in each group did not complete the shift length question on the baseline assessment.
21 Participants
n=43 Participants • 1 participant in each group did not complete the shift length question on the baseline assessment.
39 Participants
n=81 Participants • 1 participant in each group did not complete the shift length question on the baseline assessment.
Most Common Shift Length
12 Hours
18 Participants
n=38 Participants • 1 participant in each group did not complete the shift length question on the baseline assessment.
22 Participants
n=43 Participants • 1 participant in each group did not complete the shift length question on the baseline assessment.
40 Participants
n=81 Participants • 1 participant in each group did not complete the shift length question on the baseline assessment.
Most Common Shift Length
Other
2 Participants
n=38 Participants • 1 participant in each group did not complete the shift length question on the baseline assessment.
0 Participants
n=43 Participants • 1 participant in each group did not complete the shift length question on the baseline assessment.
2 Participants
n=81 Participants • 1 participant in each group did not complete the shift length question on the baseline assessment.

PRIMARY outcome

Timeframe: 4 months

Population: Individuals with outcome measured at 4 months.

Measured by the Pittsburgh Sleep Quality Index (PSQI); Scores range from 0 to 21. Higher scores indicate poorer sleep quality. Scores \>6 indicate poor sleep quality.

Outcome measures

Outcome measures
Measure
SleepTrackTXT2
n=16 Participants
Participants receive text-message assessment during shift work (intra-shift) and between shifts (inter-shift). Participants in the experimental group that report high levels of fatigue, sleepiness, or difficulty with concentration during shift work (intra-shift) will receive tailored text-messages promoting adoption of behaviors that can improve alertness. Participants will also receive a summary of their sleep debt once a week and suggestions for paying back sleep debt. Participants will also have access to a graphic summary of their sleep hours over previous 30-days.
Text-Message Assessments Only
n=27 Participants
Participants in the non-intervention group/arm will receive text-message based assessment during shift work (intra-shift) and between shifts (inter-shift). The inter-shift assessments will query the participant about his/her sleep hours, fatigue, sleepiness, and difficulty with concentration. No intervention messages sent to this group/arm.
Sleep Quality
7.9 score on a scale
Standard Deviation 3.6
6.5 score on a scale
Standard Deviation 4.0

SECONDARY outcome

Timeframe: Every 4 hours up to 12 hours within work shifts

Population: Participants with at least some intra-shift data on fatigue.

Single item measure of fatigue taken at beginning, every 4-hours, and at the end of shifts. Scores range from 0 (Not at all) to 5 (Very much); higher scores indicate more fatigue.

Outcome measures

Outcome measures
Measure
SleepTrackTXT2
n=35 Participants
Participants receive text-message assessment during shift work (intra-shift) and between shifts (inter-shift). Participants in the experimental group that report high levels of fatigue, sleepiness, or difficulty with concentration during shift work (intra-shift) will receive tailored text-messages promoting adoption of behaviors that can improve alertness. Participants will also receive a summary of their sleep debt once a week and suggestions for paying back sleep debt. Participants will also have access to a graphic summary of their sleep hours over previous 30-days.
Text-Message Assessments Only
n=41 Participants
Participants in the non-intervention group/arm will receive text-message based assessment during shift work (intra-shift) and between shifts (inter-shift). The inter-shift assessments will query the participant about his/her sleep hours, fatigue, sleepiness, and difficulty with concentration. No intervention messages sent to this group/arm.
Fatigue During Shiftwork
Start of Shift
0.71 score on a scale
Interval 0.36 to 1.06
0.79 score on a scale
Interval 0.46 to 1.12
Fatigue During Shiftwork
4 hours
0.96 score on a scale
Interval 0.61 to 1.31
1.10 score on a scale
Interval 0.77 to 1.43
Fatigue During Shiftwork
8 hours
1.45 score on a scale
Interval 1.1 to 1.8
1.79 score on a scale
Interval 1.46 to 2.12
Fatigue During Shiftwork
12 hours (end of shift)
1.5 score on a scale
Interval 1.14 to 1.84
2.19 score on a scale
Interval 1.86 to 2.51

SECONDARY outcome

Timeframe: Every 4 hours up to 12 hours within a work shift

Population: Individuals with shift data up to 30 days

Single item measure of sleepiness taken at beginning, every 4-hours, and at the end of shifts. Scores range from 0 (Not at all) to 5 (Very much). Higher scores indicate more sleepiness.

Outcome measures

Outcome measures
Measure
SleepTrackTXT2
n=35 Participants
Participants receive text-message assessment during shift work (intra-shift) and between shifts (inter-shift). Participants in the experimental group that report high levels of fatigue, sleepiness, or difficulty with concentration during shift work (intra-shift) will receive tailored text-messages promoting adoption of behaviors that can improve alertness. Participants will also receive a summary of their sleep debt once a week and suggestions for paying back sleep debt. Participants will also have access to a graphic summary of their sleep hours over previous 30-days.
Text-Message Assessments Only
n=41 Participants
Participants in the non-intervention group/arm will receive text-message based assessment during shift work (intra-shift) and between shifts (inter-shift). The inter-shift assessments will query the participant about his/her sleep hours, fatigue, sleepiness, and difficulty with concentration. No intervention messages sent to this group/arm.
Sleepiness During Shiftwork
8 hours
1.48 score on a scale
Interval 1.12 to 1.83
2.01 score on a scale
Interval 1.68 to 2.34
Sleepiness During Shiftwork
Start of shift
0.84 score on a scale
Interval 0.49 to 1.19
0.82 score on a scale
Interval 0.49 to 1.15
Sleepiness During Shiftwork
4 hours
1.01 score on a scale
Interval 0.66 to 1.35
1.29 score on a scale
Interval 0.96 to 1.61
Sleepiness During Shiftwork
12 hours at shift end
1.62 score on a scale
Interval 1.27 to 1.97
2.50 score on a scale
Interval 2.15 to 2.8

SECONDARY outcome

Timeframe: Every 4 hours up to 12 hours at end of work shift

Population: Number with shift data at 30 days

Single item measure of difficulty with concentration taken at beginning, every 4-hours, and at the end of shifts. Scores range from 0 (Not at all) to 5 (Very much). Higher scores indicate more difficulty with concentration.

Outcome measures

Outcome measures
Measure
SleepTrackTXT2
n=35 Participants
Participants receive text-message assessment during shift work (intra-shift) and between shifts (inter-shift). Participants in the experimental group that report high levels of fatigue, sleepiness, or difficulty with concentration during shift work (intra-shift) will receive tailored text-messages promoting adoption of behaviors that can improve alertness. Participants will also receive a summary of their sleep debt once a week and suggestions for paying back sleep debt. Participants will also have access to a graphic summary of their sleep hours over previous 30-days.
Text-Message Assessments Only
n=41 Participants
Participants in the non-intervention group/arm will receive text-message based assessment during shift work (intra-shift) and between shifts (inter-shift). The inter-shift assessments will query the participant about his/her sleep hours, fatigue, sleepiness, and difficulty with concentration. No intervention messages sent to this group/arm.
Difficulty With Concentration During Shiftwork
Start of shift
0.52 score on a scale
Interval 0.19 to 0.86
0.46 score on a scale
Interval 0.15 to 0.77
Difficulty With Concentration During Shiftwork
4 hours
0.68 score on a scale
Interval 0.35 to 1.02
0.71 score on a scale
Interval 0.4 to 1.03
Difficulty With Concentration During Shiftwork
8 hours
1.12 score on a scale
Interval 0.78 to 1.45
1.27 score on a scale
Interval 0.95 to 1.58
Difficulty With Concentration During Shiftwork
12 hours end of shift
1.12 score on a scale
Interval 0.79 to 1.46
1.76 score on a scale
Interval 1.45 to 2.07

SECONDARY outcome

Timeframe: 4 months

Population: Participants with survey data at 4 months.

The Occupational Fatigue Exhaustion Recovery Scale Inter-shift Recovery Subscale. Scores range from 0 to 100. Scores 50-100 imply moderate to high recovery.

Outcome measures

Outcome measures
Measure
SleepTrackTXT2
n=16 Participants
Participants receive text-message assessment during shift work (intra-shift) and between shifts (inter-shift). Participants in the experimental group that report high levels of fatigue, sleepiness, or difficulty with concentration during shift work (intra-shift) will receive tailored text-messages promoting adoption of behaviors that can improve alertness. Participants will also receive a summary of their sleep debt once a week and suggestions for paying back sleep debt. Participants will also have access to a graphic summary of their sleep hours over previous 30-days.
Text-Message Assessments Only
n=27 Participants
Participants in the non-intervention group/arm will receive text-message based assessment during shift work (intra-shift) and between shifts (inter-shift). The inter-shift assessments will query the participant about his/her sleep hours, fatigue, sleepiness, and difficulty with concentration. No intervention messages sent to this group/arm.
Inter-Shift Recovery
51.7 score on a scale
Standard Deviation 20.0
56.3 score on a scale
Standard Deviation 18.8

Adverse Events

SleepTrackTXT2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Text-Message Assessments Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Daniel Patterson

University of Pittsburgh

Phone: 412-864-3830

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place