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Lifestyle Coaching for Fatigue Mitigation in Emergency Medicine Residents

NCT ID: NCT06015646

Last Updated: 2024-12-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-04-15

Study Completion Date

2028-12-31

Brief Summary

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The purpose of this study is to determine whether personalized lifestyle coaching minimizes the negative impact of circadian disruption on performance and recovery in emergency medicine physician trainees during night shifts.

Detailed Description

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The goal of this study is to examine whether a brief personalized fatigue-mitigation lifestyle coaching (PFMLC) for emergency medicine residents on overnight shifts would minimize the negative effects of circadian rhythm disruptions on performance and recovery compared to those who receive one-time passive information on lifestyle practices.

Conditions

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Lifestyle, Healthy Sleepiness Alertness Shift-Work Related Sleep Disturbance Work Related Stress Self Efficacy Self-Compassion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The investigators will randomize the participants who have consented to participate in the study to intervention or control arms at the beginning of each of the 3-week study periods. Participants will wear a Fitbit watch for one week prior and one week after 3-4 night shifts. The baseline online survey will collect data on sex, training year, current satisfaction levels with lifestyle strategies, morning-evening chronotype, Sleep-related Impairment, and Task Load. During the nightshifts, the following outcome measures: psychomotor vigilance test, Stanford Sleepiness Scale, Task Load Index, and Noordsy-Dahle Subjective Experience Scale will be assessed during the window of circadian low (2 to 6 am) and at a time that is most convenient time for each participant. A final online survey will assess satisfaction levels with lifestyle strategies, Sleep-related Impairment, Task Load, and satisfaction and feedback about the program at the end of the study.
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
One of the two principal investigators and researchers who analyze the data will be blinded to the group assignment.

Study Groups

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Lifestyle Coaching and Educational Handout

Lifestyle coach-led 30-minute focused, personalized session in addition to educational handout containing lifestyle tips for fatigue mitigation in night shift workers, which will be given to all participants at the beginning of the study.

Group Type EXPERIMENTAL

Personalized lifestyle coaching and educational handout

Intervention Type BEHAVIORAL

Participants will receive a one-page educational handout on strategies to minimize fatigue at the beginning of the study. Participants will also receive a 30-minute focused, personalized lifestyle coaching within a week of the initial overnight shift. The lifestyle coach will be in close contact during the night shifts.

Handout

Intervention Type BEHAVIORAL

Participants will receive a one-page educational handout on strategies to minimize fatigue at the beginning of the study

Educational Handout Control

An educational handout containing lifestyle tips for fatigue mitigation in night shift workers will be given to all participants at the beginning of the study. Personalized coaching will not be offered to participants in this arm.

Group Type ACTIVE_COMPARATOR

Handout

Intervention Type BEHAVIORAL

Participants will receive a one-page educational handout on strategies to minimize fatigue at the beginning of the study

Interventions

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Personalized lifestyle coaching and educational handout

Participants will receive a one-page educational handout on strategies to minimize fatigue at the beginning of the study. Participants will also receive a 30-minute focused, personalized lifestyle coaching within a week of the initial overnight shift. The lifestyle coach will be in close contact during the night shifts.

Intervention Type BEHAVIORAL

Handout

Participants will receive a one-page educational handout on strategies to minimize fatigue at the beginning of the study

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Stanford Health Care (SHC) Emergency Medicine residents (PGY 1 to 4)
* Scheduled to work at least 3 consecutive overnight shifts at SHC Emergency Department.

Exclusion Criteria

* Non-Stanford Health Care (SHC) Emergency Medicine residents
* Stanford Health Care (SHC) Emergency Medicine residents who are not rotating in Stanford Emergency Medicine Department
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Maryam S Makowski, PhD

Clinical Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Al'ai Alvarez, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Maryam S Makowski, PhD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Stanford Medicine

Palo Alto, California, United States

Site Status

Countries

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United States

Central Contacts

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Maryam S Makowski, PhD

Role: CONTACT

[email protected]
6504975950

Nikitha Menon, BA

Role: CONTACT

[email protected]
6504978741

Facility Contacts

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Nikitha K Menon, BA

Role: primary

Other Identifiers

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254764

Identifier Type: OTHER

Identifier Source: secondary_id

IRB-67719

Identifier Type: -

Identifier Source: org_study_id