Evidence map›Paper›PMID 28364446›Full record

Trial reportSleep2017

Randomized, Prospective Study of the Impact of a Sleep Health Program on Firefighter Injury and Disability.

Jason P Sullivan, Conor S O'Brien, Laura K Barger, Shantha M W Rajaratnam, Charles A Czeisler, Steven W Lockley, Harvard Work Hours, Health and Safety Group

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
19.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 4 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Exploring Clinical Trials to Manage Firefighters' Sleep Quality: A PRISMA Compliant Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Effect of Peanut Butter Intake on Sleep Health in Firefighters: A Randomized Controlled Trial.International journal of environmental research and public health · 2024
    Trial
  6. Trial
  7. Effects of a Workplace-Based Sleep Health Program on Sleep in Members of the German Armed Forces.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019
    Trial
  8. Trial
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Mental health of UK firefighters.Scientific reports · 2023
    Article
  15. Article
  16. Building Resilience in Firefighters: A Systematic Review.Iranian journal of public health · 2022
    Review
  17. Article
  18. Article
  19. Firefighter sleep: a pilot study of the agreement between actigraphy and self-reported sleep measures.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  20. Mental Health of Canadian Firefighters: The Impact of Sleep.International journal of environmental research and public health · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Jason P SullivanDivision of Sleep and Circadian Disorders, Departments of Medicine and Neurology, and the Sleep Health Institute, Brigham and Women's Hospital, Boston, MA.
Conor S O'BrienDivision of Sleep and Circadian Disorders, Departments of Medicine and Neurology, and the Sleep Health Institute, Brigham and Women's Hospital, Boston, MA.
Laura K BargerDivision of Sleep and Circadian Disorders, Departments of Medicine and Neurology, and the Sleep Health Institute, Brigham and Women's Hospital, Boston, MA.
Shantha M W RajaratnamDivision of Sleep and Circadian Disorders, Departments of Medicine and Neurology, and the Sleep Health Institute, Brigham and Women's Hospital, Boston, MA.
Charles A CzeislerDivision of Sleep and Circadian Disorders, Departments of Medicine and Neurology, and the Sleep Health Institute, Brigham and Women's Hospital, Boston, MA.
Steven W LockleyDivision of Sleep and Circadian Disorders, Departments of Medicine and Neurology, and the Sleep Health Institute, Brigham and Women's Hospital, Boston, MA.
Harvard Work Hours, Health and Safety Group
Brigham and Women's Hospital · USHarvard University · US

Funding

Impact of Eliminating Extended Duration Work Shifts on Resident Health and SafetyR01OH010300 · OH · BRIGHAM AND WOMEN'S HOSPITAL · PI BARGER, LAURA K. · 2013 to 2016
$2.8M
Desensitization of Circadian Responses to LightR01NS054277 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI CZEISLER, CHARLES A · 2007 to 2011
$1.3M
NINDS NIH HHS R01 NS054277NIOSH CDC HHS R01 OH010300NIOSH CDC HHS R01 OH011773
6 · The paper itself

Abstract

Study Objectives: Firefighters' schedules include extended shifts and long work weeks which cause sleep deficiency and circadian rhythm disruption. Many firefighters also suffer from undiagnosed sleep disorders, exacerbating fatigue. We tested the hypothesis that a workplace-based Sleep Health Program (SHP) incorporating sleep health education and sleep disorders screening would improve firefighter health and safety compared to standard practice. Design: Prospective station-level randomized, field-based intervention. Setting: US fire department. Participants: 1189 firefighters. Interventions: Sleep health education, questionnaire-based sleep disorders screening, and sleep clinic referrals for respondents who screened positive for a sleep disorder. Measurements and Results: Firefighters were randomized by station. Using departmental records, in an intention-to-treat analysis, firefighters assigned to intervention stations which participated in education sessions and had the opportunity to complete sleep disorders screening reported 46% fewer disability days than those assigned to control stations (1.4 ± 5.9 vs. 2.6 ± 8.5 days/firefighter, respectively; p = .003). There were no significant differences in departmental injury or motor vehicle crash rates between the groups. In post hoc analysis accounting for intervention exposure, firefighters who attended education sessions were 24% less likely to file at least one injury report during the study than those who did not attend, regardless of randomization (OR [95% CI] 0.76 [0.60, 0.98]; χ2 = 4.56; p = .033). There were no significant changes pre- versus post-study in self-reported sleep or sleepiness in those who participated in the intervention. Conclusions: A firefighter workplace-based SHP providing sleep health education and sleep disorders screening opportunity can reduce injuries and work loss due to disability in firefighters.

Indexed as

Occupational HealthAccidents, OccupationalAccidents, TrafficAdultAgedFemaleFirefightersHealth EducationHealth PromotionHumansMaleMiddle AgedPersons with DisabilitiesProspective StudiesReferral and ConsultationSelf Reportdisability.educationfirefightersinjuriessleep

Identifiers

PMID28364446
PMCPMC6084754
OpenAlexW2528660394

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.