Evidence map›Paper›PMID 34870586›Full record

Trial reportJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2022

The effectiveness of an individualized sleep and shift work education and coaching program to manage shift work disorder in nurses: a randomized controlled trial.

Lauren A Booker, Tracey L Sletten, Maree Barnes, Pasquale Alvaro, Allison Collins, Ching Li Chai-Coetzer, Marcus McMahon, Steven W Lockley, Shantha M W Rajaratnam, Mark E Howard

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
3.6field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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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

10 authors at 7 institutions in 2 countries.

Lauren A BookerTurner Institute for Brain and Mental Health, School of Psychological Sciences Monash University, Clayton, Victoria, Australia.
Tracey L SlettenTurner Institute for Brain and Mental Health, School of Psychological Sciences Monash University, Clayton, Victoria, Australia.
Maree BarnesInstitute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia.
Pasquale AlvaroAlfred Health, Psychiatry Inpatient Operations, Prahran, Victoria Australia.
Allison CollinsInstitute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia.
Ching Li Chai-CoetzerAdelaide Institute for Sleep Health: A Flinders Centre of Research Excellence, Flinders University, South Australia, Australia.
Marcus McMahonInstitute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia.
Steven W LockleyCooperative Research Centre for Alertness, Safety and Productivity, Melbourne, Australia.
Shantha M W RajaratnamTurner Institute for Brain and Mental Health, School of Psychological Sciences Monash University, Clayton, Victoria, Australia.
Mark E HowardTurner Institute for Brain and Mental Health, School of Psychological Sciences Monash University, Clayton, Victoria, Australia.
Austin Health · AUHarvard University · USAlfred Health · AUFlinders University · AUInstitute for Breathing and Sleep · AULa Trobe University · AUMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesWhile insomnia and sleepiness symptoms are common in shift workers, 20%-30% experience more severe symptoms and meet the criteria for shift work disorder (SWD). SWD can lead to impairments in cognitive function, physical and mental health, and reduced productivity and increased risk of workplace injury. The aim of this study was to deliver and evaluate a shift work individual management coaching program, focusing on sleep education, promoting good sleep hygiene, and providing individualized behavioral strategies to cope with shift schedules.

methodsA clustered randomized controlled trial of sleep education and sleep disorders screening was undertaken, based on hospital wards at a tertiary hospital in Melbourne, Australia. Participants identified as high risk for SWD underwent one of two 8-week programs, a shift work individualized management program, or an active control. The primary outcome was ward-based sick leave. Secondary outcomes were SWD risk, sleep hygiene, insomnia, depression, and anxiety. A total of 149 nurses, across 16 wards (96% female, 34.66 ± 11.99 years) completed both baseline and follow-up questionnaires (23.9% were high risk SWD).

resultsThere was no significant reduction in sick leave between intervention and control wards (mean difference = 1.2 days,

conclusionsThis SWD intervention trial did not reduce sick leave compared to the active control but there was an improvement. Improvements in sleep hygiene, insomnia, depression, and anxiety severity were seen for both groups. Future intervention trials should consider including both sleep and mental health interventions, strategies to avoid between group contamination and the duration of programs for optimal behavioral modification. CLINICAL

trial registrationRegistry: Australian New Zealand Clinical Trials Registry; Name: Sleep Health Management for Healthcare Workers; URL: https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12616000369426; Identifier: ACTRN12616000369426. CITATION: Booker LA, Sletten TL, Barnes M, et al. The effectiveness of an individualized sleep and shift work education and coaching program to manage shift work disorder in nurses: a randomized controlled trial.

Indexed as

MentoringShift Work ScheduleSleep Disorders, Circadian RhythmSleep Initiation and Maintenance DisordersAustraliaFemaleHumansMaleSleepanxietycircadian rhythmdepressioninsomnianursesshift work disordersleep

Identifiers

PMID34870586
PMCPMC8974377
OpenAlexW4200199387

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.