Evidence map›Paper›PMID 39227826›Full record

Trial reportBMC public health2024

Improving sleep health in paramedics through an app-based intervention: a randomised waitlist control pilot trial.

Alexandra E Shriane, Grace E Vincent, Sally A Ferguson, Amanda Rebar, Tracy Kolbe-Alexander, Gabrielle Rigney

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Healthy from the Start: Co-Designing Sleep, Nutrition and Physical Activity Resources for Young Shiftworkers-Novel Implementation and Evaluation.Health expectations : an international journal of public participation in health care and health policy · 2024
    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

6 authors.

Alexandra E ShrianeAppleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, 44 Greenhill Road, Wayville, Adelaide, SA, 5034, Australia. a.shriane@cqu.edu.au.
Grace E VincentAppleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, 44 Greenhill Road, Wayville, Adelaide, SA, 5034, Australia.
Sally A FergusonAppleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, 44 Greenhill Road, Wayville, Adelaide, SA, 5034, Australia.
Amanda RebarMotivation of Health Behaviours Lab, Appleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, QLD, Australia.
Tracy Kolbe-AlexanderSchool of Health and Medical Sciences, and Centre for Health Research, University of Southern Queensland, Ipswich, QLD, Australia.
Gabrielle RigneyAppleton Institute, School of Health, Medical and Applied Sciences, Central Queensland University, 44 Greenhill Road, Wayville, Adelaide, SA, 5034, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to work commitments, shiftworkers often obtain inadequate sleep, consequently experiencing negative health, wellbeing, and safety outcomes. Given shiftworkers may have limited control over their work commitments, lifestyle and environmental factors within their control may present an intervention opportunity. However, such interventions require tailoring to ensure applicability for this sleep-vulnerable population.

methodsA randomised waitlist control pilot trial investigated the effectiveness of mobile health application Sleepfit, which delivered a tailored sleep health intervention aimed at improving sleep health and sleep hygiene outcomes amongst paramedic shiftworkers. Outcome measures of self-reported sleep health (sleep need, duration, and quality, fatigue, Insomnia Severity Index, Fatigue Severity Scale, and Epworth Sleepiness Scale scores) and sleep hygiene (Sleep Hygiene Index score) were collected at baseline, post-intervention, and 3-month follow-up.

resultsFifty-eight paramedics (aged 33.4 ± 8.0 years; 50% male) were recruited, and trialed Sleepfit for a 14-day intervention period between August 2021-January 2022. For all participants, there was a significant reduction in Insomnia Severity Index and Sleep Hygiene index scores after intervention engagement. Regression models demonstrated no significant intervention effect on sleep health or sleep hygiene outcomes (intervention versus waitlist control group). A high study drop-out rate (91.4%) prevented assessment of outcomes at 3-month follow-up.

conclusionsPilot trial findings demonstrate that Sleepfit may elicit improvements in sleep health and sleep hygiene outcomes amongst paramedic shiftworkers. However, low enrolment and retention means that findings should be interpreted with caution, further highlighting potential engagement challenges, especially among paramedics who are particularly in need of support for improved sleep.

trial registrationProspectively registered with the Australian New Zealand Clinical Trial Registry 24/01/2020 (reference no. ACTRN12620000059965).

Indexed as

Allied Health PersonnelMobile ApplicationsAdultFemaleHumansMaleMiddle AgedParamedicsPilot ProjectsSleepSleep HygieneWaiting ListsmHealthShiftworkSleep hygiene

Identifiers

PMID39227826
PMCPMC11373143

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.