Sustaining Sleep: Results From the Randomized Controlled Work, Family, and Health Study
Sustaining Sleep: Results From the Randomized Controlled Work, Family, and Health Study
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DOI：
10.1037/ocp0000122
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发表时间：
2019-02-01
影响因子：
5.1
通讯作者：
Buxton, Orfeu M.
中科院分区：
文献类型：
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作者：
Crain, Tori L.;Hammer, Leslie B.;Buxton, Orfeu M.
尽管组织文献中对干预设计的呼声很多，并且越来越多的努力进行严格的随机对照试验，但现有研究很少评估工作场所健康干预结果的长期可持续性或该过程的机制。对于客观和主观睡眠结果尤其如此。我们假设，在美国财富 500 强公司的信息技术员工样本中，工作家庭干预会增加基线后 6 个月和 18 个月的自我报告和客观活动记录测量的睡眠数量和睡眠质量。在 6 个月和 18 个月的随访中，发现对客观活动记录总睡眠时间和自我报告的睡眠不足有显着的干预效果，并且随着时间的推移没有发生明显的衰减。然而，对于入睡后的客观活动记录唤醒或自我报告的失眠症状，没有发现显着的干预效果。通过对工作日程的 6 个月控制和随后的 12 个月家庭时间充足性的近期干预目标，发现干预对客观体动记录总睡眠时间的影响存在显着的间接影响。这些结果凸显了长期职业健康干预研究的价值，同时也强调了这种工作家庭干预在睡眠某些方面的效用。
Although calls for intervention designs are numerous within the organizational literature and increasing efforts are being made to conduct rigorous randomized controlled trials, existing studies have rarely evaluated the long-term sustainability of workplace health intervention outcomes, or mechanisms of this process. This is especially the case with regard to objective and subjective sleep outcomes. We hypothesized that a work-family intervention would increase both self-reported and objective actigraphic measures of sleep quantity and sleep quality at 6 and 18 months post-baseline in a sample of information technology workers from a U.S. Fortune 500 company. Significant intervention effects were found on objective actigraphic total sleep time and self-reported sleep insufficiency at the 6- and 18-month follow-up, with no significant decay occurring over time. However, no significant intervention effects were found for objective actigraphic wake after sleep onset or self-reported insomnia symptoms. A significant indirect effect was found for the effect of the intervention on objective actigraphic total sleep time through the proximal intervention target of 6- month control over work schedule and subsequent more distal 12-month family time adequacy. These results highlight the value of long-term occupational health intervention research, while also highlighting the utility of this work-family intervention with respect to some aspects of sleep.