Evaluation of the potential for translation to practice of a sleep disorders mana

评估睡眠障碍法力转化为实践的潜力

• 批准号: 7414335
• 负责人: Charles A Czeisler
• 金额: $ 27.7万
• 依托单位: BRIGHAM AND WOMEN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2009-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7414335
• 关键词: Evaluation; potential; translation; practice; sleep

DESCRIPTION (provided by applicant): The need for 24/7 policing places high physical and psychological demands on police officers that contribute to a high level of fatigue. Frequent overnight shifts and long work weeks leads to acute and chronic partial sleep deprivation in addition to misalignment of circadian phase. As part of the CDC Health Protection Research Initiative: Evaluation of Workplace Health Promotion Research Projects, we have recently conducted a study entitled 'Sleep Disorders Management, Health and Safety in Police' that aimed to develop a novel sleep disorders detection and treatment program, 'Operation Healthy Sleep', on the health, safety, and productivity of police officers. The program included sleep health and hygiene education, caffeine-use education and a large- scale screening, diagnosis and treatment program for clinical sleep disorders. We have recently completed the program in two major police forces, the Massachusetts State Police and the Philadelphia Police Department, using a randomized clinical design to evaluate the overall impact of this health promotion program on officer health, workplace performance, and safety, as derived from police department databases. Approximately 2000 officers attended the educational component of the program. More than 1000 of these officers were also screened for sleep disorders and our results show that police officers have a particularly high prevalence of clinical sleep disorders, with obstructive sleep apnea and insomnia the most common conditions. In the current proposal, we will conduct a detailed evaluation of the Operation Healthy Sleep program and investigate the advantages and disadvantages of our approach though the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to health behavior interventions. We will take advantage of the excellent relationships that we have developed with the police departments, unions and officers during the course of implementing Operation Healthy Sleep to conduct a series of focus group interviews with the stake-holders in the program, in addition to analysis of quantitative data on participation in the various stages of the program. We will also evaluate the cost, feasibility and sustainability of the Operation Health Sleep program through cost-benefit analysis, including quantitative analysis of objective health, safety and productivity outcomes. Finally, we will evaluate the external validity and potential for translation of the Operation Healthy Sleep program nationally by comparing health, safety and productivity outcomes obtained from the primary police samples with those obtained from a nationwide sample of more than 4000 police officers participating in our concurrent web-based survey sleep disorders, fatigue, health and safety. If viable, our ultimate aim is to disseminate this program to practitioners, policymakers and researchers nationwide to reduce fatigue and stress in law enforcement officers, improve their workplace performance, enhance officers' health and safety and, consequently, improve public safety. The need for 24/7 policing, with frequent overnight shifts and long work weeks, places high physical and psychological demands on police officers that contribute leads to acute and chronic partial sleep deprivation and high levels of fatigue. Furthermore, we have shown that police officers have a high prevalence of clinical sleep disorders, particularly obstructive sleep apnea and insomnia. We have recently implemented Operation Healthy Sleep in the Massachusetts State Police and Philadelphia Police Department which includes sleep health and hygiene education, caffeine-use education and a large-scale screening, diagnosis and treatment program for clinical sleep disorders. In the current proposal, we will conduct a detailed evaluation of the Operation Healthy Sleep program and investigate the advantages and disadvantages of our approach with the view to developing a nationwide program to enhance the sleep, alertness and performance of police officers and ultimately both their and the public's health and safety.

描述（由申请人提供）：全天候警务的需要对警察的身体和心理提出了很高的要求，导致高度疲劳。除了昼夜节律失调外，频繁的夜班和长时间的工作周还会导致急性和慢性部分睡眠剥夺。作为疾病预防控制中心健康保护研究倡议：评价工作场所健康促进研究项目的一部分，我们最近进行了一项题为“警察的睡眠障碍管理、健康和安全”的研究，旨在制定一项新的睡眠障碍检测和治疗方案，即关于警察的健康、安全和生产力的“健康睡眠行动”。该计划包括睡眠健康和卫生教育、咖啡因使用教育和临床睡眠障碍的大规模筛查、诊断和治疗计划。我们最近在两个主要的警察部队——马萨诸塞州警察局和费城警察局完成了该计划，使用随机临床设计来评估该健康促进计划对警官健康、工作场所绩效和安全的总体影响，这些影响来自警察局的数据库。大约2000名警官参加了该计划的教育部分。其中1000多名警官也接受了睡眠障碍筛查，我们的结果显示，警察的临床睡眠障碍患病率特别高，其中阻塞性睡眠呼吸暂停和失眠是最常见的情况。在当前的提案中，我们将对健康睡眠操作计划进行详细的评估，并通过RE-AIM （Reach, Effectiveness, Adoption, Implementation, and Maintenance）框架来调查我们的方法的优缺点。我们将利用在实施“健康睡眠行动”过程中与警察部门、工会和警官建立的良好关系，对该方案的利益相关者进行一系列焦点小组访谈，并分析参与该方案各个阶段的定量数据。我们还将通过成本效益分析，包括对客观健康、安全和生产力结果的定量分析，评估“健康睡眠操作”项目的成本、可行性和可持续性。最后，我们将通过比较从主要警察样本中获得的健康、安全和生产力结果，与从全国范围内参与我们同时进行的基于网络的睡眠障碍、疲劳、健康和安全调查的4000多名警察样本中获得的结果，来评估健康睡眠行动计划在全国范围内的外部有效性和翻译潜力。如果可行，我们的最终目标是将这一方案传播给全国的从业人员、政策制定者和研究人员，以减少执法人员的疲劳和压力，改善他们的工作表现，加强官员的健康和安全，从而改善公共安全。