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

描述（由申请人提供）：需要24/7警务地方高的身体和心理要求的警察，有助于高水平的疲劳。频繁的夜班和长时间的工作周导致急性和慢性部分睡眠剥夺以及昼夜节律不一致。作为CDC健康保护研究计划的一部分：工作场所健康促进研究项目的评估，我们最近进行了一项名为“睡眠障碍管理，警察的健康和安全”的研究，旨在开发一种新的睡眠障碍检测和治疗计划，“健康睡眠行动”，对警察的健康，安全和生产力。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。我们最近完成了两个主要的警察部队，马萨诸塞州警察局和费城警察局的程序，使用随机临床设计，以评估这一健康促进计划对官员的健康，工作场所的性能和安全的整体影响，从警察部门的数据库。大约2 000名军官参加了该方案的教育部分。其中1000多名警官还接受了睡眠障碍筛查，我们的结果显示，警官的临床睡眠障碍患病率特别高，阻塞性睡眠呼吸暂停和失眠是最常见的情况。在目前的提案中，我们将对健康睡眠行动计划进行详细评估，并通过RE-AIM（到达，有效性，采用，实施和维护）框架调查我们的方法的优点和缺点，以进行健康行为干预。我们将利用在实施“健康睡眠行动”过程中与警察部门、工会和官员建立的良好关系，对该计划的受益者进行一系列焦点小组访谈，并分析参与该计划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“健康睡眠行动”计划的成本、可行性和可持续性。最后，我们将评估的外部有效性和潜在的翻译的操作健康睡眠计划全国通过比较的健康，安全和生产力的结果，从主要的警察样本与那些从全国范围内的样本超过4000名警察参与我们的并发网络调查睡眠障碍，疲劳，健康和安全。如果可行，我们的最终目标是向全国的从业人员、政策制定者和研究人员传播这一方案，以减少执法人员的疲劳和压力，改善他们的工作场所表现，加强官员的健康和安全，从而改善公共安全。 由于需要全天候维持治安，加上经常通宵轮班和长时间工作，对警官的身心提出了很高的要求，导致急性和慢性部分睡眠不足和高度疲劳。此外，我们已经表明，警察有很高的患病率临床睡眠障碍，特别是阻塞性睡眠呼吸暂停和失眠。我们最近在马萨诸塞州警察局和费城警察局实施了“健康睡眠行动”，其中包括睡眠健康和卫生教育、咖啡因使用教育以及临床睡眠障碍的大规模筛查、诊断和治疗计划。在目前的提案中，我们将对“健康睡眠行动”方案进行详细评估，并调查我们的做法的利弊，以期制定一项全国性方案，提高警官的睡眠、警觉性和业绩，最终提高他们和公众的健康和安全。

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.