Effects and Feasibility of a Computer-Based Intervention on Truck Drivers' Sleep

描述（由申请人提供）：本研究的目的是：（1）将已建立的关于睡眠、警觉性和疲劳管理的讲座培训计划转化为基于计算机的、可通过互联网访问的试点格式（E-MAMF）;（2）确定E-MAMF对长途卡车司机睡眠数量和质量的可行性和影响。具体而言，本研究旨在：（1）确定E-MAMF教育干预用于长途卡车司机的可行性;（2）确定试点E-MAMF教育干预对长途卡车司机睡眠数量和质量、主观嗜睡和疲劳的影响。两组重复测量实验设计将用于解决拟议项目的具体目标。样本将包括每周至少有三个晚上睡在卡车卧铺上的长途卡车司机;以及没有驾驶伙伴或乘客（单独驾驶）的司机。参与者将在3月，6月，7月，8月和11月期间在美国各州不同地点的卡车运输行业贸易展上招募。在完成筛选、知情同意和基线数据收集后，将受试者随机分配至E-MAMF组或等待对照组。在第一周，所有参与者将接受活动记录仪监测，并完成每日睡眠、疲劳和道路/驾驶条件测量。在第二周，E-MAMF组的参与者将获得E-MAMF的模块1-4的访问权，每周在线提供，持续四周，并在研究方案期间每周电话随访，以加强模块信息。等待控制组的参与者将在方案的前六周内每周接受研究团队的电话注意力控制呼叫。第6周时，两组将接受一周的活动记录仪监测，并完成基线活动记录仪监测阶段完成的所有相同测量。从第七周开始，等待控制组将获得为期沿着的每周在线提供的E-MAMF模块1-4的访问权限，以及每周电话随访，以加强模块信息。在方案第12周期间，所有受试者将接受第三个阶段的活动记录仪监测，使用与之前活动记录仪监测阶段相同的测量方法。将使用描述性统计、频率、一般线性和混合模型分析数据。 公共卫生相关性：本研究旨在确定教育干预用于长途卡车司机睡眠和疲劳问题的可行性。这项研究直接关系到美国的个人和公共安全。

DESCRIPTION (provided by applicant): The purposes of this study are: (1) to translate an established, lecture training program on sleep, alertness, and fatigue management to a pilot computer-based, internet-accessible format (E-MAMF); and (2) to determine the feasibility and effects of E-MAMF on sleep quantity and quality of long-haul truck drivers. Specifically, the study aims to: (1) Determine the feasibility of the E-MAMF education intervention for use in long-haul truck drivers; and (2) Determine the effects of the pilot E-MAMF educational intervention on sleep quantity and quality, subjective sleepiness, and fatigue in long-haul truck drivers. A two-group repeated measures experimental design will be used to address the specific aims of the proposed project. The sample will consist of long-haul truck drivers who sleep at least three nights per week in the sleeper berths of their trucks; and who drive without a driving partner or passenger (solo). Participants will be recruited at trucking industry trade shows at various locations in the U.S. states during the months of March, June, July, August, and November. Participants will be randomly assigned to E-MAMF or Wait Control groups after screening, informed consent, and collection of baseline data are complete. During week one, all participants will have actigraph monitoring and will complete daily sleep, fatigue, and road/driving conditions measures. At Week Two, participants in the E- MAMF group will receive access to Modules 1-4 of E-MAMF delivered weekly online for four weeks and weekly telephone follow-up calls for the duration of the study protocol to reinforce module information. Participants in the Wait Control group will receive weekly telephone attention control calls from the research team for the first six weeks of the protocol. At Week Six, both groups will receive one week of actigraph monitoring and will complete all of the same measures completed for the baseline actigraph monitoring session. Beginning on Week Seven, the Wait Control group will receive access to Modules 1-4 of E-MAMF delivered weekly online for four weeks along with weekly telephone followup to reinforce module information. During Week 12 of the protocol, all participants will receive a third period of actigraph monitoring using the same measures completed for the previous actigraph monitoring sessions. Data will be analyzed using descriptive statistics, frequencies, general linear and mixed models. PUBLIC HEALTH RELEVANCE: This study aims to determine the feasibility of an education intervention for use in long-haul truck drivers sleep and fatigue issues. This research is directly relevant to individual and public safety across the United States.