Sleep Health Coaching for Insomnia (SAFFIRE Trial)

Recruiting in Palo Alto (17 mi)

Age: 18+

Sex: Any

Travel: May be covered

Time Reimbursement: Varies

Trial Phase: Phase 4

Waitlist Available

Sponsor: University of Arizona

No Placebo Group

Prior Safety Data

Trial Summary

What is the purpose of this trial?Insufficient sleep is a significant public health issue, particularly affecting shift workers like firefighters, nearly half of whom report short or poor-quality sleep, with 35-40% screening positive for sleep disorders. Cognitive Behavioral Therapy for Insomnia (CBTi) is a recommended and effective treatment, but access to such interventions remains low. This study will recruit 20 fire agencies in Arizona (400 firefighters) to test if a CBTi-informed intervention, including sleep health coaching and agency-wide promotion, improves sleep more effectively than usual care. The trial will also explore factors that influence successful implementation across agencies.

Eligibility Criteria

This trial is for firefighters in Arizona who may be experiencing poor sleep quality or disorders like insomnia, parasomnia, and shift work sleep disorder. Participants should be part of an agency willing to implement the study's interventions.

Inclusion Criteria

I am a paid firefighter working at a participating fire agency.

I have moderate to severe sleep problems.

I have a computer or phone to use for sleep health coaching.

Exclusion Criteria

I am under 18 years old.

Participant Groups

The study tests a firefighter-specific Sleep Health Coaching Intervention (ffSHC) informed by Cognitive Behavioral Therapy for Insomnia against minimally enhanced usual care to see if it improves sleep among firefighters.

2Treatment groups

Experimental Treatment

Active Control

Group I: Intervention (firefighter Sleep Health Coaching Intervention [ffSHC])Experimental Treatment1 Intervention

In this arm, fire service employees receive a structured sleep health intervention based on Cognitive Behavioral Therapy for Insomnia (CBTi). The intervention includes sleep health promotion, telephone-administered sleep coaching, and implementation strategies to promote better sleep practices. Each cluster will transition from the control arm to this intervention at a fixed time, and outcome data will be collected at multiple time points during and after the intervention phase to assess its effectiveness.

Group II: Control (Minimally Enhanced Usual Care)Active Control1 Intervention

In this arm, fire service workers receive usual care with minimal enhancements but without the full sleep health intervention. During this phase, clusters will serve as the control group, and data on sleep health and related outcomes will be collected for comparison against the intervention phase. Each cluster will remain in this arm until a predetermined time point, at which they transition to the intervention arm after a one-month preparation phase.