Age: Any Age
Sex: Any
Travel: May be covered
Time Reimbursement: Varies
Trial Phase: Academic
Waitlist Available
Sponsor: University of Massachusetts, Worcester
No Placebo Group
Trial Summary
What is the purpose of this trial?Emergency Medicine (EM) requires 24/7 staff coverage resulting in healthcare workers' circadian rhythm disruptions that impair clinical and cognitive performance, physical recovery, and contribute to burnout. Multiple well-being surveys continue to highlight EM's challenges with sleep impairment due to the nature of the specialty. Despite evidence that lifestyle strategies effectively optimize performance and recovery, EM residents have variable lifestyle choices to prepare for overnight shifts. This prospective randomized controlled trial will examine whether a pre-shift personalized fatigue-mitigation lifestyle coaching (PFMLC) for EM residents on overnight shifts minimizes the effects of circadian rhythm disruptions on performance and recovery compared to those who receive one-time passive information on lifestyle practices. All participants will receive lifestyle strategy materials on fatigue mitigation to improve performance. Residents' self-reported and biometric data will inform PFMLC in the active arm. Performance and recovery from night shifts will be assessed by changes in sleep, heart rate variability, readiness/recovery, alertness, cognitive performance, and mental health using Fitbit and validated measures.
Eligibility Criteria
This trial is for emergency medicine residents who have at least four consecutive overnight shifts. Participants must be open to receiving text messages, meeting with a lifestyle coach, using an app on their smartphone, wearing a Fitbit device during the study, and answering questionnaires.Inclusion Criteria
I am an emergency medicine resident with at least 4 overnight shifts in a row.
Exclusion Criteria
I am unwilling to wear a Fitbit device during the study.
Participant Groups
The trial tests if personalized fatigue-mitigation coaching before night shifts can help emergency medicine residents perform better and recover faster compared to just getting a nutrition handout. It measures sleep quality, heart rate variability, alertness, cognitive performance, and mental health.
2Treatment groups
Experimental Treatment
Active Control
Group I: InterventionExperimental Treatment2 Interventions
Coaching provided. Nutrition handout also provided
Group II: ControlActive Control1 Intervention
No coaching provided. Nutrional handout only
Find A Clinic Near You
Research locations nearbySelect from list below to view details:
UMassMemorial Health CareWorcester, MA
Loading ...
Who is running the clinical trial?
University of Massachusetts, WorcesterLead Sponsor