None listed
Conditions
Brief summary
Our previous research (UOM HREC ID: 1750491.1) indicated a large proportion of the airline cabin crew experiences fatigue and sleepiness, with 40-68% of the sample population (N=930) screened positive for either insomnia, depression, shift work disorder or a multitude of these disorders. The study also found cabin crew engage in behaviours detrimental to good sleep health, such as large consumption of caffeine daily, and/or use of alcohol and drugs (prescription and non-prescription) as strategies to promote sleep. Based on this result, we have developed a sleep education program (ACCESS; Airline Cabin Crew Educational Strategies for Sleep) based on the relevant components of cognitive behavioural therapy for insomnia (e.g. sleep hygiene, stimulus control, relaxation) to educate and promote behaviours that will improve sleep health in cabin crew. The broad aim of this study is to measure the effectiveness of the ACCESS program compared to the control program (standard sleep education program) in improving sleep health for airline cabin crew.
Interventions
There is only one intervention group in this study - ACCESS (Airline Cabin Crew Educational Strategies for Sleep). Eligible participants will be randomised into either intervention or control group. ACCESS participants will receive an online education program based on the relevant components from the cognitive behavioural therapy of insomnia (CBTi). This will be carried out over four weeks, with 2 emails per week (a total of 8 emails for the duration of the intervention). Intervention emails wil
There is only one intervention group in this study - ACCESS (Airline Cabin Crew Educational Strategies for Sleep). Eligible participants will be randomised into either intervention or control group. ACCESS participants will receive an online education program based on the relevant components from the cognitive behavioural therapy of insomnia (CBTi). This will be carried out over four weeks, with 2 emails per week (a total of 8 emails for the duration of the intervention). Intervention emails will include information on sleep education focusing on the science of sleep and its benefits, shift work and jet lag management strategies, sleep hygiene and relaxation. This program differs from the control treatment, whereby participants are introduced to lifestyle and behavioural strategies to improve sleep. Strategies such as the use of stimulus control (i.e. use bedroom for sleep only, and leave bedroom if not sleepy), strategic napping, use of caffeine, alcohol and nicotine, environment setup for better sleep and relaxation techniques. The control treatment will receive basic sleep education that is information based, with no suggested behavioural changes. At the mid-point and endpoint of the intervention, participants will receive a survey which includes some progress tracking questions, and measures on their sleepiness, insomnia symptoms and fatigue. The progress tracking questions are related to the contents of the participated program (i.e. either ACCESS treatment or control treatment) and will be used to monitor adherence to the intervention. Participants wearing a Fitbit will be asked to share their sleep data with the researcher, and local participants (Victoria, Australia) will be offered an actigraphy watch (an activity watch similar to a Fitbit, however, only monitors sleep / wake data based on body movement) to send to them to wear for the duration of the study. Participants are asked to provide their work roster to act as a work diary, and send updates on the roster as necessary. Pre and post intervention survey will be carried out for all participants, this measures insomnia, sleepiness, fatigue, shift work disorder, depression, anxiety, chronotype, individual habits and their operation details.
Sponsors
The University of Melbourne
Study design
Allocation
Randomised controlled trial
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Subject)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Currently active cabin crew from around the world who are working full-time. This includes cabin crew who flies all routes, ie. international, domestic or both. From the screening process, only cabin crew that score in the unhealthy range of either daytime sleepiness (Epworth Sleepiness Score greater than 10 ) or insomnia (Sleep Condition Indicator less than or equal to 16) scales will be included for study.
Exclusion criteria
Full time cabin crew that scores in the healthy range for both daytime sleepiness and insomnia scales.
Outcome results
None listed