Health Behavior, Sleep, Well-Being
Conditions
Keywords
Sleep, Physical Health, Psychological Health, Well-Being, Employee, Actigraphy
Brief summary
This study is a randomized controlled trial that assesses the effects of (1) the Family-Supportive Supervisor Behavior (FSSB) and Sleep Leadership training and (2) sleep/cognitive effectiveness feedback intervention on health and well-being among full-time employees in the Oregon National Guard, their supervisors, and their families. The interventions involving both health protection and health promotion are expected to contribute to improvements in employees' and their supervisors' sleep, risk behaviors, mental and physical health, and injury, as well as employees' and their spouse/partners' family experiences, health and well-being, and workplace outcomes.
Detailed description
The overall goal of the Military Employee Sleep and Health (MESH) study is to improve safety, health and well-being of service members in the Oregon National Guard and their families. The MESH Study seeks to do this by training supervisors to support Oregon National Guard service members by focusing on a reduction in work-life stress while increasing sleep health. The Oregon MESH Study proposes that leadership can influence a fundamental change in the recognition of sleep health and service members' overall well-being and the well-being of their family members. With the support of the Oregon National Guard, the MESH Study will provide family-support and sleep leadership training for supervisors while raising awareness of sleep through daily non-invasive sleep measurements. The investigators of the Oregon MESH Study expect positive results for study participants, including reduced stress and increased social support. Longer term, these effects are expected to create a more supportive work environment, which has positive effects on safety, health, well-being, family, and organizational outcomes. The investigators also expect that providing service members with individual sleep feedback will reduce sleep problems and improve sleep awareness.
Interventions
BEHAVIORALFSSB/Sleep Leadership Training
Supervisors will receive a training addressing family-supportive supervisor behaviors and sleep leadership.
BEHAVIORALActigraphy Feedback
Supervisors and employees will receive personalized feedback on their sleep and activity measurements.
Sponsors
Portland State University
Colorado State University
United States Department of Defense
Oregon Health and Science University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Full-time employees in the Oregon National Guard, including Military Technicians and Active Guard Reserves.
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Walter Reed Functional Impairment Scale: Social Functional Impairment Subscale (SFI) | 9-months | Service member difficulty functioning in social situations; 4 items with Likert-type responses: 1 = No difficulty at all to 5 = Extreme difficulty, mean score created from all items, with possible score range from 1 to 5. Higher levels indicating greater impairment (worse). Source: Subscale of Overall Functional Impairment by Herrell et al., 2014 |
| Walter Reed Functional Impairment: Occupational Subscale (OFI) | 9-months | Service member difficulty with completing work tasks and quality; 6 items with Likert-type responses: 1 = No difficulty at all to 5 = Extreme difficulty, mean score created from all items, with possible score range from 1 to 5. Higher levels indicating greater impairment (worse). Source: Subscale of Overall Functional Impairment by Herrell et al., 2014 |
| Walter Reed Functional Impairment Scale: Personal Functioning Subscale (PFI) | 9-months | Service member difficulty with getting personal life skills completed; 2 items with Likert-type responses: 1 = No difficulty at all to 5 = Extreme difficulty, mean score created from all items, with possible score range from 1 to 5. Higher levels indicating greater impairment (worse). Source: Subscale of Overall Functional Impairment by Herrell et al., 2014 |
| Self-Reported Sleep Duration | 4 months | Total number of hours calculated from reported bed time and wake time. Minimum 0 hours, Maximum 24 hours. Longer duration indicates longer sleep duration. Ideal range is 7-9 hours of sleep per night. |
| Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Disturbance Insomnia Subscale | 4 months | Four item subscale of the larger 8 item Sleep Disturbance scale. Likert-type responses: 1 = Not at all to 5 = Very much). T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more of the concept being measured (worse). |
| Patient Reported Outcomes Measurement Information System (PROMIS): Dissatisfaction With Sleep Subscale | 4 months | Four item subscale of the larger 8 item Sleep Disturbance scale. Likert-type responses: 1 = Not at all to 5 = Very much. T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more of the concept being measured (worse). |
| Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Related Impairment Subscale (SRI) | 4 months | 8 item scale. Likert-type responses: 1 = Not at all to 5 = Very much). T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates for SRI were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more sleep impairment (worse). |
| Actigraphic Sleep Duration: Total Sleep Time (TST) | 9 months | Actigraphic measurements obtained using Actiwatch2 worn for 3 weeks Average sleep duration in hours Great duration generally better, with target range of 7-9 hours each sleep period. |
| Actigraphic Sleep Efficiency: Wake After Sleep Onset (WASO) | 9-months | Actigraphic measurements obtained using Actiwatch2 worn for 3 weeks Average number of minutes spent awake during the sleep period. More minutes indicates worse outcome. |
| Overall Job Satisfaction Scale | 9-months | Service member satisfaction with current job; Likert-type scale 1 = Strongly disagree to 5 = Strongly agree, mean created from the 3 items. Scores could range from 0-5 with higher levels indicating greater satisfaction. Source: Cammann et al., 1983 |
| Turnover Intentions | 9-months | Service member intention to quit current job; Two items with responses on Likert-type scale 1 = Strongly disagree to 5 = Strongly agree. Overall score created with a mean of the two items, with higher levels indicating greater intention to leave one's job. Source: Boroff & Lewin, 1997 |
| Perceived Stress Scale | 9-months | Service member self-reported stress; Likert-type scale 0 = Never to 4 = Very often, combined to a mean score, with a possible range from 0 to 4. Higher scores indicate greater stress (worse). Source: Cohen & Williamson, 1988 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sleep Leadership | 4-months | Perceived supervisor support for sleep health as reported by service member, 8 items, with responses on Likert-type scale 1=Never to 5= Always, overall score created by mean score, with possible scores ranging from 1 to 5.. Higher scores indicating higher levels of support (better) Source: Modified version of Gunia et al., 2015 |
| Family Supportive Supervisor Behaviors (FSSB) | 4-months | Perceived supervisor support for work-family integration as reported by service member, 4 items, with responses on Likert-type scale 1=Strongly disagree to 5= Strongly agree, overall score created by mean score, with possible scores ranging from 1 to 5.. Higher scores indicating higher levels of support (better) Source: Hammer et al., 2013 |
Countries
United States
Participant flow
Pre-assignment details
n=215 were identified as supervisors in the intervention condition and were excluded (i.e., focus is on service members only for analysis)
Participants by arm
| Arm | Count |
|---|---|
| Intervention Combined: Service Member/Employees Includes all service members/employees who are in the intervention condition, which includes both treatments: 1) Their supervisor is in the condition for the Sleep Leadership/FSSB training and 2) the service member is in the sleep actigraphy feedback condition. | 358 |
| Waitlist Control Service members do not receive actigraphy feedback NOR do their supervisors receive the sleep leadership/FSSB training until AFTER final data collection at 9 months | 346 |
| Total | 704 |
Baseline characteristics
| Characteristic | Total | Intervention Combined: Service Member/Employees | Waitlist Control |
|---|---|---|---|
| Actigraphic Sleep Duration: Total Sleep Time (TST) | 6.60 Hours STANDARD_DEVIATION 0.79 | 6.61 Hours STANDARD_DEVIATION 0.77 | 6.59 Hours STANDARD_DEVIATION 0.8 |
| Actigraphic Sleep Efficiency: Wake After Sleep Onset (WASO) | 41.19 Minutes STANDARD_DEVIATION 12.42 | 41.06 Minutes STANDARD_DEVIATION 12.03 | 41.31 Minutes STANDARD_DEVIATION 12.81 |
| Age, Continuous | 36.21 years STANDARD_DEVIATION 9.08 | 35.94 years STANDARD_DEVIATION 8.98 | 36.49 years STANDARD_DEVIATION 9.18 |
| Overall Job Satisfaction Scale | 3.94 units on a scale STANDARD_DEVIATION 0.85 | 3.98 units on a scale STANDARD_DEVIATION 0.85 | 3.90 units on a scale STANDARD_DEVIATION 0.85 |
| Patient Reported Outcomes Measurement Information System (PROMIS): Dissatisfaction With Sleep Subsca | 53.98 units on a scale STANDARD_DEVIATION 7.51 | 53.88 units on a scale STANDARD_DEVIATION 7.68 | 54.08 units on a scale STANDARD_DEVIATION 7.33 |
| Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Disturbance Insomnia Subsca | 52.63 units on a scale STANDARD_DEVIATION 8.2 | 52.47 units on a scale STANDARD_DEVIATION 8.52 | 52.79 units on a scale STANDARD_DEVIATION 7.86 |
| Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Related Impairment Subscale | 53.21 units on a scale STANDARD_DEVIATION 8.63 | 53.07 units on a scale STANDARD_DEVIATION 8.85 | 53.35 units on a scale STANDARD_DEVIATION 8.4 |
| Perceived Stress Scale | 1.37 units on a scale STANDARD_DEVIATION 0.68 | 1.37 units on a scale STANDARD_DEVIATION 0.7 | 1.37 units on a scale STANDARD_DEVIATION 0.67 |
| Race/Ethnicity, Customized Dichotomized Race/Ethnicity Non-White/Multiple | 135 Participants | 67 Participants | 68 Participants |
| Race/Ethnicity, Customized Dichotomized Race/Ethnicity White | 565 Participants | 289 Participants | 276 Participants |
| Region of Enrollment United States | 704 participants | 358 participants | 346 participants |
| Self-Reported Sleep Duration | 7.28 Hours STANDARD_DEVIATION 1.08 | 7.29 Hours STANDARD_DEVIATION 1.09 | 7.28 Hours STANDARD_DEVIATION 1.06 |
| Sex: Female, Male Female | 177 Participants | 90 Participants | 87 Participants |
| Sex: Female, Male Male | 526 Participants | 267 Participants | 259 Participants |
| Turnover Intentions | 2.13 units on a scale STANDARD_DEVIATION 1.19 | 2.04 units on a scale STANDARD_DEVIATION 1.15 | 2.23 units on a scale STANDARD_DEVIATION 1.23 |
| Walter Reed Functional Impairment: Occupational Subscale (OFI) | 1.81 units on a scale STANDARD_DEVIATION 0.78 | 1.83 units on a scale STANDARD_DEVIATION 0.82 | 1.79 units on a scale STANDARD_DEVIATION 0.73 |
| Walter Reed Functional Impairment: Personal Functional Impairment (PFI) | 1.61 units on a scale STANDARD_DEVIATION 0.76 | 1.60 units on a scale STANDARD_DEVIATION 0.75 | 1.63 units on a scale STANDARD_DEVIATION 0.76 |
| Walter Reed Functional Impairment: Social Functional Impairment (SFI) | 1.68 units on a scale STANDARD_DEVIATION 0.66 | 1.68 units on a scale STANDARD_DEVIATION 0.66 | 1.69 units on a scale STANDARD_DEVIATION 0.67 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 358 | 0 / 346 |
| other Total, other adverse events | 0 / 358 | 0 / 346 |
| serious Total, serious adverse events | 0 / 358 | 0 / 346 |
Outcome results
Primary
Actigraphic Sleep Duration: Total Sleep Time (TST)
Actigraphic measurements obtained using Actiwatch2 worn for 3 weeks Average sleep duration in hours Great duration generally better, with target range of 7-9 hours each sleep period.
Time frame: 9 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Actigraphic Sleep Duration: Total Sleep Time (TST) | 6.65 Hours | Standard Deviation 0.79 |
| Waitlist Control | Actigraphic Sleep Duration: Total Sleep Time (TST) | 6.54 Hours | Standard Deviation 0.96 |
Primary
Actigraphic Sleep Efficiency: Wake After Sleep Onset (WASO)
Actigraphic measurements obtained using Actiwatch2 worn for 3 weeks Average number of minutes spent awake during the sleep period. More minutes indicates worse outcome.
Time frame: 9-months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Actigraphic Sleep Efficiency: Wake After Sleep Onset (WASO) | 42.76 Minutes | Standard Deviation 13.9 |
| Waitlist Control | Actigraphic Sleep Efficiency: Wake After Sleep Onset (WASO) | 42.71 Minutes | Standard Deviation 13.73 |
Primary
Overall Job Satisfaction Scale
Service member satisfaction with current job; Likert-type scale 1 = Strongly disagree to 5 = Strongly agree, mean created from the 3 items. Scores could range from 0-5 with higher levels indicating greater satisfaction. Source: Cammann et al., 1983
Time frame: 9-months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Overall Job Satisfaction Scale | 3.86 score on a scale | Standard Deviation 0.82 |
| Waitlist Control | Overall Job Satisfaction Scale | 3.80 score on a scale | Standard Deviation 0.94 |
Primary
Patient Reported Outcomes Measurement Information System (PROMIS): Dissatisfaction With Sleep Subscale
Four item subscale of the larger 8 item Sleep Disturbance scale. Likert-type responses: 1 = Not at all to 5 = Very much. T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more of the concept being measured (worse).
Time frame: 4 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Patient Reported Outcomes Measurement Information System (PROMIS): Dissatisfaction With Sleep Subscale | 52.28 t score on a scale | Standard Deviation 8.06 |
| Waitlist Control | Patient Reported Outcomes Measurement Information System (PROMIS): Dissatisfaction With Sleep Subscale | 53.27 t score on a scale | Standard Deviation 7.98 |
Primary
Patient Reported Outcomes Measurement Information System (PROMIS): Dissatisfaction With Sleep Subscale
Four item subscale of the larger 8 item Sleep Disturbance scale. Likert-type responses: 1 = Not at all to 5 = Very much). T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates for Dissatisfaction with Sleep were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more of the concept being measured (worse).
Time frame: 9 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Patient Reported Outcomes Measurement Information System (PROMIS): Dissatisfaction With Sleep Subscale | 52.26 t score on a scale | Standard Deviation 7.79 |
| Waitlist Control | Patient Reported Outcomes Measurement Information System (PROMIS): Dissatisfaction With Sleep Subscale | 53.32 t score on a scale | Standard Deviation 7.68 |
Primary
Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Disturbance Insomnia Subscale
Four item subscale of the larger 8 item Sleep Disturbance scale. Likert-type responses: 1 = Not at all to 5 = Very much). T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more of the concept being measured (worse).
Time frame: 4 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Disturbance Insomnia Subscale | 50.90 t score on a scale | Standard Deviation 8.65 |
| Waitlist Control | Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Disturbance Insomnia Subscale | 51.78 t score on a scale | Standard Deviation 8.01 |
Primary
Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Disturbance Insomnia Subscale
Four item subscale of the larger 8 item Sleep Disturbance scale. Likert-type responses: 1 = Not at all to 5 = Very much). T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more of the concept being measured.
Time frame: 9 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Disturbance Insomnia Subscale | 51.63 t score on a scale | Standard Deviation 8.48 |
| Waitlist Control | Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Disturbance Insomnia Subscale | 52.00 t score on a scale | Standard Deviation 8.21 |
Primary
Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Related Impairment Subscale (SRI)
8 item scale. Likert-type responses: 1 = Not at all to 5 = Very much). T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates for SRI were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more sleep impairment (worse).
Time frame: 4 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Related Impairment Subscale (SRI) | 51.10 t score on a scale | Standard Deviation 9.58 |
| Waitlist Control | Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Related Impairment Subscale (SRI) | 52.33 t score on a scale | Standard Deviation 8.66 |
Primary
Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Related Impairment Subscale (SRI)
8 item scale. Likert-type responses: 1 = Not at all to 5 = Very much). T-Scores were created using HealthMeasures Scoring service, where data are uploaded into the HealthMeasures scoring service website, which generates T-Scores. This is considered the most accurate option. T-Scores estimates for SRI were developed using a population of 2,252 participants, 259 of which had clinical sleep disorders, and was intended to be representative of the US population. This is the reference population that the T-score means and SDs were calibrated and centered with. The T-Scores that HealthMeasures generates are not precisely at a mean of 50 and standard deviation of 10 because they are based on the unique MESH samples. A higher PROMIS T-score represents more sleep impairment (worse).
Time frame: 9 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Related Impairment Subscale (SRI) | 50.91 t score on a scale | Standard Deviation 9.12 |
| Waitlist Control | Patient Reported Outcomes Measurement Information System (PROMIS): Sleep Related Impairment Subscale (SRI) | 51.91 t score on a scale | Standard Deviation 8.33 |
Primary
Perceived Stress Scale
Service member self-reported stress; Likert-type scale 0 = Never to 4 = Very often, combined to a mean score, with a possible range from 0 to 4. Higher scores indicate greater stress (worse). Source: Cohen & Williamson, 1988
Time frame: 9-months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Perceived Stress Scale | 1.35 score on a scale | Standard Deviation 0.71 |
| Waitlist Control | Perceived Stress Scale | 1.38 score on a scale | Standard Deviation 0.67 |
Primary
Self-Reported Sleep Duration
Total number of hours calculated from reported bed time and wake time. Minimum 0 hours, Maximum 24 hours. Longer duration indicates longer sleep duration. Ideal range is 7-9 hours of sleep per night.
Time frame: 4 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Self-Reported Sleep Duration | 7.43 Hours | Standard Deviation 1.1 |
| Waitlist Control | Self-Reported Sleep Duration | 7.34 Hours | Standard Deviation 1.13 |
Primary
Self-Reported Sleep Duration
Total number of hours calculated from reported bed time and wake time. Minimum 0 hours, Maximum 24 hours. Longer duration indicates longer sleep duration. Ideal range is 7-9 hours of sleep per night.
Time frame: 9 months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Self-Reported Sleep Duration | 7.50 Hours | Standard Deviation 1.15 |
| Waitlist Control | Self-Reported Sleep Duration | 7.39 Hours | Standard Deviation 1.21 |
Primary
Turnover Intentions
Service member intention to quit current job; Two items with responses on Likert-type scale 1 = Strongly disagree to 5 = Strongly agree. Overall score created with a mean of the two items, with higher levels indicating greater intention to leave one's job. Source: Boroff & Lewin, 1997
Time frame: 9-months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Turnover Intentions | 2.25 score on a scale | Standard Deviation 1 |
| Waitlist Control | Turnover Intentions | 2.32 score on a scale | Standard Deviation 1.27 |
Primary
Walter Reed Functional Impairment: Occupational Subscale (OFI)
Service member difficulty with completing work tasks and quality; 6 items with Likert-type responses: 1 = No difficulty at all to 5 = Extreme difficulty, mean score created from all items, with possible score range from 1 to 5. Higher levels indicating greater impairment (worse). Source: Subscale of Overall Functional Impairment by Herrell et al., 2014
Time frame: 9-months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Walter Reed Functional Impairment: Occupational Subscale (OFI) | 1.79 score on a scale | Standard Deviation 0.77 |
| Waitlist Control | Walter Reed Functional Impairment: Occupational Subscale (OFI) | 1.73 score on a scale | Standard Deviation 0.76 |
Primary
Walter Reed Functional Impairment Scale: Personal Functioning Subscale (PFI)
Service member difficulty with getting personal life skills completed; 2 items with Likert-type responses: 1 = No difficulty at all to 5 = Extreme difficulty, mean score created from all items, with possible score range from 1 to 5. Higher levels indicating greater impairment (worse). Source: Subscale of Overall Functional Impairment by Herrell et al., 2014
Time frame: 9-months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Walter Reed Functional Impairment Scale: Personal Functioning Subscale (PFI) | 1.66 score on a scale | Standard Deviation 0.67 |
| Waitlist Control | Walter Reed Functional Impairment Scale: Personal Functioning Subscale (PFI) | 1.68 score on a scale | Standard Deviation 0.69 |
Primary
Walter Reed Functional Impairment Scale: Social Functional Impairment Subscale (SFI)
Service member difficulty functioning in social situations; 4 items with Likert-type responses: 1 = No difficulty at all to 5 = Extreme difficulty, mean score created from all items, with possible score range from 1 to 5. Higher levels indicating greater impairment (worse). Source: Subscale of Overall Functional Impairment by Herrell et al., 2014
Time frame: 9-months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Walter Reed Functional Impairment Scale: Social Functional Impairment Subscale (SFI) | 1.55 score on a scale | Standard Deviation 0.7 |
| Waitlist Control | Walter Reed Functional Impairment Scale: Social Functional Impairment Subscale (SFI) | 1.54 score on a scale | Standard Deviation 0.68 |
Secondary
Family Supportive Supervisor Behaviors (FSSB)
Perceived supervisor support for work-family integration as reported by service member, 4 items, with responses on Likert-type scale 1=Strongly disagree to 5= Strongly agree, overall score created by mean score, with possible scores ranging from 1 to 5.. Higher scores indicating higher levels of support (better) Source: Hammer et al., 2013
Time frame: 4-months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Family Supportive Supervisor Behaviors (FSSB) | 4.12 score on a scale | Standard Deviation 0.91 |
| Waitlist Control | Family Supportive Supervisor Behaviors (FSSB) | 3.98 score on a scale | Standard Deviation 0.94 |
Secondary
Sleep Leadership
Perceived supervisor support for sleep health as reported by service member, 8 items, with responses on Likert-type scale 1=Never to 5= Always, overall score created by mean score, with possible scores ranging from 1 to 5.. Higher scores indicating higher levels of support (better) Source: Modified version of Gunia et al., 2015
Time frame: 4-months
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Intervention Combined: Service Member/Employees | Sleep Leadership | 2.54 score on a scale | Standard Deviation 1.05 |
| Waitlist Control | Sleep Leadership | 2.32 score on a scale | Standard Deviation 0.95 |