Sleep
Conditions
Brief summary
While many interventions have targeted hospital staff to improve sleep, few have been successful, and often suffer from limited adherence to staff protocols. Given preliminary data that suggests that empowered patients are more likely to obtain better sleep and have objectively lower noise levels in their rooms, it is plausible that partnering directly with patients can mitigate sleep loss and improve health outcomes. Patients will be randomized to receive the I-SLEEP education and empowerment program and test the effectiveness of this program on patient sleep and health outcome in the hospital and post-discharge. The aim of the project is to reduce environmental, healthcare-related, and patient-related factors that disrupt sleep of hospitalized patients by use of patient education and empowerment intervention.
Interventions
BEHAVIORALPatient Empowerment
Group to receive a 5 minute video about typical hospital sleep disruptions and what they can do to prevent them, as well as a brochure outlining the importance of sleep
OTHERSleep Kit
Patients receive a small pouch that includes an eye mask, ear plugs, and headphones, all to be used to aid in falling/staying asleep
Sponsors
University of Chicago
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Masking description
Trained research assistants will introduce the interventions to patients, leaving the outcomes assessor and investigator only able to see results. The care provider is not part of the study decision, as the study does not affect their healthcare.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Admitted to the general/hospitalist medicine departments * Stayed at least one night in hospital since admission
Exclusion criteria
* Admitted \>72 hours ago * Patient has been diagnosed with a sleep disorder such as narcolepsy, insomnia, or sleep apnea * Patient was transferred from ICU or outside hospital * Patient under strict, droplet, or airborne isolation precautions * Unable to ambulate * Too confused or incoherent to provide consent * Patient cannot speak English * Pregnancy * Residence in a nursing home or assisted living facility * Patient was admitted in a hospital within two weeks of current admission
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Karolinska Sleep Log - Sleep Times | Through stay in the hospital until discharge, usually 2-3 days | A self-reported measure of time spent sleeping, time it took to fall asleep, etc. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patients Who Report Talking to Clinicians About Their Healthcare | Through stay in the hospital until discharge, usually 2-3 days | Measure of number of patients who advocate for their sleep by making lifestyle changes, including speaking to their clinicians to reduce nighttime disruptions |
| Number of nighttime disruptions to sleep | Through stay in the hospital until discharge, usually 2-3 days | Measure of disruptions patients receive between 11 PM and 7 AM, determined by hospital hand sanitizer stations outside doors and electronic health record audits |
| Frequency of Sleep Disruptions in the Hospital Setting | Through stay in the hospital until discharge, usually 2-3 days | Administered to obtain a subjective view of typical disruptions to sleep such as bed comfort, room temperature, and pain. Items will also assess the disruptions that are caused by healthcare, such as vital signs, medication administration, and lab-work. This survey includes an item on how disruptive noise was to the patient's sleep, broken down into as many sources of hospital noise as possible. |
| Actigraphy - Objective Measure of Sleep Duration | During stay at the hospital, for a week after, and for a week three months after discharge | Actiwatch Spectrum Pros used to determine sleep duration |
| Actigraphy - Objective Measure of Sleep Quality | During stay at the hospital, for a week after, and for a week three months after discharge | Actiwatch Spectrum Pros used to determine sleep quality |
| Karolinska Sleep Log - Outcomes of Sleep | Through stay in the hospital until discharge, usually 2-3 days | Subjective quality of sleep as determined by scales such as On a scale of 1 to 5, with 5 being the most, how refreshed did you feel upon waking up this morning? |
Countries
United States
Outcome results
None listed