Stress
Conditions
Keywords
Sleep Hygiene, Morning Light, Acceptance and Commitment Training
Brief summary
The aim of the present project is to combine Acceptance and Commitment Therapy and sleep hygiene + light-therapy (so-called chronotherapy) serially in a sample of employees to reduce levels of subjective exhaustion.
Interventions
BEHAVIORALAcceptance and Commitment Training
During the ACT-based intervention, participants will get 4 training sessions in groups, once a week for an hour. Additionally, participants will be asked to implement behavioural exercises such as mindfulness and value-based exercises into their daily schedule.
BEHAVIORALSleep Hygiene and bright light in the morning
During the chronobiological intervention, participants will get 4 training sessions in groups, one hour per week. Additionally, they will use a daylight lamp at home, for 30 minutes per day after waking up.
Sponsors
Psychiatric Hospital of the University of Basel
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* working in an office mainly (i.e., \> 60% of work time) * Age: ≥18 years old * Sex: male and female individuals * Ownership of cell phone with internet connection * informed consent as documented by signature
Exclusion criteria
* diseases of the retina or related diseases such as diabetes mellitus * taking drugs which heighten photosensitivity * inability to understand and follow procedures in German
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in subjective exhaustion measured by the German Version of the Shirom-Melamed Burnout Measure | approx. every two weeks, and at follow up (i.e., approx. 5 weeks after last training session) | Overall mean score as well as three subscales of Shirom-Melamed Burnout Measure ( P = physical fatigue; E= emotional exhaustion; and C= cognitive weariness, each ranging from 1-7). Note: Higher scores indicate higher levels of exhaustion (overall as well as on each scale P, E and C) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in subjective well-being as assessed by the Patient Health Questionnaire (PHQ-D) | approx. every 4 weeks | Sum over each of the subscales assessing somatic, depressive, anxiety and stress symptoms. The subscale assessing panic symptoms, alcohol abuse and intake of medication will be categorically evaluated. |
| Change in quality of circadian rhythm | Actimetric devices are worn during 2 x 28 days continuously. The outcome of actimetric data are aggregated per person and training episode | Actimetric devices are worn during 2 x 28 days continuously. These devices store the amount of activity in a resolution of 30 Hz 24/7. For data analyses, these activity data will be aggregated to three values (stability, variability and relative amplitude) per participant and training episode by non-parametric circadian rhythm analyses; higher values indicate higher stability, variability and amplitude |
| Change in subjective and objective sleep quality: Pittsburgh Sleep Quality Index (PSQI) | PSQI is collected approx. every four weeks and at follow up (i.e. approx 5 weeks after last training), the single question and actimetric data are measured daily | Subjectively assessed by the Pittsburgh Sleep Quality Index (PSQI, higher scores indicate worse subjective sleep quality), by a single question about sleep quality (higher scores indicate worse quality) and by actimetric analyses |
| Change in Subjective sleepiness in the morning | KSS is measured daily | Measured by Karolinska Sleepiness Scale (KSS), higher scores indicate higher sleepiness |
| Change in Subjective well-being as assessed by General Health Questionnaire (GHQ-12) | approx. every two weeks, and at follow up (i.e., approx. 5 weeks after last training session) | Sum over twelve items, higher scores indicate worse psychological well-being |
| Change in Chronotype | approx. every 4 weeks and at follow up (i.e., approx. 5 weeks after last training session) | Measured by a short version of the Munich Chronotype Questionnaire, higher scores indicate a later chronotype |
| Change in Burnout severity | every 4 weeks | Measured by Maslach Burnout Inventory using sumscores of the subscales emotional exhaustion, depersonalization and personal achievement. Higher scores indicate higher exhaustion, depersonalization and better personal achievement |
| Change in Absences | Assessed daily | Numbers of days absent if available from the employer |
| Change in Implementation of treatment | approx. every two weeks, and at follow up (i.e., approx. 5 weeks after last training session) | Questions about frequency implementation of treatment in daily life |
| Change in daytime subjective sleepiness | ESS approx every four weeks | Measured by Epworth Sleepiness Scale (ESS): higher scores indicate higher sleepiness |
Countries
Switzerland
Contacts
Primary ContactCarolin Reichert, PhD
Outcome results
None listed