Does Fatigue Coaching Improve Functioning and Fatigue in Resident Night Shifts

Part of paid clinical trials in Worcester, Massachusetts.

Sponsor
University of Massachusetts, Worcester
Study ID
NCT06100809
Status
Not Yet Recruiting

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Conditions

  • Fatigue
  • Shift Work Type Circadian Rhythm Sleep Disorder

Eligibility Criteria

Sex
ALL
Age
N/A - N/A
Healthy Volunteers
Accepted

Interventions

  • Personalized coaching — BEHAVIORAL
    Personalized fatigue mitigation coaching.
  • Nutrition handout — BEHAVIORAL
    Nutrition handout

Study Details

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.

Key Dates

Start date
Jul 15, 2026
Status verified
Sep 2025
Primary completion
Jul 31, 2027
Completion
Dec 30, 2027

Study Design

Enrollment
30 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • Active Comparator: Control
    No coaching provided. Nutrional handout only
  • Experimental: Intervention
    Coaching provided. Nutrition handout also provided

Primary Outcome Measure

Mean of the change in 3 overnight percentage changes (from pre-shift) in mean reaction time [ Time Frame: Two time points (beginning and middle of night shifts) on each night for a total of 3 nights] ]

Locations (1)

FacilityCityStateZIPSite coordinators
UMassMemorial Health CareWorcesterMassachusetts01655-0002
Steven Bird, MD
[email protected]
508-421-1422

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By research site
UMassMemorial Health Care· Worcester, MA

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