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StressJOBSTRESS-OPHNCT04959838

JOB STRESS in OPHthalmology Physicians and Residents

A study testing Impact of prolonged work in people with Stress and Heart Rate Variability, run by University Hospital, Clermont-Ferrand at 1 site in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Ophthalmology physicians and residents work under stress conditions during night emergency ophthalmology shifts. Under time pressure, that is a characteristic of the urgency of care, they must use all their cognitive resources to make an accurate diagnosis and to provide accurate decisions, with sometimes surgical… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Stress, Heart Rate Variability
What is being tested?
Impact of prolonged work
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteFrance
Study dates
6 Jul 2021to Jul 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Ophthalmologists defined as physicians who completed the ophthalmology DES (Specialized studies diploma), as well as ophthalmology residents defined as a resident registered in the ophthalmology DES working during the inclusion period in the ophthalmology department of the university hospital center of Clermont-Ferrand.
  • Ability to give a written informed consent to participate in research.
  • Affiliation to a social security system.
  • Age between 18 and 65 years old

Who cannot join

  • Participant refusal to participate
  • Children under the age of 18, pregnant and breastfeeding women, protected adults (individuals under guardianship by court order), adults deprived of their liberty.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

France1 site, 1 recruiting
  • CHU clermont-ferrand

    Clermont-Ferrand

    Lise Laclautre

    Frédéric DUTHEIL

    Recruiting

Other trials in France

About this study

Official title: Monitoring of JOB STRESS Related to Night Shifts in OPHthalmology Physicians and Residents

Ophthalmology physicians and residents work under stress conditions during night emergency ophthalmology shifts. Under time pressure, that is a characteristic of the urgency of care, they must use all their cognitive resources to make an accurate diagnosis and to provide accurate decisions, with sometimes surgical emergency acts. In addition, in France, they work at night following by an usual day work, and they can also work 48 consecutive hours during weekends, followed by a work day … i.e. 60 consecutive hours of work … Long working hours with a short recovery time has been demonstrated to be a major factor of stress and fatigue. Even if not demonstrated on ophthalmologists, those working conditions may contribute to symptoms of mental exhaustion and physical fatigue (sleep deprivation), often accompanied by a loss of motivation at work. This may leads to a feeling of loss of time control; stress can also distort the perception of time and leads to hasty actions or delayed decision-making. The combined effects of stress, feelings of loss of time control, and fatigue necessarily have an impact on work performance and work quality, with a high risk of medical error. Moreover, prolonged stress may expose ophthalmologists to a higher risk of multiple diseases, predominantly systemic inflammation and coronary heart disease.

The main hypothesis is that prolonged work (up to 60 consecutive working hours) may impact on HRV, comparatively to a typical working day.

Read the detailed description

The JOBSTRESS.OPH protocol was designed to study the impact of prolonged work (up to 60 consecutive working hours) on HRV, comparatively to a typical working day. Each residents and / or ophthalmology physicians participates up to a maximum of 5 times. Participants wears a heart rate belt and a watch that measures physical activity and skin conductance for 34 hours straight. Participants only wears an EEG monitor while sleeping to assess its quality. At the end of the evaluation session, a simulator test mimicking the successive stages of cataract surgery is performed, as well as the performance of saliva tests. Short quality of life assessment questionnaires are completed at the start and end of the day, supplemented by a general questionnaire completed only once during the study.

Statistical analysis will be performed using Stata software (v15, Stata-Corp, College Station, US). Categorical parameters will be described in terms of numbers and frequencies, whereas continuous variables will be expressed as mean and standard deviation or median and [inter-quartile range] according to statistical distribution. All statistical tests will be two-sided and p<0.05 will be considered significant. Graphic representations will be complete presentations of results.

Investigators process multivariate physiological series (HRV, SC, biomarkers) in order to build a stress index. For such multivariate physiological series, investigators first use change point analysis on each univariate series in order to get clusters with constant parameters, then investigators use classification algorithm on the constant parameters obtained in first step in order to obtain different classes corresponding to different levels of stress. Eventually, investigators obtain at each time the level of stress and can compare it to the environmental conditions.

Being tested
Impact of prolonged work
Keywords
ophthalmologists, on-call duty, stress, surgical simulator, heart rate variability, sleep, questionnaires, actimetry

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Impact of prolonged workBehavioural

    Evaluate the impact of prolonged work (up to 60 consecutive hours) on the surgical capacities evaluated on a simulator, as well as on stress markers (questionnaires, saliva assays, skin conductance, quality of sleep) compared to a standard day.

Study groups in NCT04959838
Study groupRoleWhat they receive
Ophthalmology physicians and residentsExperimentalOphthalmology physicians and residents will be followed during 34h, from 8 am to 6 pm the following day,in five different conditions: * Control day (no work) * Typical working day * Working day + one night shift * Emergency working day + two consecutive night shifts * Night shift.
Receives: Behavioral: Impact of prolonged work

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Heart rate variability

    HRV will be explored in time and frequency domains Abrupt changes in HRV signals will be explored.

    Measured: During 34 hours in the five different conditions

Secondary outcomes (44)
  1. change in stress levels

    measure of stress using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 8am, beginning of the 34 hours follow-up, in the five different conditions

  2. change in stress levels

    measure of stress using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 6pm, end of the 34 hours follow-up, in the five different conditions

  3. change in fatigue levels

    measure of fatigue using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 8am, beginning of the 34 hours follow-up, in the five different conditions

  4. change in fatigue levels

    measure of fatigue using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 6pm, end of the 34 hours follow-up, in the five different conditions

  5. change in burnout levels

    measure of burnout using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 8am, beginning of the 34 hours follow-up, in the five different conditions

  6. change in burnout levels

    measure of burnout using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 6pm, end of the 34 hours follow-up, in the five different conditions

  7. change in depression levels

    measure of depression using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 8am, beginning of the 34 hours follow-up, in the five different conditions

  8. change in depression levels

    measure of depression using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 6pm, end of the 34 hours follow-up, in the five different conditions

  9. change in anxiety levels

    measure of anxiety using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 8am, beginning of the 34 hours follow-up, in the five different conditions

  10. change in anxiety levels

    measure of anxiety using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 6pm, end of the 34 hours follow-up, in the five different conditions

  11. change in "Job demand control support" levels

    measure of job demand, job control and support levels using visual analogue scale of 100 mm, from 0 to 100. Higher scores of demand mean a worse level. Higher scores of control and support mean a better level.

    Measured: at 8am, beginning of the 34 hours follow-up, in the five different conditions

  12. change in "Job demand control support" levels

    measure of job demand, job control and support levels using visual analogue scale of 100 mm, from 0 to 100. Higher scores of demand mean a worse level. Higher scores of control and support mean a better level.

    Measured: at 6pm, end of the 34 hours follow-up, in the five different conditions

  13. change in "Effort reward imbalance" levels

    measure of effort reward imbalance using visual analogue scale of 100 mm, from 0 to 100. Higher scores of mean a better outcome level.

    Measured: at 8am, beginning of the 34 hours follow-up, in the five different conditions

  14. change in "Effort reward imbalance" levels

    measure of effort reward imbalance using visual analogue scale of 100 mm, from 0 to 100. Higher scores of mean a better outcome level.

    Measured: at 6pm, end of the 34 hours follow-up, in the five different conditions

  15. change in work addiction levels

    measure of work addiction using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 8am, beginning of the 34 hours follow-up, in the five different conditions

  16. change in work addiction levels

    measure of work addiction using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 6pm, end of the 34 hours follow-up, in the five different conditions

  17. change in sleep quality

    measure of sleep quality using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 8am, beginning of the 34 hours follow-up, in the five different conditions

  18. change in sleep quality

    measure of sleep quality using visual analogue scale of 100 mm, from 0 to 100. Higher scores mean a worse outcome level.

    Measured: at 6pm, end of the 34 hours follow-up, in the five different conditions

  19. Saliva biomarkers cortisol

    measure on Cortisol

    Measured: baseline of the 34 hours procedure, in the five different conditions

  20. Saliva biomarkers cortisol

    measure on Cortisol

    Measured: 24hours after the beginning of the procedure, in the five different conditions

  21. Saliva biomarkers dheas

    measure on dheas

    Measured: baseline of the 34 hours procedure, in the five different conditions

  22. Saliva biomarkers dheas

    measure on dheas

    Measured: 24 hours after the beginning of the procedure, in the five different conditions

  23. Saliva biomarkers lgAs

    measure on lgAs

    Measured: baseline of the 34 hours procedure, in the five different conditions

  24. Saliva biomarkers lgAs

    measure on lgAs

    Measured: 24 hours after the beginning of the procedure, in the five different conditions

  25. Saliva biomarkers Leptine

    measure on Leptine

    Measured: baseline of the 34 hours procedure, in the five different conditions

  26. Saliva biomarkers Leptine

    measure on Leptine

    Measured: 24 hours after the beginning of the procedure, in the five different conditions

  27. Saliva biomarkers Ghrelin

    measure on Ghrelin

    Measured: baseline of the 34 hours procedure, in the five different conditions

  28. Saliva biomarkers Ghrelin

    measure on Ghrelin

    Measured: 24 hours after the beginning of the procedure, in the five different conditions

  29. Declared level of physical activity

    Physical activity is assessed with one question

    Measured: once at 8am, at the beginning of the procedure

  30. Level of physical activity

    Physical activity is assessed with a 3-Axis accelerometer

    Measured: during 34 hours, in the five different conditions

  31. Level of sedentary

    Sedentary is assessed regarding the time spent sitting assessed with one question

    Measured: once at 8am, at the beginning of the procedure

  32. Food intake

    assessing food intake with ingesta

    Measured: 34 hours recording, in the five different conditions

  33. Sick leave

    assessing the number of absence days the previous 6 months using a questionnaire

    Measured: once at 8am, at the beginning of the procedure

  34. Height

    measure of height in cm using a questionnaire

    Measured: once at 8am, at the beginning of the procedure

  35. Weight

    measure of weight in kilograms using a questionnaire

    Measured: once at 8am, at the beginning of the procedure

  36. Age

    measure of age in years using a questionnaire

    Measured: once at 8am, at the beginning of the procedure

  37. Gender

    measure of gender using a questionnaire

    Measured: once at 8am, at the beginning of the procedure

  38. Qualification

    measure of qualification using a questionnaire

    Measured: once at 8am, at the beginning of the procedure

  39. Personal status

    measure of personal status using a questionnaire

    Measured: once at 8amat the beginning of the procedure

  40. Lifestyle

    Assessing factors related to lifestyle as smoking, alcohol and coffee consumption using a questionnaire

    Measured: once at 8am, at the beginning of the procedure

  41. Skin conductance

    measure of the skin conductance using Wrist band electrodes

    Measured: during 34 hours , in the five different conditions

  42. Sleep quality

    measure of sleep quality using Sleep profiler

    Measured: measure for about 7 hours the night of the control day (no work)

  43. Sleep quality

    measure of sleep quality using Sleep profiler

    Measured: measure for about 7 hours during the night of the typical working day

  44. Surgical performance

    assessing surgical performance using a high-end virtual reality simulator for intraocular surgery training

    Measured: Once at 6pm, at the end of the 34 hours follow-up , in the five different conditions

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jul 2021
  2. Study start6 Jul 2021
  3. Primary completionJul 2027 (estimated)
  4. Study completionJul 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Screening
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04959838
Sponsor's protocol ID
RBHP 2020 DUTHEIL 2
Other IDs
2020-A03231-38
Acronym
JOBSTRESS-OPH
Status last verified
Jun 2026
First submitted
22 Jun 2021
Last updated
16 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Impact of prolonged work in people with Stress and Heart Rate Variability, run by University Hospital, Clermont-Ferrand at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 16 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Lise Laclautre (334.73.754.963, promo_interne_drci@chu-clermontferrand.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Heart rate variability (time frame: During 34 hours in the five different conditions). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jun 2026.

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