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Shift Work Type Circadian Rhythm Sleep DisorderSWISHNCT06384742

Shift Worker Intervention for Sleep Health

A study testing Shift Worker Intervention for Sleep Health in people with Shift Work Type Circadian Rhythm Sleep Disorder and Insomnia, Psychophysiological, run by Oregon State University at 1 site in United States.

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

The aim of this study is to pilot test a comprehensive, personalized, media-augmented telehealth intervention ("SWISH") designed to improve sleep health among shift workers. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Shift Worker Intervention for Sleep Health
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteUnited States
Study dates
28 Apr 2025to 15 Jan 2028
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

  • Provision of signed and dated informed consent form
  • Any gender; Ages 18-65
  • Currently employed as a nurse or nursing staff member (e.g., CNA) in the United States
  • Currently have shift work schedules (i.e., stable night shift or rotating shifts that include nights, >=2 nights/week) and have worked shift work >=2 nights/week for at least 3 months
  • Expect to have a shift work schedule >=2 nights/week over the next 6 months
  • endorse poor sleep, as evidenced by T-score >=60 on the PROMIS Sleep Disturbance OR Sleep-Related Impairment measure
  • Have daily access to the internet on a smartphone, table, or computer; and
  • Can read and write in English.

Who cannot join

  • Conditions which make study treatment likely to be ineffective. For example, current chronic use of medications that interfere with sleep, alcohol or substance use disorder, or thought disorder (as determined by DIAMOND psychiatric interview), unstable sleep or medical conditions that necessitate additional medical care not provided by study treatments (e.g., known untreated sleep apnea).
  • Presence of safety risk or condition in which study participation may result in increased risk to safety (e.g., elevated risk for suicide, self-reported uncontrolled seizure disorder, history of manic or hypomanic episode, current pregnancy),
  • Currently receiving non-pharmacological treatment for insomnia (e.g., cognitive behavioral therapy for insomnia) and/or current unstable hypnotic/alerting medication use OR
  • Currently participating in other research studies with substantial overlap in terms of methods/procedures (e.g., PI's ongoing study "Piloting an Adaptation of Cognitive Behavioral Therapy for Insomnia for Shift Workers (CBTI-Shift)"

Trial locations and contacts

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

Jessica R Dietch, PhD contact

5417371358

jessee.dietch@oregonstate.edu

Liudmyla Kozii, MD, MPH contact

koziil@oregonstate.edu

United States1 site, 1 recruiting
  • Oregon State University

    Corvallis, Oregon, 97331-1102

    Jessee Dietch, PhD, 541-737-1358, jessee.dietch@oregonstate.edu

    Jessee Dietch, PhD

    Recruiting

Other trials in United States

About this study

Official title: Developing a Sleep Health Intervention for Shift Workers

The aim of this study is to pilot test a comprehensive, personalized, media-augmented telehealth intervention ("SWISH") designed to improve sleep health among shift workers.

Read the detailed description

Night shift nurses with insomnia who meet all study criteria will receive insomnia therapy, modified for shift workers that is designed to improve sleep health among shift workers by targeting shift workers' unique sleep health problems which manifest during both sleep and wake. Participants will be randomized to either SWISH, a multicomponent behavioral intervention based on cognitive behavioral therapy for insomnia that is individually administered via telehealth across approximately weekly sessions that range in length from 30-60 minutes, or delayed treatment control, which will involve weekly assessments but no active treatment until the delay period is over, at which point they will be offered the intervention. The therapy will be conducted over telehealth by interventionists trained in behavioral sleep medicine.

Being tested
Shift Worker Intervention for Sleep Health
Keywords
insomnia, shift work, nurse, sleep psychology, behavioral sleep medicine, circadian rhythm
Medical subject headings
Sleep Initiation and Maintenance Disorders

What participants receive

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

  • Shift Worker Intervention for Sleep HealthBehavioural

    Also called SWISH

    SWISH, a multicomponent behavioral intervention based on cognitive behavioral therapy for insomnia that is individually administered via telehealth across nine approximately weekly sessions that range in length from 15-60 minutes

Study groups in NCT06384742
Study groupRoleWhat they receive
SWISHExperimentalSWISH, a multicomponent behavioral intervention based on cognitive behavioral therapy for insomnia. Other Names: Cognitive Behavioral Therapy for Insomnia
Receives: Behavioral: Shift Worker Intervention for Sleep Health
WLCNo interventionWaitlist Control: Participants in the delayed treatment control condition will begin the SWISH intervention following completion of the posttreatment time point.

What is being measured

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

  1. Retention Rate

    Defined as [number of participants who complete minimal therapeutic dose (at least 4 sessions)] / [number of randomized participants in treatment arm]

    Measured: At the post-treatment assessment (occurring at approximately 12 weeks)

  2. Session Attendance

    For enrolled participants, attendance rates will be calculated as [number of visits attended] / [number of total visits]

    Measured: At the post-treatment assessment (occurring at approximately 12 weeks)

  3. Implementation Assessment Measure

    Validated questionnaire; total score range between 12 and 60, with higher numbers representing greater feasibility, acceptability, and appropriateness.

    Measured: At the post-treatment assessment (occurring at approximately 12 weeks)

Secondary outcomes (12)
  1. Change in PROMIS Sleep Related Impairment

    A validated 8-item Common Data Element measures which assess sleep health broadly as manifested during wake. Validated questionnaire; total score range between 8-40, with higher numbers indicating greater sleep-related wake time impairment

    Measured: At baseline and at the post-treatment assessment (occurring at approximately 12 weeks)

  2. Change in PROMIS Sleep Disturbances

    A validated 8-item Common Data Element measures which assess sleep health broadly as manifested during sleep. Validated questionnaire; total score range between 8-40, with higher numbers indicating greater sleep disturbances.

    Measured: At baseline and at the post-treatment assessment (occurring at approximately 12 weeks)

  3. Patient Adherence

    Self-rated adherence to recommendations (items added to standard sleep diary)

    Measured: At the post-treatment assessment (occurring at approximately 12 weeks)

  4. Acceptability of Study Procedures and SWISH

    Enrollment percent, number of study assessment visits completed.

    Measured: After treatment is completed (occurring at approximately 12 weeks)

  5. Change in Fatigue Severity Scale

    Validated questionnaire; total score range between 9 and 63, with higher numbers representing greater fatigue

    Measured: At baseline and the post-treatment assessment (occurring at approximately 12 weeks)

  6. Change in Epworth Sleepiness Scale

    The Epworth Sleepiness Scale is a validated 8-item self-report measure used to assess sleepiness during waking hours, with higher numbers representing greater sleepiness.

    Measured: At baseline and the post-treatment assessment (occurring at approximately 12 weeks)

  7. Change in sleep efficiency on modified Consensus Sleep Diary

    Sleep efficiency percent will be derived from modified version of the Consensus Sleep Diary; averaged across available days at each time point (up to 2 weeks)

    Measured: At baseline and at the post-treatment assessment (occurring at approximately 12 weeks)

  8. Change in sleep duration on modified Consensus Sleep Diary

    Sleep duration in hours will be derived from modified version of the Consensus Sleep Diary; averaged across available days at each time point (up to 2 weeks)

    Measured: At baseline and at the post-treatment assessment (occurring at approximately 12 weeks)

  9. Change in actigraphy-derived sleep efficiency

    Sleep efficiency percent will be derived from Fitbit Sense and averaged across available days at each time point (up to 2 weeks)

    Measured: At baseline and at the post-treatment assessment (occurring at approximately 12 weeks)

  10. Change in actigraphy-derived sleep duration

    Hours of sleep duration will be derived from Fitbit Sense and averaged across available days at each time point (up to 2 weeks)

    Measured: At baseline and at the post-treatment assessment (occurring at approximately 12 weeks)

  11. Change in PROMIS Emotional Distress - Depression

    A validated 8-item Common Data Element measures which assess depressive symptom severity. Validated questionnaire; total raw score range between 8-40, with higher numbers indicating greater depressive symptomatology.

    Measured: At baseline and at the post-treatment assessment (occurring at approximately 12 weeks)

  12. Change in cognition

    Cognitive performance on the Joggle Research Cognitive Battery selected subtests including Psychomotor Vigilance Task (PVT). T scores (higher is better) will be reported.

    Measured: At baseline and at the post-treatment assessment (occurring at approximately 12 weeks)

Timeline

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

  1. First posted25 Apr 2024
  2. Study start28 Apr 2025
  3. Primary completion30 Sep 2027 (estimated)
  4. Study completion15 Jan 2028 (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
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Investigator, Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06384742
Sponsor's protocol ID
HE-2023-505
Other IDs
K23HL157698
Acronym
SWISH
Status last verified
Apr 2025
First submitted
22 Apr 2024
Last updated
2 May 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified data may be uploaded to a data repository to make it accessible for publication.

Publications

  • Torquati L, Mielke GI, Brown WJ, Kolbe-Alexander T. Shift work and the risk of cardiovascular disease. A systematic review and meta-analysis including dose-response relationship. Scand J Work Environ Health. 2018 May 1;44(3):229-238. doi: 10.5271/sjweh.3700. Epub 2017 Dec 16.

    PubMed 29247501
  • Frost P, Kolstad HA, Bonde JP. Shift work and the risk of ischemic heart disease - a systematic review of the epidemiologic evidence. Scand J Work Environ Health. 2009 May;35(3):163-79. doi: 10.5271/sjweh.1319. Epub 2009 Apr 22.

    PubMed 19387517
  • Brown DL, Feskanich D, Sanchez BN, Rexrode KM, Schernhammer ES, Lisabeth LD. Rotating night shift work and the risk of ischemic stroke. Am J Epidemiol. 2009 Jun 1;169(11):1370-7. doi: 10.1093/aje/kwp056. Epub 2009 Apr 8.

    PubMed 19357324
  • Hansen J, Lassen CF. Nested case-control study of night shift work and breast cancer risk among women in the Danish military. Occup Environ Med. 2012 Aug;69(8):551-6. doi: 10.1136/oemed-2011-100240. Epub 2012 May 29.

    PubMed 22645325
  • Jia Y, Lu Y, Wu K, Lin Q, Shen W, Zhu M, Huang S, Chen J. Does night work increase the risk of breast cancer? A systematic review and meta-analysis of epidemiological studies. Cancer Epidemiol. 2013 Jun;37(3):197-206. doi: 10.1016/j.canep.2013.01.005. Epub 2013 Feb 9.

    PubMed 23403128
  • Rao D, Yu H, Bai Y, Zheng X, Xie L. Does night-shift work increase the risk of prostate cancer? a systematic review and meta-analysis. Onco Targets Ther. 2015 Oct 5;8:2817-26. doi: 10.2147/OTT.S89769. eCollection 2015.

    PubMed 26491356
  • Lin X, Chen W, Wei F, Ying M, Wei W, Xie X. Night-shift work increases morbidity of breast cancer and all-cause mortality: a meta-analysis of 16 prospective cohort studies. Sleep Med. 2015 Nov;16(11):1381-1387. doi: 10.1016/j.sleep.2015.02.543. Epub 2015 May 11.

    PubMed 26498240
  • Karlsson B, Knutsson A, Lindahl B. Is there an association between shift work and having a metabolic syndrome? Results from a population based study of 27,485 people. Occup Environ Med. 2001 Nov;58(11):747-52. doi: 10.1136/oem.58.11.747.

    PubMed 11600731
  • Gan Y, Yang C, Tong X, Sun H, Cong Y, Yin X, Li L, Cao S, Dong X, Gong Y, Shi O, Deng J, Bi H, Lu Z. Shift work and diabetes mellitus: a meta-analysis of observational studies. Occup Environ Med. 2015 Jan;72(1):72-8. doi: 10.1136/oemed-2014-102150. Epub 2014 Jul 16.

    PubMed 25030030
  • Barger LK, Lockley SW, Rajaratnam SM, Landrigan CP. Neurobehavioral, health, and safety consequences associated with shift work in safety-sensitive professions. Curr Neurol Neurosci Rep. 2009 Mar;9(2):155-64. doi: 10.1007/s11910-009-0024-7.

    PubMed 19268039
  • Johnson AL, Jung L, Song Y, Brown KC, Weaver MT, Richards KC. Sleep deprivation and error in nurses who work the night shift. J Nurs Adm. 2014 Jan;44(1):17-22. doi: 10.1097/NNA.0000000000000016.

    PubMed 24316614
  • Lee A, Myung SK, Cho JJ, Jung YJ, Yoon JL, Kim MY. Night Shift Work and Risk of Depression: Meta-analysis of Observational Studies. J Korean Med Sci. 2017 Jul;32(7):1091-1096. doi: 10.3346/jkms.2017.32.7.1091.

    PubMed 28581264
  • Angerer P, Schmook R, Elfantel I, Li J. Night Work and the Risk of Depression. Dtsch Arztebl Int. 2017 Jul 16;114(24):404-411. doi: 10.3238/arztebl.2017.0404.

    PubMed 28669378
  • Gu F, Han J, Laden F, Pan A, Caporaso NE, Stampfer MJ, Kawachi I, Rexrode KM, Willett WC, Hankinson SE, Speizer FE, Schernhammer ES. Total and cause-specific mortality of U.S. nurses working rotating night shifts. Am J Prev Med. 2015 Mar;48(3):241-52. doi: 10.1016/j.amepre.2014.10.018. Epub 2015 Jan 6.

    PubMed 25576495
  • Bureau of Labor Statistics. Standard occupational classification groups. 2018. Retrieved from bls.gov/soc/

Questions about this trial

What is this clinical trial studying?

A study testing Shift Worker Intervention for Sleep Health in people with Shift Work Type Circadian Rhythm Sleep Disorder and Insomnia, Psychophysiological, run by Oregon State University at 1 site in United States.

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 8 inclusion and 4 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 2 May 2025. 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 United States. 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 Jessica R Dietch, PhD (5417371358, jessee.dietch@oregonstate.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Retention Rate (time frame: At the post-treatment assessment (occurring at approximately 12 weeks)). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06384742, which also lists 84 linked publications.

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 2 May 2025.

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