Exploring Clinical Trials to Manage Firefighters’ Sleep Quality: A PRISMA Compliant Systematic Review
Abstract
:1. Introduction
2. Material and Methods
2.1. Eligibility Criteria, Information Sources, and Search Strategy
- ClinicalTrials.gov: “sleep wake disorders” OR “sleep disorder” OR “sleep problems” OR “sleep conditions” OR “Parasomnias” AND “firefighters” OR “fire fighter” OR “fire man”.
- ICTRP: (((“sleep problems”) OR ((“sleep”) AND (“problems”)) OR ((“sleep disturbances”) OR ((“sleep”) AND (“disturbances”)) OR ((“sleep conditions”) OR ((“sleep” AND (“conditions”))) AND (((“firefighters”) OR ((“fire”) AND (“fighters”))).
2.2. Study and Data Selection Process and Quality Assessment
3. Results and Discussion
3.1. Search Results
3.2. Sleep Education Trials
3.3. Sleep Crossover and Observation Trials
3.4. Scientific Awareness Potential
3.5. Quality Assessment
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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PICOS | ELIGIBILITY CRITERIA |
---|---|
POPULATION | Firefighters |
INTERVENTIONS | Methods and programs do improve sleep and health conditions |
COMPARISON | Compared to no intervention |
OUTCOME | Any effect on human health and sleep quality |
STUDY TYPE | No restrictions on study design |
Meta Data | Study Characteristics | Participants Info |
---|---|---|
|
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|
Study ID | Selection | Comparability | Outcome | Total | |||
---|---|---|---|---|---|---|---|
Representativeness of Exposed cohort (*) | Selection of Non-Exposed Cohort (*) | Ascertainment of Exposure (*) | (**) | Assessment of Outcome (*) | Adequacy of Follow up (*) | ||
Roche, F. (2019) [38] | * | * | * | * | * | * | 6 |
Esfahani A. (2011) [39] | - | * | * | * | * | * | 5 |
Study | Study ID | Location | Study Phase | Sample Size | Age | Gender | Study Design | Intervention | Goal | Outcome |
---|---|---|---|---|---|---|---|---|---|---|
Barger, L. & Sullivan, S. (2021) [41] | NCT04519177 | USA | Ongoing | 2400 | Above 18 | All gender –% not specified | Randomized, open label intervention | Behavioral: Sleep Health Education Program (SHEP) | Sleep education program and sleep disorders screening. | Sleep health education and sleep disorders screening improve health and safety of employees. |
Green, K. & Christopher, M. (2021) [43] | NCT05087121 | USA | Ongoing | 23 | Above 18 | All gender—no % specified | Randomized, open label intervention | Behavioral: Cognitive Behavioral Therapy for Insomnia for Firefighters (CBT-I-F) | Treatment | Behavioral/educational therapy interventions improve sleep in a firefighter population. |
Roche, F. (2019) [38] | NCT03644758 | France | Completed | 193 | Above 18 | 158 men 35 women | Observational | Diagnostic questionnaire | Sleep quality assessment, risk assessment. | Disruptive circadian and sleep disorders correspond to a higher risk of depression and anxiety, traffic accidents, and falling asleep during driving. |
Czeisler, C. (2012) [44] | NCT01672502 | USA | Completed | 620 | Above 18 | All gender—% not specified | Randomized, open label intervention | Behavioral: sleep health education | Sleep education program and sleep disorders screening. | Education intervention improves the alertness, performance, health, and safety of firefighters. |
Czeiler, C. & Lockey, S. (2013) [42] | NCT01988129 | USA | Completed | 1189 | Above 18 | All genders Woman: 16 Men: 1173 | Randomized, open label intervention | Behavioral: Sleep disorders education | Sleep hygiene education. | Sleep health program can reduce injuries and work loss due to occupational disabilities. |
Quindry, J. (2021) [45] | NCT04955431 | USA | Ongoing | Estimated 12 | Above 18 | All gender—% not specified | Randomized crossover intervention | Exposure: sleep restriction and exposure to controlled wood smoke inhalation | New knowledge | Inflammatory response to woodsmoke is increased due to particulate deprivation and circadian rhythm disruption. |
Esfahani A. (2011) [39] | IRCT201106076724N1 | Iran | Completed | 20 | Above 18 | Only man participants | Double-blind, randomized, placebo-controlled crossover | Exposure: administration of Zolpidem and placebo | Treatment | Zolpidem is sufficient at improving all components of PSQI. |
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Alves, S.; Vaz, J.; Fernandes, A. Exploring Clinical Trials to Manage Firefighters’ Sleep Quality: A PRISMA Compliant Systematic Review. Int. J. Environ. Res. Public Health 2023, 20, 3862. https://doi.org/10.3390/ijerph20053862
Alves S, Vaz J, Fernandes A. Exploring Clinical Trials to Manage Firefighters’ Sleep Quality: A PRISMA Compliant Systematic Review. International Journal of Environmental Research and Public Health. 2023; 20(5):3862. https://doi.org/10.3390/ijerph20053862
Chicago/Turabian StyleAlves, Sara, Josiana Vaz, and Adília Fernandes. 2023. "Exploring Clinical Trials to Manage Firefighters’ Sleep Quality: A PRISMA Compliant Systematic Review" International Journal of Environmental Research and Public Health 20, no. 5: 3862. https://doi.org/10.3390/ijerph20053862