Turning Night Into Day: Transcontinental Provision of Telehealth By and For the Emory Community

NCT02895997 | Completed

• 1 other identifier: IRB00088367
• Study Type: interventional
• Target: 7
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to determine if temporarily relocating clinicians who deliver remote care using the eICU telehealth system to Sydney, Australia will lead to greater job satisfaction, reduced physiologic stress, and improve performance. Four nurses and six physicians will be sent to a site in Sydney Australia on a rotating basis to determine whether providing care during the Australian daytime is more efficient and precise than providing care during the night in the United States.

Conditions

Mental Fatigue

Keywords

mental fatigue; critical care

Outcome Measures

Primary Outcomes (1)

• Change in Salivary Cortisol Levels

  Saliva will be collected via a mouth swab and tested for cortisol levels. Cortisol is a stress biomarker.

  Baseline, Post Intervention (Up to 8 weeks)

Secondary Outcomes (18)

• Change in Stanford Sleepiness Scale Score

  Baseline, Post Intervention (Up to 8 weeks)

• Change in the Trail Making Test A Score

  Baseline, Post Intervention (Up to 8 weeks)

• Change in the Trail Making Test B Score

  Baseline, Post Intervention (Up to 8 weeks)

• Change in Physical Activity assessed by Multi-Scale Entropy

  Baseline, Post Intervention (Up to 8 weeks)

• Change in Physical Activity assessed by Multi-Scale Complexity

  Baseline, Post Intervention (Up to 8 weeks)

Study Arms (1)

Clinical Operations Room Staff

EXPERIMENTAL

Clinicians and critical care nurse volunteers from the clinical operations room (COR) staff at Emory University Hospital will travel to Sydney Australia to deliver telemedicine.

Other: Travel Telehealth Delivery

Interventions

Travel Telehealth Delivery OTHER

Clinical Operations Room (COR) staff will travel to Sydney Australia to deliver telehealth to patients in Georgia United States. Upon arrival, participants will have eight nights and seven days free of clinical responsibilities. Thereafter, each participant will work four consecutive days of 12 hour shifts followed by four consecutive days with no clinical assignment. The following week, participants will work three consecutive days of 12 hour shifts followed by four consecutive days with no clinical assignment. Upon return to the USA, participants will have a week free of clinical responsibilities.

Clinical Operations Room Staff

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinicians working in the clinical operations room at Emory University Hospital who volunteer participation in the study

You may not qualify if:

• Declining to participate after the first phase of data collection

Sponsors & Collaborators

• Emory University: lead

Study Sites (1)

Emory University

Atlanta, Georgia, 30322, United States

Location

MeSH Terms

Conditions

Mental Fatigue

Condition Hierarchy (Ancestors)

Fatigue; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavioral Symptoms; Behavior

Study Officials

• Timothy Buchman, MD

  Emory University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: September 1, 2016
• First Posted: September 12, 2016
• Study Start: July 1, 2016
• Primary Completion: December 31, 2017
• Study Completion: December 31, 2017
• Last Updated: November 20, 2018

Record last verified: 2018-11

Data Sharing

• IPD Sharing: Will share

Locations

US (1)