健康去哪儿
健趣网登录 关闭
还没有账号?立即注册

Performance Nutrition for Residents on Nighttime Rotations

赞助:
合作者:
信息的提供 (责任方):
Tait Shanafelt,Stanford University
September 25, 2018
October 5, 2018
October 5, 2018
October 2018
June 2019   (主要结果测量的最终数据收集日期)
Difference in Motor Praxis scores between conditions[ Time Frame: Two time points (beginning and end of night shifts) on each night for a total of 3 nights ]
Motor Praxis is a validated neurocognitive test that assesses sensory-motor speed. This test takes approximately 30 seconds to complete. Differences in accuracy, duration and composite scores measured at two time points (beginning and end of each night shift) in each of the 3 conditions will be reported and compared.

Difference in Fractal 2-Back between conditions[ Time Frame: Two time points (beginning and end of night shifts) on each night for a total of 3 nights ]
Fractal 2-Back is a validated neurocognitive test that assess working memory. This test takes approximately 2 minutes to complete. Differences in reaction time, accuracy and composite scores measured at two time points (beginning and end of each night shift) in each of the 3 conditions will be reported and compared.

Difference in Balloon Analog Risk between conditions[ Time Frame: Two time points (beginning and end of night shifts) on each night for a total of 3 nights ]
Balloon Analog Risk is a validated neurocognitive test that assess risk decision making. This test takes approximately 2 minutes to complete. Differences in risk propensity, duration and composite scores measured at two time points (beginning and end of each night shift) in each of the 3 conditions will be reported and compared.

Difference in Psychomotor vigilance test between conditions[ Time Frame: Two time points (beginning and end of night shifts) on each night for a total of 3 nights ]
Psychomotor vigilance test is a validated neurocognitive test that assess vigilant attention. This test takes approximately 3 minutes to complete. Differences in risk propensity, duration and composite scores measured at two time points (beginning and end of each night shift) in each of the 3 conditions will be reported and compared.

与当前相同
  • Difference in Degree of sleepiness between conditions[ Time Frame: Two time points (beginning and end of night shifts) on each night for a total of 3 nights ]
    Will use validated Stanford Sleepiness Scale (SSS) developed by William C. Dement, M.D., Ph.D. SSS a self-rating scale used to quantify progressive steps in sleepiness at a certain point in time. It is a seven-point Likert-type scale ranging from "feeling active, vital alert, or wide awake" (score = 1) to "no longer fighting sleep, sleep onset soon and having dream-like thoughts" (score = 7). Selected scores by the participants will be reported each time. This test takes approximately 15 seconds to complete. Differences in degree of sleepiness measured at two time points (beginning and end of each night shift) in each of the 3 conditions will be reported and compared.
 
Performance Nutrition for Residents on Nighttime Rotations
Performance Nutrition for Residents on Nighttime Rotations: A Pilot Study

Currently, residents commonly experience dehydration and poor nutrition during nighttime duty hours as a result of heavy work load, lack of time to take nutrition and hydration breaks, or limited or no access to healthy food and drinks which may affect residents' work performance. The goal of this study is to compare the effects of two different meal compositions with no typical dietary practices (existing conditions) on work performance of the on-call residents during night shifts.

The purpose of this study is to determine the effects of dietary modifications on resident physicians' work performance during night shifts. Specific objectives are: 1. To assess the effects of macronutrient composition of the test meals on cognitive performance, self-reported sleepiness and fatigue of resident physicians during night-time duty. 2. To compare to no intervention, the effects of providing meals before 22:00 hours, and only providing chewing gum, tea, coffee and water onwards to on-call residents, on cognitive performance, self-reported sleepiness and fatigue of resident physicians during night-time duty.
Interventional
N/A
分配:
干预模型: Single Group Assignment
干预模型描述: Study participants will participate in the study 3 nights with one control night and two dietary interventions nights.The order of the 2 dietary intervention groups will be randomized per block. There are two possible combinations and the order will be randomized using a computer-generated random-number sequence. There will be a one day washout period between the diet groups. A: Control- no intervention, B: intervention 1 arm, C: Intervention 2 The order of the blocks will be randomized. block a: A, B, washout day, C block b: A, C, washout day, B
盲法: Interventional
盲法描述:Researchers who assess the outcomes and analyze the data will be blinded to the group assignment.
主要目的: Other
  • Other: Dietary Modification
    Participants will be provided with meals, snacks and drinks with specific macronutrient compositions and encouraged to only eat and drink study meals, snacks and drinks and to avoid eating after 10:00 hours.
  • Experimental: Dietary Modification
    On the first night of the study, participants can eat and drink as they normally would (no dietary intervention). On second and third nights participants will be provided meals, snacks and drinks with specific macronutrient composition, encouraged to only eat and drink study meals, snacks and drinks, and to avoid eating after 10:00 hours. The composition of the study foods and drinks on nights 2 and 3 will be different.
 
Not yet recruiting
100
与当前相同
June 2019
June 2019   (主要结果测量的最终数据收集日期)
Inclusion Criteria: - All residents and fellows performing in hospital overnight work - Must be able to eat plant source foods (e.g. soy, nuts, seeds) and animal source foods (e.g. meat, eggs, dairy products) Exclusion Criteria: - Food allergies or sensitivies - Prior anaphylactic reaction to food - Strict dietary restrictions (e.g. vegan, gluten free)
参与研究的性别: All
最小年龄:21 Years ,最大年龄:N/A  
没有
United States
 
No
研究美国FDA监管的药品: No
研究涉及美国FDA监管的设备产品: No
计划分享 IPD: Undecided
Tait Shanafelt,Stanford University
Stanford University
Principal Investigator: Tait D Shanafelt, MD Stanford University
Stanford University
October 2018

ICMJE     国际医学期刊编辑委员会和 世界卫生组织 ICTRP 要求的元素
请使用微信扫码报名