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This project examines 1) the effects of appropriately timed bright light on adaptation (in terms of sleep and sleepiness) to three consecutive night shifts; and 2) the effects of such bright light on re-adaptation (in terms of sleep and sleepiness) to a day-oriented schedule after the night shift period.
Shift workers frequently experience sleepiness during night shifts, which may have consequences for performance. Sleep duration is often shortened after a night shift. Properly timed bright light treatment is efficient in delaying the circadian rhythm and can enhance alertness, increase performance and prolong sleep after night shifts. There is a lack of studies on light treatment to rotating shift workers. This study is a randomized controlled crossover trial evaluating the effect of bright light treatment on sleep and sleepiness in rotating shift workers with three consecutive night shifts. The aim is to evaluate whether bright light treatment improves adaptation to three consecutive night shifts (reduces sleepiness during night shifts and improves sleep after night shifts), as well as whether such treatment affects re-adaptation to a day-oriented schedule after the night shift period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bright light | Experimental | 10 000 lux |
|
| Red light | Placebo Comparator | 400 lux |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Bright light | Behavioral | Bright light for 30 minutes during night shifts (between 2 AM and 3 AM the first night, between 3 AM and 4 AM the second night, between 4 AM and 5 AM the third night). |
| Measure | Description | Time Frame |
|---|---|---|
| Sleepiness during the night shifts | Self-reported using the Karolinska Sleepiness Scale (KSS) | 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Psychomotor vigilance during night shifts | Objective data from a 5 min computer based psychomotor vigilance test (PC-PVT) taken once during each night shift | 3 days |
| Sleep after the night shifts |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bjørn Bjorvatn, MD, PhD | University of Bergen | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Bergen | Bergen | Hordaland | 5018 | Norway |
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| ID | Term |
|---|---|
| D020178 | Sleep Disorders, Circadian Rhythm |
| D000077260 | Sleepiness |
| ID | Term |
|---|---|
| D021081 | Chronobiology Disorders |
| D009422 | Nervous System Diseases |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
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| ID | Term |
|---|---|
| D000095742 | Red Light |
| ID | Term |
|---|---|
| D008027 | Light |
| D060733 | Electromagnetic Radiation |
| D055590 | Electromagnetic Phenomena |
| D060328 | Magnetic Phenomena |
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| Red light | Behavioral | Red light for 30 minutes during night shifts (between 2 AM and 3 AM the first night, between 3 AM and 4 AM the second night, between 4 AM and 5 AM the third night). |
|
Self-reported using a sleep diary; objective data from actigraphs
| 3 days |
| Sleepiness during the days after the night shift period | Self-reported using the Karolinska Sleepiness Scale (KSS) | 3 days |
| Sleep during the days after the night shift period | Self-reported using a sleep diary; objective data from actigraphs | 3 days |
| Functioning on each shift, and shift period in total, compared to under normal conditions | Self-reported perception of effect of intervention | 6 days |
| D009784 |
| Occupational Diseases |
| D001523 | Mental Disorders |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D055585 |
| Physical Phenomena |
| D055620 | Optical Phenomena |
| D011827 | Radiation |
| D011840 | Radiation, Nonionizing |