ClinicalTrials.gg
RecruitingNCT06384742SWISHUpdated May 2, 2025

Shift Worker Intervention for Sleep Health

An interventional study of Shift Worker Intervention for Sleep Health in Shift Work Type Circadian Rhythm Sleep Disorder and Insomnia, Psychophysiological, sponsored by Oregon State University. Recruiting at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-05-02.

Sponsored by Oregon State University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 902 studies in Sleep Initiation and Maintenance Disorders with a site in United States — 145 open to participants now, 182 under way, 5 of them phase 3. Sleep Initiation and Maintenance Disorders · United States.

Planned enrollment
414th of 854
60 · median 60
Started
2025
with 55 others
No phase
575 of 902
105 open now
Primary completion
2027-09
later than 113 of 181 live
Registered
746th of 902
by date

Among the 902 studies in Sleep Initiation and Maintenance Disorders with a site in United States, this one is the 414th largest by planned enrollment of the 854 interventional ones that give a count, is one of 56 that started in 2025, is one of 575 with no phase, reaches primary completion later than 113 of the 181 other live ones, and was the 746th registered.

Sleep Initiation and Maintenance Disorders

2,722 studies on the registry are indexed under Sleep Initiation and Maintenance Disorders; 726 are open to participants now.

Browse Sleep Initiation and Maintenance Disorders studies →

Open to participants now

145 of the 902 studies in Sleep Initiation and Maintenance Disorders with a site in United States are open now. Recruiting first, the newest first:

140 more — sign in →

All 145 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 386 Sleep Initiation and Maintenance Disorders studies recruiting now, 152 (39%) set no upper age limit and 204 (53%) stop at 75 or younger; 59 take children under 18; 108 take healthy volunteers.

This study: 18 Years to 65 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 902 studies in Sleep Initiation and Maintenance Disorders with a site in United States, or all of them as a file.
02

Study 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 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.

03

Conditions studied

  • Shift Work Type Circadian Rhythm Sleep Disorder
  • Insomnia, Psychophysiological

Keywords

  • insomnia
  • shift work
  • nurse
  • sleep psychology
  • behavioral sleep medicine
  • circadian rhythm
04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Provision of signed and dated 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.

Exclusion criteria

Exclusion Criteria:

  • 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)"
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    SWISH

    SWISH, a multicomponent behavioral intervention based on cognitive behavioral therapy for insomnia. Other Names: Cognitive Behavioral Therapy for Insomnia

    Behavioral: Shift Worker Intervention for Sleep Health

  • No intervention
    WLC

    Waitlist Control: Participants in the delayed treatment control condition will begin the SWISH intervention following completion of the posttreatment time point.

Interventions

  • BehavioralShift Worker Intervention for Sleep Health

    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

    Also known as: SWISH

06

What researchers measure

Primary outcomes

  1. Retention Rate

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

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

  2. Session Attendance

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

    Time frame: 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.

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

Secondary outcomes

  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

    Time frame: 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.

    Time frame: 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)

    Time frame: 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.

    Time frame: 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

    Time frame: 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.

    Time frame: 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)

    Time frame: 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)

    Time frame: 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)

    Time frame: 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)

    Time frame: 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.

    Time frame: 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.

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

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

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Individual participant data

Plan to share: Yes — De-identified data may be uploaded to a data repository to make it accessible for publication.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Data will become available within 2 years after the publication of the results pertaining to the primary aims and will be available for at least 2 years.

Access criteria: Data will be shared only with investigators who have a clear and rigorous analytic plan and who sign a data use agreement with the principal investigator.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2025 (actual). Primary completion is estimated for Sep 2027, 29 months after the start.

Of 1,207 non-industry interventional studies with no phase under Sleep Initiation and Maintenance Disorders, half reached primary completion within 15 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 35. This study's planned 29 months is above that.

Counting every sponsor, half of 1,285 studies reached it within 15 months; a quarter within 6 and three quarters within 34.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 22, 2024
First posted
Apr 25, 2024
StartActual
Apr 28, 2025
Primary completionEst.
Sep 30, 2027
CompletionEst.
Jan 15, 2028
Last update
May 2, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06384742
Lead sponsor
Oregon State University
Responsible party
Jessee Dietch (Principal Investigator, Oregon State University) — Principal investigator
First posted
Apr 25, 2024
Start date
Apr 28, 2025
Primary completion
Sep 30, 2027 (estimated)
Completion
Jan 15, 2028 (estimated)
Last update
May 2, 2025

Study contacts

Jessica R Dietch, PhD
Contact
jessee.dietch@oregonstate.edu
5417371358
Liudmyla Kozii, MD, MPH
Contact
koziil@oregonstate.edu
Jessica Dietch, PhD
principal investigator · Oregon State University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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