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Trial registered on ANZCTR
Registration number
ACTRN12610000680066
Ethics application status
Approved
Date submitted
18/08/2010
Date registered
18/08/2010
Date last updated
25/02/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
An investigation of affective and neuropsychological functioning and driving simulator performance in shift workers and patients with obstructive sleep apnoea
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Scientific title
A comparison of rotating shift workers and untreated obstructive sleep apnoea sufferers to a matched control group on driving simulator performance, and affective and neuropsychological functioning.
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Secondary ID [1]
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
circadian rhythm disruption
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untreated obstructive sleep apnoea
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Condition category
Condition code
Public Health
258141
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0
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Health promotion/education
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Respiratory
258142
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0
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Sleep apnoea
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
One afternoon of testing involving 1) neuropsychological assessments: Logical Memory, Trails A & B, Digit Span, Stroop; 2) mood evaluation: Beck Depression Inventory, Profile of Mood States, State-Trait Anxiety Inventory; 3) driving simulation task; and 4) reaction time and sustained attention tasks: Psychomotor Vigilance Task (PVT), Oxford Sleep Resistance task (Osler-2). Testing will last for approximately four hours, commencing at 13:00.
The order of testing will be the same for every participant: Logical Memory, Trails A & B, Digit Span, Stroop, Beck Depression Inventory, Profile of Mood States, State-Trait Anxiety Inventory, Logical Memory Recall, first Osler-2, driving simulation, PVT, second Osler-2
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Intervention code [1]
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Not applicable
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Comparator / control treatment
The three groups will be compared across all tasks: rotating shift workers, untreated obstructive sleep apnoea sufferers, and a matched control group.
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Control group
Active
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Outcomes
Primary outcome [1]
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Driving simulation performance: 30 minutes on the AusEd driving simulator task - measured by: average steering deviation from participant's median lane position (cm), average speed deviation outside the 60-80km/h speed zone, median reaction time for braking after sudden appearance of trucks, & number of crashes of all types.
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Assessment method [1]
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Timepoint [1]
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In the battery of tasks following the first Osler-2 task and prior to the Psychomotor Vigilance Task
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Primary outcome [2]
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Neuropsychological assessments: working memory measured by Logical Memory and Digit Span; cognitive flexibility measured by Trails A & B; response inhibition measured by Stroop; sustained attention measured by the Osler-2; and reaction time measured by the PVT.
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Assessment method [2]
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Timepoint [2]
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Logical Memory, Trails A & B, Digit Span, and Stroop will be administered at the beginning of the afternoon. Logical Memory Recall will follow on from the evaluation of mood. The Osler-2 will be presented twice: following the Logical Memory Recall and following the PVT.
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Primary outcome [3]
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Mood evaluation: mood will be assessed using the Beck Depression Inventory, the Profile of Mood States, and the State-Trait Anxiety Inventory.
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Assessment method [3]
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Timepoint [3]
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Questionnaires will be given after the neuropsychological assessment battery of Logical Memory, Trails A & B, Digit Span, and Stroop, and prior to the Logical Memory Recall.
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Secondary outcome [1]
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Ocular measures of drowsiness (via Optalert system)
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Assessment method [1]
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Timepoint [1]
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Assessed during the performance of driving simulation, PVT and Osler-2 tasks.
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Secondary outcome [2]
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Karolinska Sleepiness Scale (KSS) scores
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Assessment method [2]
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Timepoint [2]
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Assessed prior to and upon completion of each of the driving simulation, PVT and Osler-2 tasks.
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Secondary outcome [3]
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Stop Driving Questionnaire score
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Assessment method [3]
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Timepoint [3]
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Administered upon completion of the driving simulation task
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Secondary outcome [4]
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Sleepiness Symptoms Questionnaire
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Assessment method [4]
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Timepoint [4]
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Administered upon completion of the driving simulation task.
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Secondary outcome [5]
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Driving History Questionnaire
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Assessment method [5]
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Timepoint [5]
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Administered upon completion of the testing session.
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Eligibility
Key inclusion criteria
1) Current driver licence for all participants
2) Obstructive sleep apnoea participants: moderate to severe obstructive sleep apnoea (apnoea hypopnoea index > 20/hr and Epworth Sleepiness Scale score >8).
3) Shiftwork participants: at least 3 months of rotating shifts
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1) Chronic neurological illness or significant medical co-morbidity
2) Chronic psychiatric illness
3) Visual acuity problems not correctable with glasses
4) Regular use of sedating medication
5) Inability to give informed consent
6) Inability to speak or write English.
Shiftworker participants only: a Multivariable Apnoea Prediction Score (>0.5).
Control participants only: a Multivariable Apnoea Prediction Score (>0.5) and/or Epworth Sleepiness Scale score (>10).
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Study design
Purpose
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Duration
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
25/08/2010
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Actual
27/08/2010
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Date of last participant enrolment
Anticipated
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Actual
9/01/2013
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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VicRoads
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Address [1]
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60 Denmark Street Kew, Victoria 3101
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Country [1]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Institute for Breathing and Sleep
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Address
Austin Hospital PO Box 5555 Heidelberg, Victoria 3084
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health Human Research Ethics Committee
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Ethics committee address [1]
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Research Ethics Unit Austin Hospital PO Box 5555 Heidelberg, Victoria 3084
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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18/12/2009
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Approval date [1]
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03/03/2010
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Ethics approval number [1]
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H2010/03831
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Summary
Brief summary
This study will investigate the mood, cognitive and performance impairments in obstructive sleep apnoea patients and shift workers compared to a control group. A series of questionnaires and tasks that measure driving ability, attention, reaction time, and higher thinking functions will be undertaken. The study hopes to determine whether different patterns of neuropsychological function and sleepiness predict simulated driving performance and accident risk.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Mark Howard
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Address
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Institute of Breathing and Sleep Bowen Centre Dept. Respiratory and Sleep Medicine Austin Hospital PO Box 5555 Heidelberg Victoria 3084
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Country
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Australia
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Phone
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+61 3 9496 3528
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Justine Westlake
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Address
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Institute of Breathing and Sleep
Bowen Centre
Dept. Respiratory and Sleep Medicine
Austin Hospital
PO Box 5555
Heidelberg Victoria 3084
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Country
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Australia
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Phone
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+61 3 9496 3528
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Justine Westlake
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Address
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Institute of Breathing and Sleep
Bowen Centre
Dept. Respiratory and Sleep Medicine
Austin Hospital
PO Box 5555
Heidelberg Victoria 3084
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Country
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Australia
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Phone
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+61 3 9496 3528
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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