title: Implementing a Sleep Health Education and Sleep Disorders Screening Program in Fire Departments: A Comparison of Methodology.
abstract: The objective of this study is to compare three methods of administering a sleep health program (SHP) in fire departments.
  
  
  
  An SHP, comprising sleep health education and screening for common sleep disorders, was implemented in eight fire departments using three approaches: expert-led, train-the-trainer, and online. Participation rates, knowledge assessments, surveys, and focus group interviews were analyzed to assess the reach and effectiveness of the methodologies.
  
  
  
  The Expert-led SHP had the highest participation rate, greatest improvement in knowledge scores, and prompted more firefighters to seek clinical sleep disorder evaluations (41%) than the other approaches (20 to 25%). Forty-two percent of focus group participants reported changing their sleep behaviors.
  
  
  
  All approaches yielded reasonable participation rates, but expert-led programs had the greatest reach and effectiveness in educating and screening firefighters for sleep disorders.
authors.affiliation: Division of Sleep and Circadian Disorders, Department of Medicine, Brigham and Women's Hospital (Dr Barger, Mr O'Brien, Dr Rajaratnam, Mr Qadri, Mr Sullivan, Dr Wang, Dr Czeisler, Dr Lockley); Division of Sleep Medicine, Harvard Medical School, Boston, Massachusetts (Drs Barger, Rajaratnam, Wang, Czeisler, Lockley); and School of Psychological Sciences and Monash Institute of Cognitive and Clinical Neurosciences, Monash University, Australia (Drs Rajaratnam and Lockley).
authors.forename: Laura K
authors.initials: LK
authors.lastname: Barger
authors.forename: Conor S
authors.initials: CS
authors.lastname: O'Brien
authors.forename: Shantha M W
authors.initials: SM
authors.lastname: Rajaratnam
authors.forename: Salim
authors.initials: S
authors.lastname: Qadri
authors.forename: Jason P
authors.initials: JP
authors.lastname: Sullivan
authors.forename: Wei
authors.initials: W
authors.lastname: Wang
authors.forename: Charles A
authors.initials: CA
authors.lastname: Czeisler
authors.forename: Steven W
authors.initials: SW
authors.lastname: Lockley
mesh_terms: D000328:Adult; D005260:Female; D061388:Firefighters; D017144:Focus Groups; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009786:Occupational Health Services; D015397:Program Evaluation; D012890:Sleep; D012893:Sleep Wake Disorders / Q000175:diagnosis* / Q000517:prevention & control*; D055815:Young Adult