TY  - JOUR
PY  - 2020//
TI  - The development of a sleep intervention for firefighters: the FIT-IN (Firefighter's Therapy for Insomnia and Nightmares) Study
JO  - International journal of environmental research and public health
A1  - Jang, Eun Hee
A1  - Hong, Yujin
A1  - Kim, Yeji
A1  - Lee, Sangha
A1  - Ahn, Yeonsoon
A1  - Jeong, Kyoung Sook
A1  - Jang, Tae-Won
A1  - Lim, Hyejin
A1  - Jung, Eunha
A1  - Disorder Study Group, Shift Work
A1  - Chung, Seockhoon
A1  - Suh, Sooyeon
SP  - e8738
EP  - e8738
VL  - 17
IS  - 23
N2  - BACKGROUND: Firefighters are vulnerable to irregular sleep patterns and sleep  disturbance due to work characteristics such as shift work and frequent dispatch. However, there are few studies investigating intervention targeting sleep for  firefighters. This preliminary study aimed to develop and test a sleep intervention,  namely FIT-IN (Firefighter's Therapy for Insomnia and Nightmares), which was based  on existing evidence-based treatment tailored to firefighters in consideration of  their occupational characteristics. <br><br>METHODS: This study implemented a single-group  pre-post study design, utilizing an intervention developed based on brief behavior  therapy for insomnia with imagery rehearsal therapy components. FIT-IN consisted of  a total of three sessions (two face-to-face group sessions and one telephone  session). Participants were recruited from Korean fire stations, and a total of 39  firefighters participated. Participants completed a sleep diary for two weeks, as  well as the following questionnaires to assess their sleep and psychological  factors: insomnia severity index (ISI), disturbing dream and nightmare severity  index (DDNSI), Epworth sleepiness scale (ESS), depressive symptom  inventory-suicidality subscale (DSI), and Patient Health Questionnaire-9 (PHQ-9). These questionnaires were administered before the first session and at the end of  the second session. <br><br>RESULTS: The FIT-IN program produced improvements in sleep  indices. There was a significant increase in sleep efficiency (p < 0.01), and a  decrease in sleep onset latency, number of awakenings, and time in bed (p < 0.05),  as derived from weekly sleep diaries. In addition, significant decreases were shown  for insomnia (p < 0.001) and nightmare severity (p < 0.01). <br><br>CONCLUSION: There were  significant improvements in sleep and other clinical indices (depression, PTSD  scores) when comparing pre-and post-intervention scores. FIT-IN may be a feasible  and practical option in alleviating sleep disturbance in this population. Further  studies will be needed to ascertain FIT-IN's effectiveness.<p />  <p>Language: en</p>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph17238738
ID  - ref1
ER  -