Trial Outcomes & Findings for Testing the Effectiveness of Night Shift, a Theory-based Customized Video Game (NCT NCT06063434)
NCT ID: NCT06063434
Last Updated: 2026-05-06
Results Overview
Number of severely injured patients, treated by trial participants, who are admitted or discharged (i.e., not transferred) after initial evaluation at a non-trauma center as recommended by clinical practice guidelines.
COMPLETED
NA
800 participants
1 year
2026-05-06
Participant Flow
We recruited a national sample of physicians who managed injured patients in the Emergency Departments (EDs) of non-trauma centers by distributing information about the trial through social media, word-of-mouth, a healthcare analytics company, and the organizational e-mail distribution lists of several national physician staffing groups. We enrolled participants between November 27, 2023 - February 7, 2024.
Interested individuals reviewed the trial details. Those who provided consent completed a biographical survey so that we could evaluate eligibility and could characterize the population. Once we determined eligibility, we contacted participants with their assignment and details on how to complete trial tasks.
Participant milestones
| Measure |
Night Shift
Night Shift 2024 is a customized, theory-based adventure video game in which the player takes on the character of Andy Jordan, a young emergency medicine physician who moves home after the disappearance of his grandfather and takes a job at a local community hospital. The investigators will ask participants to play Night Shift for 2 hours upon enrollment (or within 2 weeks), and then come back to the game quarterly to play it again for 20 minute booster sessions. They will unlock additional game content each quarter to make the experience more enjoyable.
|
Usual Education
Participants will receive their usual continuing medical education, but nothing additional.
|
|---|---|---|
|
Overall Study
STARTED
|
400
|
400
|
|
Overall Study
COMPLETED
|
399
|
398
|
|
Overall Study
NOT COMPLETED
|
1
|
2
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
11 participants chose not to report their sex
Baseline characteristics by cohort
| Measure |
Night Shift
n=400 Participants
Night Shift 2024 is a customized, theory-based adventure video game in which the player takes on the character of Andy Jordan, a young emergency medicine physician who moves home after the disappearance of his grandfather and takes a job at a local community hospital. The investigators will ask participants to play Night Shift for 2 hours upon enrollment (or within 2 weeks), and then come back to the game quarterly to play it again for 20 minute booster sessions. They will unlock additional game content each quarter to make the experience more enjoyable.
|
Usual Education
n=400 Participants
Participants will receive their usual continuing medical education, but nothing additional.
|
Total
n=800 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
41 years
n=400 Participants
|
42 years
n=400 Participants
|
42 years
n=800 Participants
|
|
Sex: Female, Male
Female
|
116 Participants
n=397 Participants • 11 participants chose not to report their sex
|
110 Participants
n=392 Participants • 11 participants chose not to report their sex
|
226 Participants
n=789 Participants • 11 participants chose not to report their sex
|
|
Sex: Female, Male
Male
|
281 Participants
n=397 Participants • 11 participants chose not to report their sex
|
282 Participants
n=392 Participants • 11 participants chose not to report their sex
|
563 Participants
n=789 Participants • 11 participants chose not to report their sex
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
1 Participants
n=400 Participants
|
2 Participants
n=400 Participants
|
3 Participants
n=800 Participants
|
|
Race (NIH/OMB)
Asian
|
54 Participants
n=400 Participants
|
62 Participants
n=400 Participants
|
116 Participants
n=800 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=400 Participants
|
0 Participants
n=400 Participants
|
0 Participants
n=800 Participants
|
|
Race (NIH/OMB)
Black or African American
|
13 Participants
n=400 Participants
|
16 Participants
n=400 Participants
|
29 Participants
n=800 Participants
|
|
Race (NIH/OMB)
White
|
300 Participants
n=400 Participants
|
288 Participants
n=400 Participants
|
588 Participants
n=800 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=400 Participants
|
0 Participants
n=400 Participants
|
0 Participants
n=800 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
32 Participants
n=400 Participants
|
32 Participants
n=400 Participants
|
64 Participants
n=800 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
16 Participants
n=400 Participants
|
16 Participants
n=400 Participants
|
32 Participants
n=800 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
360 Participants
n=400 Participants
|
363 Participants
n=400 Participants
|
723 Participants
n=800 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
24 Participants
n=400 Participants
|
21 Participants
n=400 Participants
|
45 Participants
n=800 Participants
|
|
Region of Enrollment
United States
|
400 Participants
n=400 Participants
|
400 Participants
n=400 Participants
|
800 Participants
n=800 Participants
|
PRIMARY outcome
Timeframe: 1 yearPopulation: The Overall Number of Participants Analyzed reflects the number of enrolled physicians. The values in the data table report severely injured patients treated by physicians enrolled in the trial at a non-trauma center in the year after enrollment.
Number of severely injured patients, treated by trial participants, who are admitted or discharged (i.e., not transferred) after initial evaluation at a non-trauma center as recommended by clinical practice guidelines.
Outcome measures
| Measure |
Night Shift
n=399 Participants
Night Shift 2024 is a customized, theory-based adventure video game in which the player takes on the character of Andy Jordan, a young emergency medicine physician who moves home after the disappearance of his grandfather and takes a job at a local community hospital. The investigators will ask participants to play Night Shift for 2 hours upon enrollment (or within 2 weeks), and then come back to the game quarterly to play it again for 20 minute booster sessions. They will unlock additional game content each quarter to make the experience more enjoyable.
|
Usual Education
n=398 Participants
Participants will receive their usual continuing medical education, but nothing additional.
|
|---|---|---|
|
Under-triage
Total number of severely injured patients
|
819 Severely injured patients
|
919 Severely injured patients
|
|
Under-triage
Transferred severely injured patients
|
417 Severely injured patients
|
392 Severely injured patients
|
|
Under-triage
Not transferred severely injured patients
|
402 Severely injured patients
|
527 Severely injured patients
|
SECONDARY outcome
Timeframe: 1 yearPopulation: We report the number of patients treated by trial participants who died in the first 30 days after evaluation or who were readmitted to the hospital within this time period. The Overall Number of Participants Analyzed reflects the number of enrolled physicians. The values in the data table report severely injured patients, treated by physicians enrolled in the trial, who experienced the composite outcome of mortality plus re-admission at 30 days.
Number of severely injured patients, treated by trial participants, who die or are readmitted to any hospital within 30 days of their initial evaluation at a non-trauma center
Outcome measures
| Measure |
Night Shift
n=399 Participants
Night Shift 2024 is a customized, theory-based adventure video game in which the player takes on the character of Andy Jordan, a young emergency medicine physician who moves home after the disappearance of his grandfather and takes a job at a local community hospital. The investigators will ask participants to play Night Shift for 2 hours upon enrollment (or within 2 weeks), and then come back to the game quarterly to play it again for 20 minute booster sessions. They will unlock additional game content each quarter to make the experience more enjoyable.
|
Usual Education
n=398 Participants
Participants will receive their usual continuing medical education, but nothing additional.
|
|---|---|---|
|
Mortality and Hospital Readmission
Composite outcome present · Composite outcome present
|
516 Severely Injured Patients
|
584 Severely Injured Patients
|
|
Mortality and Hospital Readmission
Composite outcome absent · Composite outcome present
|
303 Severely Injured Patients
|
335 Severely Injured Patients
|
|
Mortality and Hospital Readmission
Total number of severely injured patients · Composite outcome present
|
819 Severely Injured Patients
|
919 Severely Injured Patients
|
SECONDARY outcome
Timeframe: 1 yearProportion of severely injured patients, treated by trial participants, with 90-day preadmission location at home with discharge to a skilled nursing or rehabilitation facility after initial treatment at a non-trauma center.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 1 yearNumber of injured patients, treated by trial participants, transferred to a higher level of care after initial evaluation at a non-trauma center with minimal injuries. The Overall Number of Participants Analyzed reflects the number of enrolled physicians. The values in the data table report transferred patients treated by physicians enrolled in the trial.
Outcome measures
| Measure |
Night Shift
n=399 Participants
Night Shift 2024 is a customized, theory-based adventure video game in which the player takes on the character of Andy Jordan, a young emergency medicine physician who moves home after the disappearance of his grandfather and takes a job at a local community hospital. The investigators will ask participants to play Night Shift for 2 hours upon enrollment (or within 2 weeks), and then come back to the game quarterly to play it again for 20 minute booster sessions. They will unlock additional game content each quarter to make the experience more enjoyable.
|
Usual Education
n=398 Participants
Participants will receive their usual continuing medical education, but nothing additional.
|
|---|---|---|
|
Over-triage
Transferred patients with minor injuries (over-triaged) · Patients with minor injuries (over-triaged)
|
1038 Transferred Patients
|
1132 Transferred Patients
|
|
Over-triage
Transferred patients with severe injuries · Patients with minor injuries (over-triaged)
|
417 Transferred Patients
|
392 Transferred Patients
|
|
Over-triage
Total number of transferred patients · Patients with minor injuries (over-triaged)
|
1455 Transferred Patients
|
1524 Transferred Patients
|
Adverse Events
Night Shift
Usual Education
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place