Barger, LauraO’Brien, Conor S.Rajaratnam, Shantha M.W.Qadri, SalimSullivan, Jason P.Wang, WeiCzeisler, CharlesLockley, Steven2016-07-142016Barger, Laura K., Conor S. O’Brien, Shantha M.W. Rajaratnam, Salim Qadri, Jason P. Sullivan, Wei Wang, Charles A. Czeisler, and Steven W. Lockley. 2016. “Implementing a Sleep Health Education and Sleep Disorders Screening Program in Fire Departments: A Comparison of Methodology.” Journal of Occupational and Environmental Medicine 58 (6): 601-609. doi:10.1097/JOM.0000000000000709. http://dx.doi.org/10.1097/JOM.0000000000000709.1076-2752http://nrs.harvard.edu/urn-3:HUL.InstRepos:27662213Objective: The objective of this study is to compare three methods of administering a sleep health program (SHP) in fire departments. Methods: 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. Results: 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. Conclusion: All approaches yielded reasonable participation rates, but expert-led programs had the greatest reach and effectiveness in educating and screening firefighters for sleep disorders.en-USJournal Article2016-07-1410.1097/JOM.0000000000000709