Background: Pervious studies have reported impaired performance, sleepiness and sleep
deprivation among night workers. The purpose of this study was to investigate the effect of color
Screen Light Filtering software on cognitive performance, alertness and sleep quality among
night shift operators of a medical emergency operations center.
Methods: This field trial interventional study was carried out among 30 nightshift operators of
Shiraz emergency control center. The baseline assessments were carried out under the existing
computer screen light conditions in the week preceding the installation of f.lux software. The
same measurements were repeated again 4 weeks after installing the software. The cognitive
performance of the participants was measured using continuous performance test (CPT) and
n-back, while their sleep quality was assessed through Pietersburg Sleep Quality Index (PSQI).
Further, to assess their subjective and objective alertness, Stanford sleepiness index and go/no
go test were used, respectively.
Results: The results of this study showed that Screen Light Filtering software significantly
increased subjective (P < 0.001) and objective alertness (P < 0.05). Additionally, the performance
of the working memory (P = 0.008) and sleep quality (P = 0.008) improved significantly after the
intervention.
Conclusion: The results revealed that using Screen Light Filtering software is an effective and
low-cost method to improve sleep quality and cognitive performance since it filters the short
wavelength part of the spectrum and helps body adaptation.