A Pilot Study Evaluating the Effectiveness of a Mindfulness-Based Intervention on Cortisol Awakening Response and Health Outcomes among Law Enforcement Officers

Effect of Fatigue Training on Safety, Fatigue, and Sleep in Emergency Medical Services Personnel and Other Shift Workers: A Systematic Review and Meta-Analysis

“…Fatigue training and education took on many forms and the amount of detail describing the fatigue training was inconsistent. Programs ranged from one-hour lectures (31, 32) to a one-day workshop (33), to more extended programs, such as 2+ hour weekly classes for eightweeks (12). Some programs were delivered in-person, led by experts (15,34), or team-based / peer-led (13), and others were email-based (35) or digital (23).…”

“…Scott et al detected no differences between pre-and postintervention measures of sleepiness at 4 weeks and 12 weeks (32). Three additional quasi-experimental studies detected lower levels of acute fatigue during the post-intervention period compared to baseline (the pre-intervention period) (10,12,34). We categorize the findings of four quasi-experimental studies as favorable for mitigating acute fatigue (Online Supplement Table 2) (10,12,32,34).…”

“…Three additional quasi-experimental studies detected lower levels of acute fatigue during the post-intervention period compared to baseline (the pre-intervention period) (10,12,34). We categorize the findings of four quasi-experimental studies as favorable for mitigating acute fatigue (Online Supplement Table 2) (10,12,32,34). We categorized Smith-Coggins et al study findings germane to alertness as mixed/inconclusive for the same reasons listed previously (37).…”

“…This difference disappeared at 12 months post baseline. Three quasi-experimental studies also measured burnout and/or stress with diverse measurement tools (12,33,34). A pooled effect was not estimable; however, findings suggest a positive impact of the fatigue education and training interventions on indicators of burnout and stress post introduction of the intervention.…”

“…Other components of fatigue training may include optimization of schedules or the sleep environment, mindfulness and/or elements of good behavioral health (10)(11)(12)(13)(14)(15). A sleep health education and sleep disorders screening program implemented in firefighters resulted in 42% of focus group participants reporting behavior change, including trying to get more sleep and paying attention to fatigue levels (16).…”