Emergency healthcare worker sleep, fatigue, and alertness behavior survey (SFAB): Development and content validation of a survey tool

Patterson, P. Daniel; Buysse, Daniel J.; Weaver, Matthew D.; Suffoletto, Brian; McManigle, Kyle L.; Callaway, Clifton W.; Yealy, Donald M.

doi:10.1016/j.aap.2014.09.028

Cited by 24 publications

(24 citation statements)

References 51 publications

(89 reference statements)

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“…We developed a real‐time, text‐message based assessment and intervention tool for research purposes known as SleepTrackTXT [Patterson, Moore et al, ]. As a first step to determine the usefulness of our tool, we planned a pilot trial to examine the tool's performance, which included assessing participant compliance (responsiveness) with answering text‐message queries and participant satisfaction with the study tool.…”

Section: Introductionmentioning

confidence: 99%

Real‐time fatigue reduction in emergency care clinicians: The SleepTrackTXT randomized trial

Patterson

Buysse

Weaver

et al. 2015

American J Industrial Med

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Background We assessed performance characteristics and impact of a mobile phone text-message intervention for reducing intra-shift fatigue among emergency clinician shift workers. Methods We used a randomized controlled trial of 100 participants. All participants received text-message assessments at the start, every 4-hours during, and at end of scheduled shifts over a 90-day period. Text-message queries measured self-rated sleepiness, fatigue, and difficulty with concentration. Additional text-messages were sent to intervention participants to promote alertness. A performance measure of interest was compliance with answering text-messages. Results Ninety-nine participants documented 2,621 shifts and responded to 36,073 of 40,947 text-messages (88% compliance rate). Intervention participants reported lower mean fatigue and sleepiness at 4 hours, 8 hours, and at the end of 12-hour shifts compared to controls (p<0.05). Intervention participants reported better sleep quality at 90-days compared to baseline (p=0.01). Conclusions We showed feasibility and short-term efficacy of a text-message based assessment and intervention tool.

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Section: Introductionmentioning

confidence: 99%

Real‐time fatigue reduction in emergency care clinicians: The SleepTrackTXT randomized trial

Patterson

Buysse

Weaver

et al. 2015

American J Industrial Med

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“…From 1980 to 2016 only seven studies involving shift workers reported comparisons of outcomes stratified by 12 and 24‐h shift durations . The need for research comparing outcomes by 12‐h and 24‐h shifts is compelling, especially given that the majority of EMS shifts are 12 and 24 h in duration . Among these studies, only three reported on measures of performance.…”

Section: Discussionmentioning

confidence: 99%

Impact of shift duration on alertness among air‐medical emergency care clinician shift workers

Patterson

Weaver

Markosyan

et al. 2019

American J Industrial Med

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Background: Greater than half of Emergency Medical Services (EMS) shift workers report fatigue at work and most work long duration shifts. We sought to compare the alertness level of EMS shift workers by shift duration. Methods:We used a multi-site, 14-day prospective observational cohort study design of EMS clinician shift workers at four air-medical EMS organizations. The primary outcome was behavioral alertness as measured by psychomotor vigilance tests (PVT) at the start and end of shifts. We stratified shifts by duration (< 24 h and 24 h), night versus day, and examined the impact of intra-shift napping on PVT performance. Results:One hundred and twelve individuals participated. The distribution of shifts <24 h and 24 h with complete data were 54% and 46%, respectively. We detected no differences in PVT performance measures stratified by shift duration (P > 0.05). Performance for selected PVT measures (lapses and false starts) was worse on nightInstitution at which the work was performed: The University of Pittsburgh served as the coordinating center and one of four study sites. Other sites included: Mercy Flight based in Buffalo, NY; MedCenter Air based in Charlotte, NC; and MedFlight of Ohio based in Columbus, Ohio. SUPPORTING INFORMATIONAdditional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Patterson PD, Weaver MD, Markosyan MA, et al. Impact of shift duration on alertness among air-medical emergency care clinician shift workers.

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“…14,15 The participant also completed the Sleep Fatigue and Alertness Behavior (SFAB) survey; a 50-item survey that measures eight components of alertness behavior while on duty. 16 The participant’s scores on the PSQI, ESS, CFQ, and OFER indicate he suffers from poor sleep quality, excessive daytime sleepiness, severe work related fatigue, and high levels of acute fatigue, chronic fatigue, with possibly poor recovery between scheduled shifts. The SFAB survey tool is new, and at the present time there is no benchmark or base rate from which to compare the participant’s SFAB score taken at baseline.…”

Section: The Casementioning

confidence: 99%

Differences in Paramedic Fatigue before and after Changing from a 24-hour to an 8-hour Shift Schedule: A Case Report

Patterson¹,

Klapec²,

Weaver³

et al. 2015

Prehospital Emergency Care

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Emergency Medical Services (EMS) clinicians often work 24-hour shifts. There is a growing body of literature, with an elevated level of concern amongst EMS leaders that longer shifts contribute to fatigued workers and negative safety outcomes. However, many questions remain about shift length, fatigue, and outcomes. We describe a case of a 26-year-old male paramedic who switched shift schedules during the mid-point of a randomized trial that addressed fatigue in EMS workers (clinicaltrials.gov identifier: NCT02063737). The participant (case) began the study working full-time with a critical care, advanced life support EMS system that utilized 24-hour shifts. He then transitioned to an EMS system that deploys workers on 8-hour shifts. Per protocol for the randomized trial, the participant completed a battery of sleep health and fatigue surveys at baseline and at the end of 90-days of study. He also reported perceived fatigue, sleepiness, and difficulty with concentration at the beginning, every 4-hours during, and at the end of scheduled shifts, for a total of ten 24-hour shifts and twenty-four 8-hour shifts. We discuss differences in measures taken before and after switching shift schedules, and highlight differences in fatigue, sleepiness, and difficulty with concentration taken at the end of all 34 scheduled shifts stratified by shift duration (24-hours versus 8-hours). Findings from this case report present a unique opportunity to: 1) observe and analyze a phenomenon that has not been investigated in great detail in the EMS setting; and 2) address an issue of significance to employers and EMS clinicians alike.

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Emergency healthcare worker sleep, fatigue, and alertness behavior survey (SFAB): Development and content validation of a survey tool

Cited by 24 publications

References 51 publications

Real‐time fatigue reduction in emergency care clinicians: The SleepTrackTXT randomized trial

Real‐time fatigue reduction in emergency care clinicians: The SleepTrackTXT randomized trial

Impact of shift duration on alertness among air‐medical emergency care clinician shift workers

Differences in Paramedic Fatigue before and after Changing from a 24-hour to an 8-hour Shift Schedule: A Case Report

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