Evaluation of a Fatigue Countermeasures Training Program for Flight Attendants

Hauck, Erica L.; Avers, Katrina Bedell; Banks, Joy; Blackwell, Lauren V.

doi:10.1037/e733842011-001

Cited by 4 publications

(6 citation statements)

References 18 publications

(25 reference statements)

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“…Because, among other issues, the number of studies evaluating these programs is limited, the effectiveness of the programs remains unclear (18)(19)(20). However, education regarding the effects of irregular working hours is becoming increasingly mandatory due to new fatigue risk management regulations within the aviation industry (45).…”

Section: Discussionmentioning

confidence: 99%

“…Some of these studies combined their educational interventions with alterations in flight schedules, for which it was impossible to address the measured improvements to the programs alone (17,18). Other studies found improvement in knowledge, awareness (19), layover sleep, and in-flight alertness among flight crew (20) after short-term application of fatigue management advice, but did not measure the effects on the longer term. Altogether, both the short-and long-term effects of educational programs for flight crew members remain unclear.…”

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confidence: 99%

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Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots

Drongelen¹,

Boot²,

Hlobil³

et al. 2014

Scand J Work Environ Health

113

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Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots by van Drongelen A, Boot CRL, Hynek H, Twisk JWR, Smid T, van der Beek AJ The MORE Energy mHealth (mobile) intervention was effective in reducing self-reported fatigue and improving sleep quality and health behavior. This randomized controlled trial showed that it is possible to change behavior, sleep, and fatigue outcomes through an mHealth intervention. Therefore, providing tailored and specific advice can be beneficial for employees coping with irregular working hours and accompanying circadian disruption. Affiliation 557Original article Scand J Work Environ Health. 2014;40(6):557-568. doi:10.5271/sjweh.3447 Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots Objectives The aim of this study was to evaluate the effects of an mHealth intervention (intervention using mobile technology) consisting of tailored advice regarding exposure to daylight, sleep, physical activity, and nutrition, and aiming to improve health-related behavior, thereby reducing sleep problems and fatigue and improving health perception of airline pilots.Methods A randomized controlled trial was conducted among 502 airline pilots. The intervention group was given access to both the MORE Energy mobile application (app) with tailored advice and a website with background information. The control group was directed to a website with standard information about fatigue. Healthrelated behavior, fatigue, sleep, and health perception outcomes were measured through online questionnaires at baseline and at three and six months after baseline. The effectiveness of the intervention was determined using linear and Poisson mixed model analyses.Results After six months, compared to the control group, the intervention group showed a significant improvement on fatigue (β= -3.76, P<0.001), sleep quality (β= -0.59, P=0.007), strenuous physical activity (β=0.17, P=0.028), and snacking behavior (β= -0.81, P<0.001). No significant effects were found for other outcome measures.Conclusions The MORE Energy mHealth intervention reduced self-reported fatigue compared to a minimal intervention. Some aspects of health-related behavior (physical activity and snacking behavior) and sleep (sleep quality) improved as well, but most did not. The results show offering tailored advice through an mHealth intervention is an effective means to support employees who have to cope with irregular flight schedules and circadian disruption. This kind of intervention might therefore also be beneficial for other working populations with irregular working hours.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots

Drongelen¹,

Boot²,

Hlobil³

et al. 2014

Scand J Work Environ Health

113

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“…Flight attendants have reported a higher prevalence of fatigue than the general population 37 and have been the subject of research on fatigue prevention training and comparison of international fatigue regulations. Regulations for working and rest hours for flight attendants in the United States were found to be among the least restrictive, and allowed a greater‐than‐typical risk of fatigue 38–40 …”

Section: Fatigue In Transportation Industriesmentioning

confidence: 99%

Research gaps and needs for preventing worker fatigue in the transportation and utilities industries

Sieber

Chen

Krueger³

et al. 2022

American J Industrial Med

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Background The transportation and utilities industries include establishments engaged in the movement of passengers and freight, or the provision of public power, water, and other services. Along with the warehousing industry, they make up the US National Occupational Research Agenda's Transportation, Warehousing and Utilities (TWU) industry sector. In 2018 the sector composed 5% of the US workforce, with approximately 8 million workers. TWU workers experienced 19% of all fatalities among U.S. workers in 2018 and 7% of total occupational injuries and illnesses. Methods Around‐the‐clock operations, heavy workloads, long and irregular shifts, complicated schedules, and time pressures characterize work across the US TWU sector. However, there are considerable differences in worker priorities and concerns between TWU industries. Major areas of concern within the sector include disparities in work schedules; required training for employee fatigue awareness and prevention; physical and mental job demands; and safety culture. Results Strategies for fatigue mitigation are critical to reduce the prevalence of injuries, safety‐critical events, and crashes in TWU workers. Further research on the incidence and characterization of fatigue among TWU workers will guide the development of effective mitigation strategies. The influence of work scheduling on missed sleep opportunities and disrupted circadian rhythms should be determined. Evaluation of fatigue mitigation strategies can lead to the adoption of the most effective ones for each TWU industry. Conclusion Implementation of effective strategies is critical for the health, safety, wellbeing, and productivity of workers in the TWU sector.

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“…Education for flight crew members is an important component of these strategies, for which several educational programs have been developed. Although some of these programs have been studied, the effects and the optimal way to transfer the relevant knowledge remains largely unclear [ 4 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

Process evaluation of a tailored mobile health intervention aiming to reduce fatigue in airline pilots

et al. 2016

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BackgroundMORE Energy is a mobile health intervention which aims to reduce fatigue and improve health in airline pilots. The primary objective of this process evaluation was to assess the reach, dose delivered, compliance, fidelity, barriers and facilitators, and satisfaction of the intervention. The second objective was to investigate the associations of adherence to the intervention with compliance and with participant satisfaction. Thirdly, we investigated differences between the subgroups within the target population.MethodsThe intervention consisted of a smartphone application, supported by a website. It provided advice on optimal light exposure, sleep, nutrition, and physical activity, tailored to flight and personal characteristics. The reach of the intervention was determined by comparing the intervention group participants and the airline pilots who did not participate. The dose delivered was defined as the total number of participants that was sent an instruction email. Objective compliance was measured through the Control Management System of the application. To determine the fidelity, an extensive log was kept throughout the intervention period. Subjective compliance, satisfaction, barriers, facilitators, and adherence were assessed using online questionnaires. Associations between the extent to which the participants applied the advice in daily life (adherence), compliance, and satisfaction were analysed as well. Finally, outcomes of participants of different age groups and haul types were compared.ResultsA total of 2222 pilots were made aware of the study. From this group, 502 pilots met the inclusion criteria and did agree to participate. The reach of the study proved to be 22 % and the dose delivered was 99 %. The included pilots were randomized into the intervention group (n = 251) or the control group (n = 251). Of the intervention group participants, 81 % consulted any advice, while 17 % did this during four weeks or more. Fidelity was 67 %. The participants rated the intervention with a 6.4 (SD 1.6). Adherence was not associated with compliance, but was associated with satisfaction (p ≤ 0.001). Pilots of 35 to 45 year old were significantly more interested in advice regarding physical activity than their colleagues, and short-haul pilots were more interested in advice regarding nutrition compared to long-haul pilots.ConclusionsThe MORE Energy intervention was well received, resulting in an adequate reach and a high dose delivered. The compliance and satisfaction scores indicate that engagement and functionality should be enhanced, and the content and applicability of the advices should be improved to appeal all subgroups of the target population.Trial registrationNederlands Trial Register NTR2722. Registered 27 January 2011.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3572-1) contains supplementary material, which is available to authorized users.

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Evaluation of a Fatigue Countermeasures Training Program for Flight Attendants

Cited by 4 publications

References 18 publications

Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots

Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots

Research gaps and needs for preventing worker fatigue in the transportation and utilities industries

Process evaluation of a tailored mobile health intervention aiming to reduce fatigue in airline pilots

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