P Daniel Patterson1, Daniel J Buysse2, Matthew D Weaver3, Jack M Doman2, Charity G Moore4, Brian P Suffoletto5, Kyle L McManigle5, Clifton W Callaway5, Donald M Yealy5. 1. Department of Emergency Medicine, Carolinas HealthCare System Medical Center, Charlotte, North Carolina. 2. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. 3. Harvard Medical School, Department of Medicine, Division of Sleep Medicine. 4. Dickson Advance Analytics Group, Carolinas HealthCare System Medical Center, Charlotte, North Carolina. 5. Department of Emergency Medicine, University of Pittsburgh School of Medicines, Pittsburgh, Pennsylvania.
Abstract
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 hr 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 hr, 8 hr, and at the end of 12 hr 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.
RCT Entities:
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 hr 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 hr, 8 hr, and at the end of 12 hr 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.
Authors: P Daniel Patterson; Daniel J Buysse; Matthew D Weaver; Brian P Suffoletto; Kyle L McManigle; Clifton W Callaway; Donald M Yealy Journal: Accid Anal Prev Date: 2014-10-15
Authors: Paul Daniel Patterson; Charity G Moore; Matthew D Weaver; Daniel J Buysse; Brian P Suffoletto; Clifton W Callaway; Donald M Yealy Journal: Trials Date: 2014-06-21 Impact factor: 2.279
Authors: Matthew D Weaver; P Daniel Patterson; Anthony Fabio; Charity G Moore; Matthew S Freiberg; Thomas J Songer Journal: Occup Environ Med Date: 2015-09-14 Impact factor: 4.402
Authors: P Daniel Patterson; Charity G Moore; Frank X Guyette; Jack M Doman; Denisse Sequeira; Howard A Werman; Doug Swanson; David Hostler; Joshua Lynch; Lindsey Russo; Linda Hines; Karen Swecker; Michael S Runyon; Daniel J Buysse Journal: Trials Date: 2017-06-05 Impact factor: 2.279
Authors: P Daniel Patterson; Leonard S Weiss; Matthew D Weaver; David D Salcido; Samantha E Opitz; Tiffany S Okerman; Tanner T Smida; Sarah E Martin; Francis X Guyette; Christian Martin-Gill; Clifton W Callaway Journal: Trials Date: 2021-03-16 Impact factor: 2.279
Authors: Mohd Fadhli Mohd Fauzi; Hanizah Mohd Yusoff; Nur Adibah Mat Saruan; Rosnawati Muhamad Robat; Mohd Rizal Abdul Manaf; Maisarah Ghazali Journal: BMJ Open Date: 2020-09-25 Impact factor: 2.692
Authors: Elizabeth M Harrison; Emily A Schmied; Suzanne L Hurtado; Alexandra P Easterling; Gena L Glickman Journal: Int J Environ Res Public Health Date: 2022-03-06 Impact factor: 3.390