| Literature DB >> 35273197 |
Jillian Dorrian1, Janine Chapman2, Lorelle Bowditch3, Nora Balfe4, Anjum Naweed3.
Abstract
Train drivers work long hours on 24 h schedules and many factors impact their fatigue risk at work, creating a clear imperative for good rostering practice. Adopting a systems approach, this study investigated the relationship between multiple interrelated factors (train drivers' schedule, sleep, wellbeing, and fatigue) and the perceived influence of these factors on train driving performance and safety using an online survey distributed in Australia and New Zealand. In addition to demographics and work schedule, passenger and freight train drivers (n = 751) answered questions about: (1) Sleep duration; (2) wellbeing, including physical and mental health, the extent to which shiftwork causes sleep, social, domestic, and work problems, and (3) the extent to which ten fatigue, health and wellbeing factors in the work and home environment negatively impact their driving performance. The key factor that emerged from analyses, with the largest and most consistent negative effects (and controlling for other factors) was schedule irregularity. Approved rosters were ranked as having the most important impact on day-to-day driving performance, followed by physical and mental health, and outside work factors. Results also suggested that schedule irregularity may amplify the negative impacts of the roster, impaired physical and mental health, and outside work factors on driving performance. As shift variability and schedule irregularity are often poorly represented in existing industry guidance, these results provide evidence for increased reflection on current fatigue management guidelines for train drivers and suggest a need for greater focus on schedule irregularity through the lens of a systems approach.Entities:
Mesh:
Year: 2022 PMID: 35273197 PMCID: PMC8913649 DOI: 10.1038/s41598-022-07627-0
Source DB: PubMed Journal: Sci Rep ISSN: 2045-2322 Impact factor: 4.379
Figure 1Jitter matrix showing proportion drivers in each Rail Mode across Shift Pattern and levels of Schedule Irregularity.
Figure 2Adapted raincloud plots for sleep on days off compared to workdays (upper) and sleep on workdays split by schedule regularity and by shift pattern (lower).
ANCOVA for sleep duration and quality on workdays and days off, controlling for age, gender, and number of days per week worked.
| Sleep duration | Sleep quality | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Work | Off | Work | Off | |||||||||
| Predictor | ||||||||||||
| Age | 0.916 | 10.6 | 0.001 | 0.015 | 12.3 | 0.001 | 0.017 | 0.8 | 0.361 | 0.001 | ||
| Gender | 0.876 | 8.8 | 0.003 | 0.012 | 0.856 | 3.1 | 0.080 | 0.004 | ||||
| Days per week | 3.1 | 0.077 | 0.004 | 0.3 | 0.578 | 0.5 | 0.484 | 1.1 | 0.293 | 0.002 | ||
| Shift length | 0.7 | 0.413 | 0.1 | 0.754 | 4.9 | 0.027 | 0.007 | 6.5 | 0.011 | 0.009 | ||
| Mode | 0.1 | 0.768 | 0.2 | 0.676 | 3.3 | 0.072 | 0.004 | 0.6 | 0.455 | 0.001 | ||
| Regularity | 8.7 | 0.349 | 3.1 | 0.025 | 0.013 | 13.5 | 0.052 | 1.1 | 0.334 | 0.005 | ||
| Shift pattern | 2.4 | 0.049 | 0.013 | 0.8 | 0.525 | 0.004 | 0.2 | 0.951 | 1.1 | 0.351 | 0.006 | |
Post-hocs for gender—days off sleep (F > M), Post-hocs for regularity (regular = 1, somewhat = 2, irregular = 3, very irregular = 4)—workday sleep (1 > 3, 4), day off sleep (4 > 3), workday sleep quality (1, 2, 3 > 4); post-hocs for shift pattern (permanent day or evening = 1, permanent night or other including night = 2, day and evening = 3, day and night = 4, day, evening, and night = 5)—workday sleep (1, 3 > 2); effect size—small = 0.01, medium = 0.06, large = 0.14[38].
Figure 3Slide plots for perceptions of sleep amount (left) and tiredness (right) split by schedule regularity (lower).
Ordinal regression for perception of sleep satisfaction (1 = nowhere near enough) and tiredness (1 = almost never) controlling for age, gender, and number of days per week worked.
| Variable (ref level) | Level | Sleep satisfaction | Tiredness | ||||||
|---|---|---|---|---|---|---|---|---|---|
| OR | Sterr | OR | Sterr | ||||||
| Age | 1.01 | 0.01 | 2.1 | 0.034 | 0.98 | 0.01 | 0.004 | ||
| Gender (male) | Female | 0.75 | 0.17 | 0.200 | 1.97 | 0.44 | 3.0 | 0.003 | |
| Days per week | 0.98 | 0.07 | 0.764 | 0.89 | 0.06 | 0.088 | |||
| Shift length | 0.74 | 0.07 | 0.001 | 1.10 | 0.10 | 1.1 | 0.252 | ||
| Mode (freight) | Passenger | 0.88 | 0.18 | 0.530 | 0.88 | 0.18 | 0.529 | ||
| Regularity (regular) | Sometimes | 0.83 | 0.19 | 0.406 | 0.76 | 0.18 | 0.236 | ||
| Irregular | 0.57 | 0.13 | 0.015 | 1.01 | 0.23 | 0.1 | 0.956 | ||
| Very irregular | 0.31 | 0.07 | 2.17 | 0.49 | 3.5 | ||||
| Shift pattern (perm. days or evenings) | Perm. or other night | 1.09 | 0.42 | 0.2 | 0.818 | 1.71 | 0.64 | 1.4 | 0.154 |
| Day and evening | 1.08 | 0.33 | 0.3 | 0.787 | 1.20 | 0.36 | 0.6 | 0.555 | |
| Day and night | 1.03 | 0.37 | 0.1 | 0.923 | 1.61 | 0.57 | 1.3 | 0.181 | |
| Day, evening, night | 1.10 | 0.29 | 0.3 | 0.733 | 1.50 | 0.40 | 1.5 | 0.132 | |
Post-hocs for regularity (regular = 1, somewhat = 2, irregular = 3, very irregular = 4)—sleep satisfaction (1 > 2 > 3 > 4), tiredness (1, 2, 3 < 4); perm. permanent.
Figure 4PHQ-4 ratings split by schedule irregularity.
Figure 5Bump Chart (left) displays ranking (according to mean rating on each scale, top = highest) of each of the fatigue, health, and wellbeing factors impacting on driving performance shown overall, and split by driving mode (upper) and regularity (lower). Plot matrix (right) display means (whiskers = sem) for each of the factors, ranked by mean rating, split by schedule regularity (rows), and rail mode (columns).
MANCOVA post-hoc investigation of rail mode and regularity, controlling for age, gender, days per week, shift length, and shift pattern.
| Factors affecting driving | Rail mode | Regularity | ||||
|---|---|---|---|---|---|---|
| Physical health | 0.8 | 0.371 | 0.001 | 2.7 | 0.047 | 0.011 |
| Mental health | 2.5 | 0.111 | 0.003 | 4.1 | 0.007 | 0.016 |
| Medication | 0.3 | 0.614 | < 0.001 | 0.9 | 0.431 | 0.004 |
| Other substances | 0.4 | 0.538 | < 0.001 | 0.2 | 0.907 | < 0.001 |
| Treatment non-compliance | 1.8 | 0.180 | 0.002 | 0.4 | 0.792 | 0.001 |
| Approved roster | 3.1 | 0.078 | 0.004 | 37.0 | < 0.001 | 0.132 |
| Not approved roster | 0.8 | 0.363 | 0.001 | 0.2 | 0.929 | < 0.001 |
| Commute | 5.4 | 0.021 | 0.007 | 0.8 | 0.519 | 0.003 |
| Outside work factors | 1.1 | 0.304 | 0.001 | 4.3 | 0.005 | 0.017 |
| Other wellbeing issues | 0.4 | 0.547 | < 0.001 | 1.5 | 0.202 | 0.006 |
Comparisons for mode (freight = f, passenger = p)—commute (p > f); Comparisons for regularity (regular = 1, somewhat = 2, irregular = 3, very irregular = 4)—physical health (4 > 1), mental health (4 > 1), approved roster (4 > 3 > 2 > 1), outside work factors (4 > 1).