@article{ref1,
title="Real-time fatigue reduction in emergency care clinicians: the SleepTrackTXT randomized trial",
journal="American journal of industrial medicine",
year="2015",
author="Patterson, P. Daniel and Buysse, Daniel J. and Weaver, Matthew D. and Doman, Jack M. and Moore, Charity G. and Suffoletto, Brian P. and McManigle, Kyle L. and Callaway, Clifton W. and Yealy, Donald M.",
volume="58",
number="10",
pages="1098-1113",
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. <br><br>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. <br><br>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). <br><br>CONCLUSIONS: We showed feasibility and short-term efficacy of a text-message based assessment and intervention tool. Am. J. Ind. Med. © 2015 Wiley Periodicals, Inc.<p /> <p>Language: en</p>",
language="en",
issn="0271-3586",
doi="10.1002/ajim.22503",
url="http://dx.doi.org/10.1002/ajim.22503"
}