Flight Attendant Fatigue, Part VI: Fatigue Countermeasure Training and Potential Benefits

Avers, Katrina E; Hauck, Erica L.; Blackwell, Lauren V.; Nesthus, Thomas E.

doi:10.1037/e733952011-001

Cited by 7 publications

(13 citation statements)

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“…The mean baseline scores of the participants showed that fatigue and need for recovery in this population can be worse than that of the general working population (29,46), which coincides with the findings of previous studies on airline pilots (47,48). mHealth interventions like MORE Energy might therefore be implemented throughout other airlines as well, for instance by immediately introducing such an educational tool to new employees (16).…”

Section: Discussionmentioning

confidence: 99%

“…Participants were encouraged to read background information which was available in the glossary menu of the app (page 4 of the Appendix). The composition of the background information was based on the list of topics provided by Avers et al (16). If applicable, the app guided the users to the project website with more information, including videos and audio files (page 5 of the Appendix).…”

Section: Intervention Groupmentioning

confidence: 99%

“…Regarding the development of an educational program for flight crew members to cope with irregular working hours, an app would make it possible to translate the relevant information into practical and specific advice, while taking into account the duration and destination of the flight and the number of time zones crossed (16). Moreover, an app would enable the flight crew members to consult personalized advice at any time and place, before, during, and after their flights.…”

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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%

Section: Intervention Groupmentioning

confidence: 99%

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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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“…The 2011 FAA Reauthorization and Reform Act requires further FAA action on fl ight attendant fatigue by 2012. The FAA Duty, Rest and Fatigue study( 2 ) recorded that 83% of fl ight attendants had experienced…”

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confidence: 99%

The Occupational Health and Safety of Flight Attendants

Griffiths¹,

Powell²

2012

aviat space environ med

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In order to perform safety-critical roles in emergency situations, flight attendants should meet minimum health standards and not be impaired by factors such as fatigue. In addition, the unique occupational and environmental characteristics of flight attendant employment may have consequential occupational health and safety implications, including radiation exposure, cancer, mental ill-health, musculoskeletal injury, reproductive disorders, and symptoms from cabin air contamination. The respective roles of governments and employers in managing these are controversial. A structured literature review was undertaken to identify key themes for promoting a future agenda for flight attendant health and safety. Recommendations include breast cancer health promotion, implementation of Fatigue Risk Management Systems, standardization of data collection on radiation exposure and health outcomes, and more coordinated approaches to occupational health and safety risk management. Research is ongoing into cabin air contamination incidents, cancer, and fatigue as health and safety concerns. Concerns are raised that statutory medical certification for flight attendants will not benefit either flight safety or occupational health.

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“…Additionally, when translating the relevant flight crew related knowledge into practical advice, variables such as flight direction, flight duration, and number of time zones crossed should be taken into account [7]. Based on this knowledge, the MORE Energy intervention, aiming to reduce fatigue and improve health in airline pilots through easy obtainable and tailored advice, was developed [11].…”

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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Flight Attendant Fatigue, Part VI: Fatigue Countermeasure Training and Potential Benefits

Cited by 7 publications

References 1 publication

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

The Occupational Health and Safety of Flight Attendants

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

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