Prevalence and predictors of road crash involvement among medical doctors in Malaysia: a cross-sectional study protocol

Rashid, Aneesa Abdul; Yusof, Halidah Mohd; Mustapha, F.; Wong, Shaw Voon; Ismail, Abdul Rashid; Ismail, Khaidzir; Qureshi, Ahmad Munir; Nordin, Rusli Bin

doi:10.1136/bmjopen-2020-037653

Cited by 3 publications

(5 citation statements)

References 18 publications

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“…Moreover, a survey in England and Wales suggested a substantial increase in mortality from suicide in people with fatigue [9]. Importantly, fatigue reduces quality of life, decreases the efficiency of work, and increases the risk of accidents, resulting in a huge social burden [10,11].…”

Section: Introductionmentioning

confidence: 99%

Chronic Restraint Stress-Induced Muscle Atrophy Leads to Fatigue in Mice by Inhibiting the AMPK Signaling Pathway

et al. 2021

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Currently, an increasing number of people are suffering from fatigue due to the state of their lifestyles, such as sedentary work in a relatively small space, irregular sleep patterns, or the lack of movement and exercise. The present study was designed to simulate the occurrence of fatigue in the above populations through a chronic restraint stress (CRS) model, and to reveal its dynamic processes and potential underlying molecular mechanisms. ICR mice were subjected to 8 h of restraint stress each day for 5, 10, or 15 days. It was found that the weight-loaded swimming performance, grip strength, and locomotor activity of the mice all decreased under CRS treatment, and that up to 15 days of CRS induced notable fatigue. Gastrocnemius muscle atrophy and some abnormal biochemical parameters related to fatigue under CRS were observed. Furthermore, transcriptome data showed that the changes in muscle cell metabolism and mitochondrial dysfunction were associated with the AMPK signaling pathway in CRS-treated mice. Western blotting analysis of the AMPK/PGC-1α signaling pathway revealed that CRS could decrease mitochondrial biogenesis and reduce the numbers of type I skeletal muscle fibers in the gastrocnemius of mice. CRS could also block the protective mitophagic flux to inhibit the abnormal clearance of damaged mitochondria. Our study suggests a critical link between muscle atrophy and CRS-induced fatigue in mice, suggesting that the pharmacological promotion of muscle and mitochondrial function can be used as a treatment for stress-induced fatigue.

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Section: Introductionmentioning

confidence: 99%

Chronic Restraint Stress-Induced Muscle Atrophy Leads to Fatigue in Mice by Inhibiting the AMPK Signaling Pathway

et al. 2021

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“…Another study done by Rashid et.al on prevalence and factors that contributed to road crash involvement (RCI) among medical doctors based on systematic review and meta-analysis found that RCI prevalence among medical doctors worldwide ranged from 7.9%-24.6%. Factors associated with increased risk of RCI include lack of sleep and fatigue related to long working hours [21].…”

Section: Resultsmentioning

confidence: 99%

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2023

IJSEM

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Fatigue is a common health problem among healthcare workers, ranging from ambulance drivers to specialist doctors. In Malaysia, a majority of healthcare workers prefer to commute to work by their own vehicles compared to public transport. Thus, they are exposed to excessive fatigue on the road while commuting to and back from work. The aim of this study is to find out the role of fatigue in association with road crashes among healthcare workers. The research was conducted using the semi-quantitative approach based on self-reported questionnaires. In total, 551 healthcare workers from five selected hospitals were involved in this study. Results showed that prolonged travelling time and distance to and back from work increased the risk of crash involvement. Most of the participants (37%) reported that the causes of road crashes were due to fatigue, sleepiness and microsleep while driving to and back from work. In addition, the findings show that the road crashes and near misses involvement on the road were significant due to fatigue. This research suggests that the hospitals' management may need to review their staffs' job scopes and workloads to overcome the fatigue problems and consider their feedback when designing work schedules. In addition, the management may take into consideration the need to relocate staff based on prolonged distance from home to the workplace and vice-versa.

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“…Fatigue and tiredness questions were included. It assessed if the subject were nodding off, asked about driving focus and falling asleep while driving (6,7,(25)(26)(27). Microsleep and sleepiness has been known to cause car accidents (16,26,28).…”

Section: Methodsmentioning

confidence: 99%

“…workers including doctors are part of these statistics and it has been noted that more than 500 cases have been reported from 2014 to 2016 (5). This statistics has significant impact not only on the healthcare sector, which is an integral part of society, but also on the economy (6). There are several factors contributing towards RCI, which is a complex situation and includes the environment, type of transport and also human error (7).…”

Section: Section E Driving Behaviour Componentmentioning

confidence: 99%

“…Although these questionnaires assessed relevant driving behaviour factors such risky driving, negative emotions, aggressive driving, driving violations or errors, but not all these factors were assessed in one tool. Furthermore, they did not address the issues of what healthcare professional or doctors in particular struggle with, which is the fatigue and tiredness that comes with being a healthcare professional (6).…”

Section: Section E Driving Behaviour Componentmentioning

confidence: 99%

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Driving Behaviour, Road Crash Involvement, Working Commute (MyDRIVE) Questionnaire: Testing Data Quality, Scaling Assumptions, Reliability and Validity Among Malaysian Medical Doctors

Abdul Rashid,

Nordin,

Ismail

et al. 2023

MJMHS

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Introduction: The Driving Behaviour, Road Crash Involvement, Working Commute (MyDRIVE) questionnaire was developed to assess medical doctors’ experience with road crash involvement. The objective of this research was to validate the driving behavioural component of MyDRIVE for medical practitioners in Malaysia. Method: This was a multi-stage study involving item specification, domain specification and domain assessment. Following item pools among the experts, Malaysian Medical Association (MMA) members and their contacts who are partially or fully registered with the Malaysian Medical Council (MMC) were surveyed via an online questionnaire between April 2020 and May 2021. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) was done with 150 participants and 824 participants, respectively on separate analysis to ensure the factor validity. We examined the standardized loadings, AVE and CR to determine the convergent validity. The discriminant validity was tested through the Fornell-Larcker matrix. Reliability analysis was performed through Cronbach alpha and composite reliability. Results: EFA resulted in reduction of items from 44 items to 23 items with six constructs. Composite reliability (CR) revealed all domains have a CR of above 0.7, except for Driving Under Alcohol Influence (DAI) (0.605). The remaining factors are Distracted Mind & Negative Emotion (DMNE) (0.843), Safe Driving Habit (SDH) (0.862), Fatigue Driving (FD) (0.903), Recreational & Prescribed Driving (RPD) (0.748), and Driving Under Influence of Caffeine (DCI) (0.836). For discriminant validity the square root of AVE for all constructs were greater than its correlations with other latent constructs. Conclusion: Our study finds the driving behavioural component of the MyDRIVE questionnaire among the Malaysian medical doctors to have good reliability and validity. Future studies should consider using MyDRIVE’s driving behaviour component to assess driving behaviour among doctors.

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Prevalence and predictors of road crash involvement among medical doctors in Malaysia: a cross-sectional study protocol

Cited by 3 publications

References 18 publications

Chronic Restraint Stress-Induced Muscle Atrophy Leads to Fatigue in Mice by Inhibiting the AMPK Signaling Pathway

Chronic Restraint Stress-Induced Muscle Atrophy Leads to Fatigue in Mice by Inhibiting the AMPK Signaling Pathway

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Driving Behaviour, Road Crash Involvement, Working Commute (MyDRIVE) Questionnaire: Testing Data Quality, Scaling Assumptions, Reliability and Validity Among Malaysian Medical Doctors

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