A systematic review of the effect of sleep interventions on presenteeism

BioPsychoSocial Medicine, Journal Year: 2021, Volume and Issue: 15(1)

Published: Nov. 17, 2021

Abstract Background Sleep problems interfere with work performance. Decreased productivity due to health is defined as presenteeism. Although empirical data on the improvement of presenteeism by sleep interventions have been published, a systematic review elucidating whether there difference in across various types has not yet published. This studies aimed clarify which are more likely be effective improving Methods The electronic databases PubMed, PsycINFO, and MEDLINE were used perform literature search (the start end dates October 20, 2019, March 11, 2020, respectively). A combination terms such “employee*,” “sleep,” “insomnia,” “presenteeism” was for search. Both randomized non-randomized control trials included this review. Results Six identified, including cognitive behavioral therapy insomnia (CBT-I), hygiene education, yoga, mindfulness, weight loss program, changing color temperature fluorescent lights workplace. Only CBT-I improved both compared group. results also show that heterogeneity measurement Conclusions suggested could adapted workers We discussed other interventions. In addition, methods measuring future research proposed.

Language: Английский

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Effectiveness of Exercise, Cognitive Behavioral Therapy, and Pharmacotherapy on Improving Sleep in Adults with Chronic Insomnia: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials

Healthcare, Journal Year: 2023, Volume and Issue: 11(15), P. 2207 - 2207

Published: Aug. 4, 2023

Despite the well-established treatment effectiveness of exercise, cognitive behavioral therapy for insomnia (CBT-I), and pharmacotherapy on improving sleep, there have been no studies to compare their long-term effectiveness, which is clinical importance sustainable management chronic insomnia. This study compared these three interventions sleep in adults with MEDLINE, PsycINFO, Embase, SPORTDiscus were searched eligible reports. Trials that investigated included. The post-intervention follow-up trial had be ≥6 months eligible. primary outcome was sleep. Treatment secondary outcome. A random-effects network meta-analysis carried out using a frequentist approach. Thirteen trials included study. After an average period 10.3 months, both exercise (SMD, -0.29; 95% CI, -0.57 -0.01) CBT-I (-0.48; -0.68 -0.28) showed superior control. Temazepam only pharmacotherapy, demonstrated (-0.80; -1.25 -0.36) but not (0.19; -0.32 0.69) findings support use insomnia, while temazepam may used short-term treatment.

Language: Английский

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Tailoring cognitive behavioural therapy for insomnia across contexts, conditions, and individuals: What do we know, where do we go?

Journal of Sleep Research, Journal Year: 2023, Volume and Issue: 32(6)

Published: Aug. 29, 2023

Summary Cognitive behavioural therapy for insomnia (CBT‐I) is considered the front‐line treatment insomnia. Despite demonstrated effectiveness of CBT‐I, it necessary to consider how CBT‐I may be tailored different individuals. The purpose present review provide a summary literature on tailoring individuals and directions future research. This focused following domains adaptation: (i) components with comorbid mental or physical health conditions such as depression pain; (ii) adapting delivery contexts in which exist, inpatient, educational, social/cultural settings, (iii) specific via case‐formulation clinical settings. We highlight current gaps exploration including lack research methodology evaluate interventions, need integration ongoing individualised assessment inform treatment, involvement consumers stakeholders throughout development process. Together, this showed abundant adaptations already exist literature. Future needed understanding when apply benefits these adaptations.

Language: Английский

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Anonymous online cognitive behavioral therapy for sleep disorders in shift workers—a study protocol for a randomized controlled trial

Trials, Journal Year: 2021, Volume and Issue: 22(1)

Published: Aug. 16, 2021

Abstract Background Many shift workers suffer from sleep issues, which negatively affect quality of life and performance. Scientifically evaluated, structured programs for prevention treatment are scarce. We developed an anonymous online cognitive behavioral therapy insomnia (CBT-I) program. After successful completion a feasibility study, we now start this prospective, randomized, controlled superiority trial to compare outcomes two parallel groups, namely intervention group waiting-list control-group. Additionally, will these those face-to-face CBT-I outpatient sample. Methods Collaborating companies offer our their shift-working employees. Company physicians counseling services screen interested inclusion exclusion criteria. Participants receive access service, where they complete psychometric assessment random assignment either the or control group. providers be aware assignment. aim allocate at least N = 60 participants trial. The consists psychoeducation, restriction, stimulus control, relaxation techniques, individual feedback delivered via four e-mail contacts. During intervention, as well during waiting period, fill out weekly diaries. Immediately after program, post-intervention takes place. in able participate program all study assessments. To recruit additional sample, collaborating clinics provide six sessions standard ad hoc sample working patients. expect both interventions have beneficial effects compared on following primary outcomes: self-reported symptoms depression insomnia, quality, daytime sleepiness. Conclusions allows follow independently schedule location. Forthcoming results might contribute further improvement issues workers. Trial registration German Clinical Trials Register DRKS DRKS00017777 . Registered 14 January 2020—retrospectively registered.

Language: Английский

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Insomnia Partially Mediates the Relationship of Occupational Stress with Mental Health Among Shift Working Nurses and Midwives in Polish Hospitals

Nature and Science of Sleep, Journal Year: 2022, Volume and Issue: Volume 14, P. 1989 - 1999

Published: Nov. 1, 2022

Insufficient sleep increases sensitivity to chronic stress and may be a precursor the deterioration of mental health development burnout. The aim our study was verify whether symptoms insomnia mediate relationship occupational with among nurses who work shifts.The analyses included 117 female midwives shifts. They filled in 16-item Effort-Reward Imbalance Questionnaire (ERIQ) assessing stress, Insomnia Severity Index (ISI), Patient Health (PHQ-9, question about excluded from analyses), Generalized Anxiety Disorder Assessment (GAD-7), Oldenburg Burnout Inventory (OLBI) consisting two scales - Disengagement Exhaustion (OLBI-D OLBI-E).Insomnia partially mediated association effort-reward imbalance ratio depression, anxiety exhaustion dimension We found no depersonalization burnout, but associated scale.The results showed that has varying degrees influence on health, partly depending severity

Language: Английский

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Development and Validation of the Operational Definitions of the Defining Characteristics of the Nursing Diagnosis of Insomnia in the Occupational Health Setting

International Journal of Nursing Knowledge, Journal Year: 2020, Volume and Issue: 31(4), P. 275 - 284

Published: April 24, 2020

Abstract PURPOSE To develop and validate the operational definition (ODs) for each defining characteristic (DC) contained in Nursing Diagnosis (ND) “insomnia” (00095) occupational health context. METHODS Methodological study carried out two stages, including a consensus of experts to ODs (Stage 1) an online Delphi panel, performed rounds, them 2). FINDINGS The 15 proposed Stage 1 were narrowed down six validated first round (diagnostic content validity index [DCVI] = 0.80‐0.89). In second round, five (DCVI 0.80‐0.94). Finally, remaining four by general experts. CONCLUSIONS validated, although there remains some doubt as whether DCs can be applied field health. IMPLICATIONS FOR NURSING PRACTICE developed could improve diagnostic accuracy ND context

Language: Английский

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A scoping review of the evidence for the impact of pharmacological and non-pharmacological interventions on shift work related sleep disturbance in an occupational setting

Wellcome Open Research, Journal Year: 2023, Volume and Issue: 6, P. 198 - 198

Published: Jan. 6, 2023

Background: Shift work is essential in society but can be detrimental to health and quality of life associated with decreased productivity increased risk accidents. Interventions reduce these consequences are needed, the extent range trial evidence for interventions those most affected by their shift-work schedules unclear. We therefore carried out a scoping review assess availability inform development evaluation future interventions. Methods: aimed identify clinical trials any intervention shift work-related sleep disturbance that included comparator group, where was delivered an occupational setting. searched Cochrane Central Register Controlled Trials, Database Systematic Reviews, CINAHL, EMBASE, Medline Science Citation Index from inception 30 th March 2020 relevant citations. Citations were screened two independent reviewers, third reviewer resolved disagreements. Data extracted reviewers. Results: From 1250 unique citations, 14 studies met inclusion criteria comparative treatment There five hypnotics, stimulants, four non-pharmacological therapies (cognitive behavioural therapy, light aromatherapy herbal medicine). Outcomes parameters, day-time sleepiness, life. no consistently reported outcomes across trials. Conclusions: fell into three distinct groups investigated time periods without progression efficacy wider-scale The lack consistent patient-reported outcome measures limits synthesising findings. Some focussed on optimising sleep, others reducing wake-time sleepiness. Adequately powered existing testing novel combination treatments patients well-defined disorder. A core set clinically will develop standardise evidence-base

Language: Английский

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Saúde do trabalhador: um olhar para o Centro Referencial de Saúde

Research Society and Development, Journal Year: 2021, Volume and Issue: 10(3), P. e50710313589 - e50710313589

Published: March 23, 2021

A Saúde do Trabalhador caracteriza-se como um campo de práticas e conhecimentos estratégicos voltados para analisar intervir nas relações trabalho que provocam doenças agravos. Educação Interprofissional, nesse contexto, propõe estudantes graduação em saúde profissionais inseridos nos serviços aprendam a cooperar forma colaborativa na resolução questões atreladas ao trabalho. Este objetiva relatar vivência das colaborativas desenvolvidas pelos bolsistas Programa Interprofissional acerca ações prevenção, promoção educação relacionadas à dos trabalhadores incorporados Sistema Único Saúde. Estudo exploratório, descritivo, abordagem quantitativa sobre o relato experiência no projeto Pet/Saúde Interprofissionalidade. partir prevenção realizadas unidades saúde, sexo feminino foi predominante; formação nível superior se fez presente equipe; percebeu-se alto índice sobrepeso obesidade alegaram não receber capacitação frequentemente unidade atuação. Percebeu-se satisfação profissional ambiente Relataram sofrer ocasionalmente dor nuca, costas região lombar; relatado desconfortável totalmente horrível. prática da reflexologia refletiu uma diminuição entre os trabalhadores. Pode-se visualizar fator determinante processo saúde-doença indivíduos coletividade. O cuidado Trabalhadores almeja constituir novo atuação intervenção rede pública Brasil.

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Personalized Physician-Assisted Sleep Advice for Shift Workers: Machine Learning Approach (Preprint)

Published: Aug. 2, 2024

In the modern economy, shift work is prevalent in numerous occupations. However, often conflicts with workers’ circadian rhythm and can result sleep disorder (SWSD). Proper management of SWSD emphasizes comprehensive patient-specific strategies some these are analogous to cognitive behavioral treatment insomnia (CBTI). this paper, we aim develop evaluate machine learning algorithms that predict physicians’ advice using wearable survey data. We developed an online system conveniently frequently provide individualized behavior CBTI elements for workers. Data were collected a period 5 weeks from workers ICU at two hospitals (N = 61) Japan. The data composed three modalities, (1) Fitbit data, (2) (3) advice. handcrafted physiological features raw identified clusters participants similar characteristics hierarchical clustering. After first week enrollment, physicians reviewed list 23 messages. implemented random forest (RF) models 7 most frequent messages given by physicians. tested our predictions under participant dependent independent settings analyzed important prediction. found distinguished shifts patterns. For clusters, having on day contributed low wellbeing scores day. Another cluster had days duration lowest quality when there was before midnight current Our prediction achieved higher F1 27 28 t-tests conducted, performance differences statistically significant P < .001 24 tests .05 3 compared baseline. analysis feature importance showed matched message sent participants. instance, (darken bedroom you go bed), primarily examined average brightness environment make predictions. Although requires physician input, accurate algorithm would be promising automating without hurting trustworthiness selected recommendations. limited popular ones among choices due rare occurrences remaining options. Therefore, further studies necessary gather enough enable less labels. UMIN Clinical Trials Registry UMIN000036122 (phase 1), UMIN000040547 2); https://tinyurl.com/dkfmmmje, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046284.

Language: Английский

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Factors facilitating and hindering the implementation of digital sleep coaching for bus drivers

Applied Ergonomics, Journal Year: 2024, Volume and Issue: 121, P. 104356 - 104356

Published: July 20, 2024

Improving fatigue management is critical to the occupational safety of professional drivers. We aimed identify factors that facilitated or hindered implementation digital sleep coaching in bus companies and explore drivers' experiences with it. Two implemented for Using a mixed methods design, we collected data through two workshops (n = 30 n 27) attended by key personnel from organisations questionnaires drivers 30). Implementation was by, example, flexible participation multichannel information coaching, restrictions on social support due COVID-19 pandemic, lack interest inspiring examples. On average, rated appropriateness feasibility as good. However, further development could lead wider dissemination. It would also be important involve people stakeholders more supporting implementation.

Language: Английский

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