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Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots.
Scand J Work Environ Health. 2014 Nov; 40(6):557-68.SJ

Abstract

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. Health-related 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.

Authors+Show Affiliations

Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, PO Box 7057, 1007 MB Amsterdam, the Netherlands. crl.boot@vumc.nl.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

25121620

Citation

van Drongelen, Alwin, et al. "Evaluation of an mHealth Intervention Aiming to Improve Health-related Behavior and Sleep and Reduce Fatigue Among Airline Pilots." Scandinavian Journal of Work, Environment & Health, vol. 40, no. 6, 2014, pp. 557-68.
van Drongelen A, Boot CR, Hlobil H, et al. Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots. Scand J Work Environ Health. 2014;40(6):557-68.
van Drongelen, A., Boot, C. R., Hlobil, H., Twisk, J. W., Smid, T., & van der Beek, A. J. (2014). Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots. Scandinavian Journal of Work, Environment & Health, 40(6), 557-68. https://doi.org/10.5271/sjweh.3447
van Drongelen A, et al. Evaluation of an mHealth Intervention Aiming to Improve Health-related Behavior and Sleep and Reduce Fatigue Among Airline Pilots. Scand J Work Environ Health. 2014;40(6):557-68. PubMed PMID: 25121620.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of an mHealth intervention aiming to improve health-related behavior and sleep and reduce fatigue among airline pilots. AU - van Drongelen,Alwin, AU - Boot,Cécile Rl, AU - Hlobil,Hynek, AU - Twisk,Jos Wr, AU - Smid,Tjabe, AU - van der Beek,Allard J, Y1 - 2014/08/12/ PY - 2014/8/15/entrez PY - 2014/8/15/pubmed PY - 2015/8/1/medline SP - 557 EP - 68 JF - Scandinavian journal of work, environment & health JO - Scand J Work Environ Health VL - 40 IS - 6 N2 - 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. Health-related 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. SN - 1795-990X UR - https://www.unboundmedicine.com/medline/citation/25121620/full_citation L2 - https://www.sjweh.fi/show_abstract.php?abstract_id=3447 DB - PRIME DP - Unbound Medicine ER -