Tech4Rest 随机对照试验：应用控制层级理论提高卡车司机的睡眠、健康和幸福感。
The Tech4Rest Randomized Controlled Trial: Applying the Hierarchy of Controls to Advance the Sleep, Health, and Well-being of Team Truck Drivers.
机构信息
From the Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, Portland, Oregon (R.O., S.A.S., S.P.M.R., J.R., C.D.); School of Public Health, Oregon Health & Science University-Portland State University, Portland, Oregon (R.O., S.A.S., M.M., S.P.M.R.); Department of Psychology, Portland State University, Portland, Oregon (R.O.); Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, Washington State (P.W.J.); and Department of Family Medicine, Oregon Health & Science University, Portland, Oregon (M.M., R.S.).
出版信息
J Occup Environ Med. 2023 Nov 1;65(11):937-948. doi: 10.1097/JOM.0000000000002941. Epub 2023 Aug 12.
OBJECTIVE
The aim of the study was to evaluate the effectiveness of interventions to improve sleep, reduce fatigue, and advance the well-being of team truck drivers.
METHODS
In a randomized controlled trial ( k = 24 teams; N = 49 drivers; 61.3% of planned sample), intervention teams were exposed to baseline (3-4 weeks), cab enhancements (active suspension seat, therapeutic mattress; 3-4 weeks), and cab enhancements plus a behavioral sleep-health program (1-2 months). Control teams worked as usual during the same period.
RESULTS
Trends in sleep-related outcomes favored the intervention. Large and statistically significant intervention effects were observed for objectively measured physical activity (a behavioral program target). The discussion of results addresses effect sizes, statistical power, intervention exposure, and work organization.
CONCLUSIONS
Trends, effect sizes, and significant findings in this rare trial provide valuable guidance for future efforts to improve working conditions and outcomes for team drivers.
目的
本研究旨在评估改善睡眠、减轻疲劳和提高团队卡车司机福祉的干预措施的效果。
方法
在一项随机对照试验（ k = 24 个团队；N = 49 名司机；占计划样本的 61.3%）中，干预组接受基线（3-4 周）、驾驶室增强（主动悬架座椅、治疗床垫；3-4 周）和驾驶室增强加行为睡眠健康计划（1-2 个月）的干预。对照组在同一时期照常工作。
结果
睡眠相关结果呈趋势，有利于干预。客观测量的身体活动（行为计划目标）显示出较大且具有统计学意义的干预效果。结果的讨论涉及效应大小、统计效力、干预暴露和工作组织。
结论
这项罕见试验中的趋势、效应大小和显著发现为改善团队司机的工作条件和结果的未来努力提供了有价值的指导。
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