Evaluating the Impact of a Sleep Health Education and a Personalised Smartphone Application on Sleep, Productivity and Healthcare Utilisation Among Employees: Results of a Randomised Clinical Trial

Details

• Personal Author:
  Barger LK ; Cohen-Zion M ; Czeisler, Charles A. ; Glasner L ; Qadri S ; Quan SF ; Robbins R ; Sullivan JP ; Weaver MD
• Description:
  Objectives: We evaluated an online Sleep Health and Wellness (SHAW) programme paired with dayzz, a personalised sleep training programme deployed via smartphone application (dayzz app) that promotes healthy sleep and treatment for sleep disorders, among employees at a large healthcare organisation. Design: Open-label, randomised, parallel-group controlled trial. Setting: A healthcare employer in the USA. Participants: 1355 daytime workers. Intervention: Participants were randomised to intervention (n=794) or control (n=561) on consent. Intervention participants received the SHAW educational programme at baseline plus access to the personalised dayzz app for up to 9 months. The control condition received the intervention at month 10. Primary and secondary outcome measures: Our primary outcome measures were sleep-related behavioural changes (eg, consistent sleep schedule); sleep behaviour tracked on an electronic sleep diary and sleep quality. Our secondary outcome measures included employee absenteeism, performance and productivity; stress, mood, alertness and energy; and adverse health and safety outcomes (eg, accidents). Results: At follow-up, employees in the intervention condition were more likely to report increased sleep duration on work (7.20 vs 6.99, p=0.01) and on free (8.26 vs 8.04, p=0.03) nights. At follow-up, the prevalence of poor sleep quality was lower in the intervention (n=160 of 321, 50%) compared with control (n=184 of 327, 56%) (p=0.04). The mean total dollars lost per person per month due to reduced workplace performance (presenteeism) was less in the intervention condition (US$1090 vs US$1321, p=0.001). Employees in the intervention reported fewer mental health visits (RR 0.72, 95% CI 0.56 to 0.94, p=0.01) and lower healthcare utilisation over the study interval (RR 0.81, 95% CI 0.67 to 0.98, p=0.03). We did not observe differences in stress (4.7 (95% CI 4.6 to 4.8) vs 4.7 (95% CI 4.6 to 4.8)), mood (4.5 (95% CI 4.4 to 4.6) vs 4.6 (95% CI 4.5 to 4.7)), alertness (4.9 (95% CI 4.8 to 5.0) vs 5.0 (95% CI 4.9 to 5.1)) or adverse health and safety outcomes (motor vehicle crashes: OR 0.82 (95% CI 0.34 to 1.9); near-miss crashes: OR=0.89 (95% CI 0.5 to 1.5) and injuries: 0.9 (95% CI 0.6 to 1.3)); energy was higher at follow-up in the intervention group (4.3 vs 4.5; p=0.03). Conclusions: Results from this trial demonstrate that a SHAW programme followed by access to the digital dayzz app can be beneficial to both the employee and employer. [Description provided by NIOSH]
• Subjects:
  Health Promotion Mental Health Nervous System Occupational Health Safety Sleep Software
• Keywords:
  Cell Phones Computer Applications Cost Reduction Costs Health Programs Intervention Effectiveness Mental Health
• ISSN:
  2044-6055
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  12
• Issue:
  9
• NIOSHTIC Number:
  nn:20066059
• Citation:
  BMJ Open 2022 Sep; 12(9):e062121
• Contact Point Address:
  Dr. Rebecca Robbins, Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts, USA
• Email:
  rrobbins4@bwh.harvard.edu
• Federal Fiscal Year:
  2022
• NORA Priority Area:
  Healthcare and Social Assistance
• Performing Organization:
  Brigham and Women's Hospital, Boston, Massachusetts
• Peer Reviewed:
  True
• Start Date:
  20190901
• Source Full Name:
  BMJ Open
• End Date:
  20230831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:193f73b07338cca6c63aba6e87075f4f1b47034080a7430086d26529aa14989920dc90231d59a68cd788c0c9689711ac4b6e4b2ffbbadf20be59426be682e755
• Download URL:
  https://stacks.cdc.gov/view/cdc/209136/cdc_209136_DS1.pdf
• File Type:
  [PDF - 1.34 MB ]