Answer Distortion on the Epworth Sleepiness Scale During the Commercial Driver Medical Examination

Details

• Personal Author:
  Proctor KE
• Description:
  Commercial vehicle drivers are required to maintain Department Of Transportation medical certification which entails a Commercial Driver Medical Examination (CDME) and optimally leads to a two-year certification. The examination must be performed by a licensed "medical examiner" administered by a variety of health care providers including physicians, advanced registered nurse practitioners, physician assistants and doctors of chiropractic. Unfavorable findings in the examination can yield either a shortened medical certification period or denial of certification. Sleep disorders including sleep apnea are assessed by a single question located in the health history portion of the CDME form which is filled-out by the examinee. A positive response to this single item often prompts the medical examiner to further supplement this question using a subjective questionnaire, such as the Epworth Sleepiness Scale. This particular questionnaire generates a total score based on the examinee's subjective responses to eight items regarding the propensity to doze-off or fall asleep in different scenarios, thus indicating daytime sleepiness. Commercial drivers depend on the medical certification for their livelihood and it is hypothesized that subjective responses regarding daytime sleepiness are distorted in an effort to attain optimal DOT certification. [Description provided by NIOSH]
• Subjects:
  Automobiles Fatigue Health Personnel Occupational Health Safety Surveys And Questionnaires
• Keywords:
  Author Keywords: Daytime Sleepiness Cpap Drivers Health Care Personnel Medical Examinations Nurses Obstructive Sleep Apnea Physicians Polysomnography Questionnaires Sleep Apnea Truck Drivers

  More +
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Thesis
• Place as Subject:
  Florida ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-31
• NIOSHTIC Number:
  nn:20062411
• Citation:
  Tampa, FL: University of South Florida, 2010 Apr; :1-31
• Federal Fiscal Year:
  2010
• Performing Organization:
  Sunshine Education and Research Center, University of South Florida
• Peer Reviewed:
  False
• Start Date:
  20050701
• Source Full Name:
  Answer distortion on the Epworth Sleepiness Scale during the commercial driver medical examination
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:239056c64a546db921d20aa5079744559310a6152d2250c6a6493ad34bf220b2f19e607bd824756b1270a53773d4b46ffa40bc4432b066e18fc45e41d46d583c
• Download URL:
  https://stacks.cdc.gov/view/cdc/225666/cdc_225666_DS1.pdf
• File Type:
  [PDF - 469.35 KB ]