Adam Fletcher - Academia.edu (original) (raw)
Papers by Adam Fletcher
Fatigue has been identified as a major risk factor for shiftworkers. However, few organizations o... more Fatigue has been identified as a major risk factor for shiftworkers. However, few organizations or governments currently manage work-related fatigue in any systematic or quantitative manner. This paper outlines an approach to managing fatigue that could improve shiftwork management. Using shift start and finish times as an input, the outlined model quantifies work-related fatigue on the basis of its known determinants; that is shift timing and duration, work history and the biological limits on sleep length at specific times of day. Evaluations suggest that work-related fatigue scores correlate very highly with sleep-onset latency, neurobehavioural impairment and subjective sleepiness. The model is useful in that it allows comparisons to be made between rosters independent of shift length and timing or the total number of work hours. Furthermore, unlike many models of sleepiness and fatigue, individual's sleep times are not required as hours of work are used as the input. It is believed the model provides the potential quantitatively to link the effects of shiftwork to specific organizational health and safety outcomes. This simple approach may be especially critical at a time when many organizations view longer and more flexible hours from their employees as an immediate productivity gain.
Journal of Biological Rhythms, 2007
The extended, night and/or shift work schedule demands of the 24-h society continue to expand due... more The extended, night and/or shift work schedule demands of the 24-h society continue to expand due to military, transportation, security, health care, and economic needs. The most common problems reported by workers on these schedules are disturbed sleep and waketime sleepiness . From a biological perspective, these complaints are not surprising because these workers are often required to work at times when their physiology promotes sleep , and they attempt sleep Abstract Work-related operations requiring extended wake durations, night, or rotating shifts negatively affect worker neurobehavioral performance and health. These types of work schedules are required in many industries, including the military, transportation, and health care. These industries are increasingly using or considering the use of mathematical models of neurobehavioral performance as a means to predict the neurobehavioral deficits due to these operational demands, to develop interventions that decrease these deficits, and to provide additional information to augment existing decision-making processes. Recent advances in mathematical modeling have allowed its application to real-world problems. Developing application-specific expertise is necessary to successfully apply mathematical models, in part because development of new algorithms and methods linking the models to the applications may be required. During a symposium, "Modeling Human Neurobehavioral Performance II: Towards Operational Readiness," at the 2006 SIAM-SMB Conference on the Life Sciences, examples of the process of applying mathematical models, including model construction, model validation, or developing model-based interventions, were presented. The specific applications considered included refining a mathematical model of sleep/wake patterns of airline flight crew, validating a mathematical model using railroad operations data, and adapting a mathematical model to develop appropriate countermeasure recommendations based on known constraints. As mathematical models and their associated analytical methods continue to transition into operational settings, such additional development will be required. However, major progress has been made in using mathematical model outputs to inform those individuals making schedule decisions for their workers.
Industrial Health, 2005
The aim of the study was to examine the adaptation of participants to a common night work schedul... more The aim of the study was to examine the adaptation of participants to a common night work schedule using urinary 6-sulphatoxymelatonin (aMT6s) concentration as the circadian phase marker. Fifteen adults (7 male, 8 female, age = 21.9 yr) spent nine consecutive nights in the laboratory, including: (i) adaptation sleep, (ii) baseline sleep, and (iii) seven simulated night shifts (23:00-07:00 h) followed by daytime sleep. During the baseline and daytime sleeps, participants collected urine samples which were subsequently assayed for aMT6s. The concentration of aMT6s in urine for the first three day sleeps was significantly lower than for the baseline sleep, but there was no difference in aMT6s concentrations between any of the last three day sleeps and the baseline sleep. The data indicate that people may adapt to a pattern of work that includes seven consecutive night shifts if they adhere to a fixed sleep schedule, if their exposure to morning sunlight is minimised, and if they are provided with an ideal sleep environment.
Applied Ergonomics, 2009
The aim of this study was to examine a regular rotating 12-h shift system (2D2N4Off) at an Austra... more The aim of this study was to examine a regular rotating 12-h shift system (2D2N4Off) at an Australian Smelter. Sleep behavior, subjective fatigue and neurobehavioral performance were investigated over a 14-day period for 20 employees. Activity monitors, sleep/wake diaries, and 5-min psychomotor vigilance tasks were used. Sleep data showed differences between day and night shifts. While sleep prior to night1 was increased relative to day shifts, a reduced sleep length carried into the period leading to night2. Total wakefulness at the end of shift, and subjective fatigue were increased for night shifts, particularly night1. Decrements in performance data supported these findings. Both prior wakefulness and prior sleep are important in a 12-h shift system. Employees may ''sleep in'' after day shifts, rather than taking extra sleep prior to night work. Thus, sleep between day and night shifts is based on recovery rather than preparation.
Applied Ergonomics, 2007
Fatigue is a serious issue for the rail industry, increasing inefficiency and accident risk. The ... more Fatigue is a serious issue for the rail industry, increasing inefficiency and accident risk. The performance of 20 train drivers in a rail simulator was investigated at low, moderate and high fatigue levels. Psychomotor vigilance (PVT), self-rated performance and subjective alertness were also assessed. Alertness, PVT reaction times, extreme speed violations (425% above the limit) and penalty brake applications increased with increasing fatigue level. In contrast, fuel use, draft (stretch) forces and braking errors were highest at moderate fatigue levels. Thus, at high fatigue levels, errors involving a failure to act (errors of omission) increased, whereas incorrect responses (errors of commission) decreased. The differential effect of fatigue on error types can be explained through a cognitive disengagement with the virtual train at high fatigue levels. Interaction with the train reduced dramatically, and accident risk increased. Awareness of fatigue-related performance changes was moderate at best. These findings are of operational concern. r
Chronobiology International, 2008
This special issue of Chronobiology International presents a selection of papers originally deliv... more This special issue of Chronobiology International presents a selection of papers originally delivered at the 18th International Symposium on Shift Work and Working Time, held at Yeppoon, Australia, in August 2007. The key theme of the symposium was "Aging and Working Time: Creating Safe Environments." Older workers are widely believed to experience greater difficulty than younger workers adapting to shift work and irregular work schedules. However, while the three reviews of age effects published here (Costa & Di Milia, 2008; Folkard, 2008b; Gander & Signal, 2008) identify evidence that older workers do indeed adapt less well, they also demonstrate that much more research is urgently required. The remaining papers address various aspects of the impact of work schedules on health, safety, sleep, and performance. They can be divided into three broad categories: circadian and other periodic factors; sleep, sleepiness, and fatigue; and other aspects of health and adjustment. This collection of papers showcases the best of contemporary research on the safety and health effects of working hours, continuing the tradition established by the two previous issues of the journal devoted to earlier symposia on shift work and working time.
Fatigue has been identified as a major risk factor for shiftworkers. However, few organizations o... more Fatigue has been identified as a major risk factor for shiftworkers. However, few organizations or governments currently manage work-related fatigue in any systematic or quantitative manner. This paper outlines an approach to managing fatigue that could improve shiftwork management. Using shift start and finish times as an input, the outlined model quantifies work-related fatigue on the basis of its known determinants; that is shift timing and duration, work history and the biological limits on sleep length at specific times of day. Evaluations suggest that work-related fatigue scores correlate very highly with sleep-onset latency, neurobehavioural impairment and subjective sleepiness. The model is useful in that it allows comparisons to be made between rosters independent of shift length and timing or the total number of work hours. Furthermore, unlike many models of sleepiness and fatigue, individual's sleep times are not required as hours of work are used as the input. It is believed the model provides the potential quantitatively to link the effects of shiftwork to specific organizational health and safety outcomes. This simple approach may be especially critical at a time when many organizations view longer and more flexible hours from their employees as an immediate productivity gain.
Journal of Biological Rhythms, 2007
The extended, night and/or shift work schedule demands of the 24-h society continue to expand due... more The extended, night and/or shift work schedule demands of the 24-h society continue to expand due to military, transportation, security, health care, and economic needs. The most common problems reported by workers on these schedules are disturbed sleep and waketime sleepiness . From a biological perspective, these complaints are not surprising because these workers are often required to work at times when their physiology promotes sleep , and they attempt sleep Abstract Work-related operations requiring extended wake durations, night, or rotating shifts negatively affect worker neurobehavioral performance and health. These types of work schedules are required in many industries, including the military, transportation, and health care. These industries are increasingly using or considering the use of mathematical models of neurobehavioral performance as a means to predict the neurobehavioral deficits due to these operational demands, to develop interventions that decrease these deficits, and to provide additional information to augment existing decision-making processes. Recent advances in mathematical modeling have allowed its application to real-world problems. Developing application-specific expertise is necessary to successfully apply mathematical models, in part because development of new algorithms and methods linking the models to the applications may be required. During a symposium, "Modeling Human Neurobehavioral Performance II: Towards Operational Readiness," at the 2006 SIAM-SMB Conference on the Life Sciences, examples of the process of applying mathematical models, including model construction, model validation, or developing model-based interventions, were presented. The specific applications considered included refining a mathematical model of sleep/wake patterns of airline flight crew, validating a mathematical model using railroad operations data, and adapting a mathematical model to develop appropriate countermeasure recommendations based on known constraints. As mathematical models and their associated analytical methods continue to transition into operational settings, such additional development will be required. However, major progress has been made in using mathematical model outputs to inform those individuals making schedule decisions for their workers.
Industrial Health, 2005
The aim of the study was to examine the adaptation of participants to a common night work schedul... more The aim of the study was to examine the adaptation of participants to a common night work schedule using urinary 6-sulphatoxymelatonin (aMT6s) concentration as the circadian phase marker. Fifteen adults (7 male, 8 female, age = 21.9 yr) spent nine consecutive nights in the laboratory, including: (i) adaptation sleep, (ii) baseline sleep, and (iii) seven simulated night shifts (23:00-07:00 h) followed by daytime sleep. During the baseline and daytime sleeps, participants collected urine samples which were subsequently assayed for aMT6s. The concentration of aMT6s in urine for the first three day sleeps was significantly lower than for the baseline sleep, but there was no difference in aMT6s concentrations between any of the last three day sleeps and the baseline sleep. The data indicate that people may adapt to a pattern of work that includes seven consecutive night shifts if they adhere to a fixed sleep schedule, if their exposure to morning sunlight is minimised, and if they are provided with an ideal sleep environment.
Applied Ergonomics, 2009
The aim of this study was to examine a regular rotating 12-h shift system (2D2N4Off) at an Austra... more The aim of this study was to examine a regular rotating 12-h shift system (2D2N4Off) at an Australian Smelter. Sleep behavior, subjective fatigue and neurobehavioral performance were investigated over a 14-day period for 20 employees. Activity monitors, sleep/wake diaries, and 5-min psychomotor vigilance tasks were used. Sleep data showed differences between day and night shifts. While sleep prior to night1 was increased relative to day shifts, a reduced sleep length carried into the period leading to night2. Total wakefulness at the end of shift, and subjective fatigue were increased for night shifts, particularly night1. Decrements in performance data supported these findings. Both prior wakefulness and prior sleep are important in a 12-h shift system. Employees may ''sleep in'' after day shifts, rather than taking extra sleep prior to night work. Thus, sleep between day and night shifts is based on recovery rather than preparation.
Applied Ergonomics, 2007
Fatigue is a serious issue for the rail industry, increasing inefficiency and accident risk. The ... more Fatigue is a serious issue for the rail industry, increasing inefficiency and accident risk. The performance of 20 train drivers in a rail simulator was investigated at low, moderate and high fatigue levels. Psychomotor vigilance (PVT), self-rated performance and subjective alertness were also assessed. Alertness, PVT reaction times, extreme speed violations (425% above the limit) and penalty brake applications increased with increasing fatigue level. In contrast, fuel use, draft (stretch) forces and braking errors were highest at moderate fatigue levels. Thus, at high fatigue levels, errors involving a failure to act (errors of omission) increased, whereas incorrect responses (errors of commission) decreased. The differential effect of fatigue on error types can be explained through a cognitive disengagement with the virtual train at high fatigue levels. Interaction with the train reduced dramatically, and accident risk increased. Awareness of fatigue-related performance changes was moderate at best. These findings are of operational concern. r
Chronobiology International, 2008
This special issue of Chronobiology International presents a selection of papers originally deliv... more This special issue of Chronobiology International presents a selection of papers originally delivered at the 18th International Symposium on Shift Work and Working Time, held at Yeppoon, Australia, in August 2007. The key theme of the symposium was "Aging and Working Time: Creating Safe Environments." Older workers are widely believed to experience greater difficulty than younger workers adapting to shift work and irregular work schedules. However, while the three reviews of age effects published here (Costa & Di Milia, 2008; Folkard, 2008b; Gander & Signal, 2008) identify evidence that older workers do indeed adapt less well, they also demonstrate that much more research is urgently required. The remaining papers address various aspects of the impact of work schedules on health, safety, sleep, and performance. They can be divided into three broad categories: circadian and other periodic factors; sleep, sleepiness, and fatigue; and other aspects of health and adjustment. This collection of papers showcases the best of contemporary research on the safety and health effects of working hours, continuing the tradition established by the two previous issues of the journal devoted to earlier symposia on shift work and working time.