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Feasibility and Preliminary Efficacy of an m-Health Intervention Targeting Physical Activity, Diet, and Sleep Quality in Shift-Workers

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  • Stina Oftedal

    (School of Medicine & Public Health, Faculty of Health and Medicine, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia
    Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia)

  • Tracy Burrows

    (Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia
    School of Health Sciences, Faculty of Health and Medicine, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia)

  • Sasha Fenton

    (School of Medicine & Public Health, Faculty of Health and Medicine, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia
    Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia)

  • Beatrice Murawski

    (School of Medicine & Public Health, Faculty of Health and Medicine, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia
    Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia)

  • Anna B. Rayward

    (School of Medicine & Public Health, Faculty of Health and Medicine, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia
    Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia)

  • Mitch J. Duncan

    (School of Medicine & Public Health, Faculty of Health and Medicine, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia
    Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, University Drive, Callaghan, NSW 2308, Australia)

Abstract

Poor health behaviors are prevalent in shift-workers, but few multiple health-behavior interventions consider their unique needs. This study aimed to (1) evaluate the feasibility and acceptability of an existing app-based intervention to improve physical activity, diet, and sleep quality in a shift-worker population, (2) estimate intervention effect in a four-week pilot randomized controlled trial (RCT) (ACTRN12618001785291). Shift-workers (18–65 years old) were randomized to intervention ( n = 20) or wait-list ( n = 20) groups. Outcomes included recruitment, engagement, attrition, usefulness ratings, System Usability Scale (SUS), qualitative interviews, and estimation of treatment effect (minutes of physical activity, diet quality, and sleep quality) using mixed model analysis. Recruitment took one week. App-use at week four was 55% (11/20), 85% (34/40) completed the four-week follow-up questionnaire, and 20% (4/20) of the intervention group completed the qualitative interview. The intervention was rated as slightly to moderately useful by 76.9% (10/13) of participants on a five-point scale. The SUS score was 62.7 (12.7) out of 100. Diet quality improved for the intervention (4.5 points; 95% confidence interval (CI) = 0.1, 8.9; p = 0.047) vs. the wait-list group, but not physical activity or sleep quality. Qualitative interviews found that a more tailored intervention, more accessible information, and interactive features were desired. The intervention was feasible in terms of recruitment, but modifications to increase engagement are needed.

Suggested Citation

  • Stina Oftedal & Tracy Burrows & Sasha Fenton & Beatrice Murawski & Anna B. Rayward & Mitch J. Duncan, 2019. "Feasibility and Preliminary Efficacy of an m-Health Intervention Targeting Physical Activity, Diet, and Sleep Quality in Shift-Workers," IJERPH, MDPI, vol. 16(20), pages 1-18, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3810-:d:274761
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    References listed on IDEAS

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    1. Mikyung Lee & Hyeonkyeong Lee & Youlim Kim & Junghee Kim & Mikyeong Cho & Jaeun Jang & Hyoeun Jang, 2018. "Mobile App-Based Health Promotion Programs: A Systematic Review of the Literature," IJERPH, MDPI, vol. 15(12), pages 1-13, December.
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    Cited by:

    1. Chin Moi Chow, 2020. "Sleep and Wellbeing, Now and in the Future," IJERPH, MDPI, vol. 17(8), pages 1-4, April.
    2. Yeongmi Ha & Sang-Ho Lee & Dong-Ha Lee & Young-Hun Kang & Woonjoo Choi & Jinung An, 2022. "Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial," IJERPH, MDPI, vol. 19(2), pages 1-11, January.

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