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Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial

Author

Listed:
  • Yeongmi Ha

    (School of Nursing, Institute of Health Sciences, Gyeongsang National University, Jinju 52727, Korea
    Co-first author, these authors contributed equally to this work.)

  • Sang-Ho Lee

    (Convergence Research Advanced Centre for Olfaction, DGIST, Daegu 42988, Korea
    Division of Intelligent Robot, DGIST, Daegu 42988, Korea
    Co-first author, these authors contributed equally to this work.)

  • Dong-Ha Lee

    (Division of Intelligent Robot, DGIST, Daegu 42988, Korea)

  • Young-Hun Kang

    (BIOSFIT, Jinju 52650, Korea)

  • Woonjoo Choi

    (Department of Nursing, Gyeongsang National University Hospital, Jinju 52727, Korea)

  • Jinung An

    (Division of Intelligent Robot, DGIST, Daegu 42988, Korea
    Department of Interdisciplinary Engineering, DGIST, Daegu 42988, Korea)

Abstract

Nurses with rotating shifts, including night shifts, have suffered from low physical activity during the COVID-19 pandemic and lower sleep quality due to the disruption of their circadian rhythm. This study aimed to develop and examine the effectiveness of a mobile wellness program on daily steps, sleep quality, exercise self-efficacy, intrinsic motivation for exercise, self-rated fatigue, and wellness. A cluster randomized controlled trial design was used to examine the effectiveness of the mobile wellness program for nurses with rotating shifts. Sixty nurses from one university hospital participated and were allocated to an intervention group and a control group. The intervention group received a 12-week mobile wellness program to improve their physical activity and sleep quality, and the control group was only given a Fitbit to self-monitor their health behaviors. There were significant differences between the two groups in daily steps ( p = 0.000), three components (subjective sleep quality, sleep disturbance, daytime dysfunction) of the PSQI, exercise self-efficacy, intrinsic motivation for exercise, and wellness. In conclusion, this study provides meaningful information that the mobile wellness program using Fitbit, online exercise using Zoom, online health coaching on a Korean mobile platform, and motivational text messages effectively promoted physical activity and sleep quality for nurses with rotating shifts during the COVID-19 pandemic.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:1014-:d:726724
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    References listed on IDEAS

    as
    1. 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.
    2. Tim Henwood & Anthony Tuckett & Catherine Turner, 2012. "What makes a healthier nurse, workplace or leisure physical activity? Informed by the Australian and New Zealand e‐Cohort Study," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(11‐12), pages 1746-1754, June.
    Full references (including those not matched with items on IDEAS)

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