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UNION PACIFIC RESEARCH UPDATE

UNION PACIFIC RESEARCH UPDATE. FATIGUE, Sleep Disorders AND Related Health Issues. RESEARCH AGENDA. Assess the relationship between safety and risk factors such as: fatigue, sleep disorders, stress, depression, obesity, etc. Part of UP FRMS Create evidence-based interventions

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UNION PACIFIC RESEARCH UPDATE

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  1. UNION PACIFIC RESEARCH UPDATE FATIGUE, Sleep Disorders AND Related Health Issues

  2. RESEARCH AGENDA • Assess the relationship between safety and risk factors such as: fatigue, sleep disorders, stress, depression, obesity, etc. • Part of UP FRMS • Create evidence-based interventions • Partnerships with Labor and Regulators • Bottom-line Implications: Improve employee health and safety while reducing medical costs, absenteeism and presenteeism.

  3. INTRODUCTION • Behavioral Health: 2003 WHO study (Wang, et al) suggests that depression most highly significant factor in accident and injury. • Depression expected to become #1 cause of disability world-wide. • Wellness Inventory (Pfizer) UP studies indicate behavioral issues (depression, stress, anxiety) are most costly in presenteeism, absenteeism and medical costs. • Fatigue: Sleep Deprivation & Sleep Disorders are a societal issue impacting the work place: NSF reports 74% of Americans do not get enough sleep each night.

  4. FATIGUE & SLEEP DISORDERS • Sleep Disorders - Uservices • Objectives: • Assess percentage of TE&Y at risk for excessive daytime sleepiness • Demonstrate viability of sleep assessment as part of re-certification process • Methods • N= 437 • Epworth Sleepiness Scale • Scores > 10 categorized at risk

  5. SLEEP (cont’d) • Results • At risk employee is > 35% (95% CI 35.4-44.8%) • Willingness to participate (confidentiality maintained) • Confirmation Study • Scores > 10 offered opportunity to wear a device to determine presence of OSA • 20 tests ordered, 10 completed • 9 confirmed positive for OSA • Recommendations • Additional research • Continued voluntary screening • Continued education and awareness

  6. SLEEP (cont’d) • Actigraph - DU • Objectives • Determine fatigue levels • Behavioral implications of feedback • Data for biomathematical validation • Methods • Sleep Diaries/Self Report • Two Types of Actigraphs • Epworth Sleepiness Scale & PSQI • N (Questionaire) = 180 (60.4% response rate) • N (Actigraph) = 36

  7. SLEEP (cont’d) • Results • Lower mean sleepiness score than other sites (match approximate national average) • Behavioral outcomes (actigraph): • No statistical difference between those with feedback actigraph and those with non-performance actigraph • Those with self-efficacy more likely to use data to change behavior • Those without self-efficacy (external locus of control) unwilling to change behaviors • Implications for changing behaviors and providing concrete change

  8. Behavioral Health • Joint Projects and Funding UPRR/FRA • Coping Mechanisms – HIS • Depression – DU • Obesity – HIS • Integrated Health Improvement Initiative - HIS • BAA – FRA • Additional proposals currently under consideration.

  9. CONCLUSION • Pilots assessed for system implementation • Evidence-based development of programs and interventions to reduce or eliminate risks • Informed discussions, communications and programs • Implications for the industry • Safety, health and productivity focus • Additional safety research needed in all associated areas.

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