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Abstract

VIGILANCE SCREENING TOOLS IN THE WORKPLACE: SCOPING REVIEW

ABSTRACT

Background: Vigilance performance examination is currently used widely in many disciplines, neurophysiology, sleep medicine, psychology to its application to workers whose daily activities require prime vigilance. A more objective inspection of vigilance has not yet become a routine screening examination for workers to detect decreased vigilance as part of a fit-to-work assessment, but only in the form of research / study using a partial sampling technique. The aim is to provide an overview of vigilance screening tools in the workplace, its terminologies and how the process of maintaining quality such as calibration and validation.

Methods: A literature search was independently conducted from the Pubmed database. We are looking for only articles that meet the following criteria: discussions on the terminology of vigilance, or research on workers that use vigilance examination tools, or research that develops its examination tools.

Results: Three articles were found that specifically discussed the term vigilance, 30 studies on workers that used vigilance performance examination tools, and 15 studies discussing the development of these tools. The definition of vigilance is still not firmly established and has been used interchangeably and leading to confusion. Workplace research has used product-based smart devices rather than dedicated hardware, as well as a number of studies that have focused on tools development.

Conclusion: Vigilance is the capability to be aware of potentially relevant or capability to be sensitive to unpredictable changes in one's environment including a quantitative and a temporal dimension. Although vigilance testing may not pinpoint the exact cause of vigilance decrement, using it as a screening tool in workplace holds great potential. Smart-device-based tools are relatively easy to obtain and inexpensive, but face enormous challenges related to calibration issues, validation issues, manufacturer's service of life, and firmware updates. It's important to consider vigilance screening tools with low-cost, portable, robust, future-proof, and easily validated with clear calibration or validation methods.

Keywords: alertness, neuropsychological tests, psychomotor performance, reaction time, vigilance

References

1. Silverman IW. Simple reaction time: it is not what it used to be. Am J Psychol 2010; 123: 39–50.

2. van Schie MKM, Lammers GJ, Fronczek R, et al. Vigilance: discussion of related concepts and proposal for a definition. Sleep Med 2021; 83: 175–181.

3. Oken BS, Salinsky MC, Elsas SM. Vigilance, alertness, or sustained attention: physiological basis and measurement. Clin Neurophysiol 2006; 117: 1885.

4. Crabtree DA, Antrim LR. Guidelines for measuring reaction time. Percept Mot Skills 1988; 66: 363–370.

5. Arsintescu L, Kato KH, Cravalho PF, et al. Validation of a touchscreen psychomotor vigilance task. Accid Anal Prev 2019; 126: 173–176.

6. Woods DL, Wyma JM, Yund EW, et al. Factors influencing the latency of simple reaction time. Front Hum Neurosci 2015; 9: 131.

7. Holden J, Francisco E, Tommerdahl A, et al. Methodological Problems With Online Concussion Testing. Front Hum Neurosci 2020; 14: 394.

8. Brenner E, Smeets JBJ. How Can You Best Measure Reaction Times? J Mot Behav 2019; 51: 486–495.

9. Deary IJ, Liewald D, Nissan J. A free, easy-to-use, computer-based simple and four-choice reaction time programme: the Deary-Liewald reaction time task. Behav Res Methods 2011; 43: 258–268.

10. Tricco AC, Lillie E, Zarin W, et al. PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine 2018; 169: 467–473.

11. Klösch G, Zeitlhofer J, Ipsiroglu O. Revisiting the Concept of Vigilance. Front Psychiatry 2022; 13: 874757.

12. Hudson AN, Van Dongen HPA, Honn KA. Sleep deprivation, vigilant attention, and brain function: a review. Neuropsychopharmacology 2020; 45: 21–30.

13. Basner M, Moore TM, Nasrini J, et al. Response speed measurements on the psychomotor vigilance test: how precise is precise enough? Sleep; 44. Epub ahead of print 1 January 2021. DOI: 10.1093/SLEEP/ZSAA121.

14. Snipes S, Huber R, Karlen W. A response to Basner et al. (2021): ‘Response speed measurements on the psychomotor vigilance task: how precise is precise enough?’ Sleep; 44. Epub ahead of print 1 July 2021. DOI: 10.1093/SLEEP/ZSAB085.

15. Basner M, Moore TM, Nasrini J, et al. Standardization of psychomotor vigilance testing methods and reporting. Sleep 2021; 44: 1–2.

16. Beckner ME, Conkright WR, Eagle SR, et al. Impact of simulated military operational stress on executive function relative to trait resilience, aerobic fitness, and neuroendocrine biomarkers. Physiol Behav 2021; 236: 113413.

17. Gander P, Van Den Berg M, Mulrine H, et al. Circadian adaptation of airline pilots during extended duration operations between the USA and Asia. Chronobiol Int 2013; 30: 963–972.

18. Falla M, Papagno C, Dal Cappello T, et al. A Prospective Evaluation of the Acute Effects of High Altitude on Cognitive and Physiological Functions in Lowlanders. Front Physiol 2021; 12: 670278.

19. Agustiningsih D, Sofyana M, Budiharjo S, et al. Reaction Times among Batik Workers: The Influence of Gender and Occupational Lead Exposure. Int J Environ Res Public Health; 18. Epub ahead of print 1 December 2021. DOI: 10.3390/IJERPH182312605.

20. Basner M. Sleep loss and impaired vigilant attention. Sleep and Health 2019; 333–338.

21. Martin-Gill C, Barger LK, Moore CG, et al. Effects of Napping During Shift Work on Sleepiness and Performance in Emergency Medical Services Personnel and Similar Shift Workers: A Systematic Review and Meta-Analysis. Prehospital emergency care 2018; 22: 47–57.

22. Schatz P, Ybarra V, Leitner D. Validating the Accuracy of Reaction Time Assessment on Computer-Based Tablet Devices. Assessment 2015; 22: 405–410.

23. Arsintescu L, Mulligan JB, Flynn-Evans EE. Evaluation of a Psychomotor Vigilance Task for Touch Screen Devices. Human Factors: The Journal of the Human Factors and Ergonomics Society 2017; 59: 661–670.

24. The rise, fall, and rebirth of Palm, https://www.fastcompany.com/90246716/palms-progress-the-rise-fall-and-rebirth-of-a-legendary-brand (accessed 29 April 2023).

25. Bilder RM, Reise SP. Neuropsychological tests of the future: How do we get there from here? Clin Neuropsychol 2019; 33: 220–245.

26. Riethmeister V, Bültmann U, Gordijn M, et al. Investigating daily fatigue scores during two-week offshore day shifts. Appl Ergon 2018; 71: 87–94.

27. Reifman J, Ramakrishnan S, Liu J, et al. 2B-Alert App: A mobile application for real-time individualized prediction of alertness. J Sleep Res; 28. Epub ahead of print 1 April 2019. DOI: 10.1111/JSR.12725.

28. Popov V V., Kudryavtseva E V., Katiyar NK, et al. Industry 4.0 and Digitalisation in Healthcare. Materials; 15. Epub ahead of print 1 March 2022. DOI: 10.3390/MA15062140.

29. Fiedler N, Weisel C, Nwankwo C, et al. Chronic Exposure to Solvents Among Construction Painters: Reductions in Exposure and Neurobehavioral Health Effects. J Occup Environ Med 2018; 60: e663.

30. Thompson BJ. Does work-induced fatigue accumulate across three compressed 12 hour shifts in hospital nurses and aides? PLoS One; 14. Epub ahead of print 1 February 2019. DOI: 10.1371/JOURNAL.PONE.0211715.

31. Bérastégui P, Jaspar M, Ghuysen A, et al. Informal fatigue-related risk management in the emergency department: A trade-off between doing well and feeling well. Saf Sci 2020; 122: 104508.

32. Knock SA, Magee M, Stone JE, et al. Prediction of shiftworker alertness, sleep, and circadian phase using a model of arousal dynamics constrained by shift schedules and light exposure. Sleep; 44. Epub ahead of print 1 November 2021. DOI: 10.1093/SLEEP/ZSAB146.

33. Jones CW, Basner M, Mollicone DJ, et al. Sleep deficiency in spaceflight is associated with degraded neurobehavioral functions and elevated stress in astronauts on six-month missions aboard the International Space Station. Sleep; 45. Epub ahead of print 1 March 2022. DOI: 10.1093/SLEEP/ZSAC006.

34. Fletcher A, Stewart S, Heathcote K, et al. Work schedule and seasonal influences on sleep and fatigue in helicopter and fixed-wing aircraft operations in extreme environments. Sci Rep 2022; 12: 8263.

35. Howard ME, Jackson ML, Berlowitz D, et al. Specific sleepiness symptoms are indicators of performance impairment during sleep deprivation. Accid Anal Prev 2014; 62: 1–8.

36. Rosa DE, Marot LP, de Mello MT, et al. Association between chronotype and psychomotor performance of rotating shift workers. Sci Rep; 11. Epub ahead of print 1 December 2021. DOI: 10.1038/S41598-021-86299-8.

37. Saadat H, Bissonnette B, Tumin D, et al. Effects of partial sleep deprivation on reaction time in anesthesiologists. Paediatr Anaesth 2017; 27: 358–362.

38. Rahman SA, Sullivan JP, Barger LK, et al. Extended Work Shifts and Neurobehavioral Performance in Resident-Physicians. Pediatrics; 147. Epub ahead of print 1 March 2021. DOI: 10.1542/PEDS.2020-009936.

39. Patterson PD, Weaver MD, Markosyan MA, et al. Impact of shift duration on alertness among air-medical emergency care clinician shift workers. Am J Ind Med 2019; 62: 325–336.

40. Plante DT, Hagen EW, Ravelo LA, et al. Impaired neurobehavioral alertness quantified by the psychomotor vigilance task is associated with depression in the Wisconsin Sleep Cohort study. Sleep Med 2020; 67: 66–70.

41. van den Berg MJ, Signal TL, Mulrine HM, et al. Monitoring and Managing Cabin Crew Sleep and Fatigue During an Ultra-Long Range Trip. Aerosp Med Hum Perform 2015; 86: 705–713.

42. Sparrow AR, Mollicone DJ, Kan K, et al. Naturalistic field study of the restart break in US commercial motor vehicle drivers: Truck driving, sleep, and fatigue. Accid Anal Prev 2016; 93: 55–64.

43. Yancheshmeh FA, Mousavizadegan SH, Amini A, et al. Poor sleep quality, long working hours and fatigue in coastal areas: a dangerous combination of silent risk factors for deck officers on oil tankers. Int Marit Health 2020; 71: 237–248.

44. Surani S, Hesselbacher S, Guntupalli B, et al. Sleep Quality and Vigilance Differ Among Inpatient Nurses Based on the Unit Setting and Shift Worked. J Patient Saf 2015; 11: 215–220.

45. Matsangas P, Shattuck NL. Sleep quality, occupational factors, and psychomotor vigilance performance in the U.S. Navy sailors. Sleep; 43. Epub ahead of print 1 December 2020. DOI: 10.1093/SLEEP/ZSAA118.

46. Van Leeuwen WMA, Kircher A, Dahlgren A, et al. Sleep, sleepiness, and neurobehavioral performance while on watch in a simulated 4 hours on/8 hours off maritime watch system. Chronobiol Int 2013; 30: 1108–1115.

47. Tadakuma K, Maruyama T, Mori K, et al. Subjective and objective assessments after a change from a 4-crew, 12-h shift to a 3-crew, 12-h shift schedule: an observational study. Int Arch Occup Environ Health 2021; 94: 77–83.

48. De Araújo Fernandes S, Antonietti LS, Saba A, et al. The impact of shift work on Brazilian train drivers with different chronotypes: a comparative analysis through objective and subjective criteria. Med Princ Pract 2013; 22: 390–396.

49. Rosa DE, Marot LP, de Mello MT, et al. Shift rotation, circadian misalignment and excessive body weight influence psychomotor performance: a prospective and observational study under real life conditions. Sci Rep; 9. Epub ahead of print 1 December 2019. DOI: 10.1038/S41598-019-55114-W.

50. St Hilaire MA, Anderson C, Anwar J, et al. Brief (hr) sleep episodes are insufficient for restoring performance in first-year resident physicians working overnight extended-duration work shifts. Sleep 2019; 42: 1–6.

51. Lee YJ, Choi SM, Park JH, et al. Notes From the Field: Changes in the Attentional Capacity and Emotional State of Physicians After Working at Busy Outpatient Clinics. Eval Health Prof 2015; 38: 423–428.

52. Anund A, Fors C, Ihlström J, et al. An on-road study of sleepiness in split shifts among city bus drivers. Accid Anal Prev 2018; 114: 71–76.

53. Khitrov MY, Laxminarayan S, Thorsley D, et al. PC-PVT: a platform for psychomotor vigilance task testing, analysis, and prediction. Behav Res Methods 2014; 46: 140–147.

54. Grant DA, Honn KA, Layton ME, et al. 3-minute smartphone-based and tablet-based psychomotor vigilance tests for the assessment of reduced alertness due to sleep deprivation. Behav Res Methods 2017; 49: 1020–1029.

55. Matsangas P, Shattuck NL, Brown S. Preliminary validation study of the 3-min wrist-worn psychomotor vigilance test. Behav Res Methods 2017; 49: 1792–1801.

56. Brunet JF, Dagenais D, Therrien M, et al. Validation of sleep-2-Peak: A smartphone application that can detect fatigue-related changes in reaction times during sleep deprivation. Behav Res Methods 2017; 49: 1460–1469.

57. Reifman J, Kumar K, Khitrov MY, et al. PC-PVT 2.0: An updated platform for psychomotor vigilance task testing, analysis, prediction, and visualization. J Neurosci Methods 2018; 304: 39–45.

58. Maccora J, Manousakis JE, Anderson C. Pupillary instability as an accurate, objective marker of alertness failure and performance impairment. J Sleep Res; 28. Epub ahead of print 1 April 2019. DOI: 10.1111/JSR.12739.

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