Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial
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, s...
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Veröffentlicht in: | International journal of environmental research and public health 2022-01, Vol.19 (2), p.1014 |
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creator | Ha, Yeongmi Lee, Sang-Ho Lee, Dong-Ha Kang, Young-Hun Choi, Woonjoo An, Jinung |
description | 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 (
= 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. |
doi_str_mv | 10.3390/ijerph19021014 |
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= 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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph19021014</identifier><identifier>PMID: 35055833</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Circadian rhythm ; Circadian rhythms ; Clinical trials ; Coronaviruses ; COVID-19 ; Exercise ; Fatigue ; Health behavior ; Health Promotion ; Humans ; Intervention ; Likert scale ; Motivation ; Night shifts ; Nurses ; Pandemics ; Physical activity ; Physical fitness ; Questionnaires ; SARS-CoV-2 ; Shift work ; Short message service ; Sleep ; Sleep deprivation ; Sleep Quality ; Smartphones ; Smartwatches ; Wearable computers ; Wellness programs ; Working hours</subject><ispartof>International journal of environmental research and public health, 2022-01, Vol.19 (2), p.1014</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-96287407818f2e4c4fc3f3214a6eac5860a2a8eace06a0a63f088e46d5712cde3</citedby><cites>FETCH-LOGICAL-c418t-96287407818f2e4c4fc3f3214a6eac5860a2a8eace06a0a63f088e46d5712cde3</cites><orcidid>0000-0001-9041-3201 ; 0000-0003-3263-3155</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8776111/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8776111/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35055833$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ha, Yeongmi</creatorcontrib><creatorcontrib>Lee, Sang-Ho</creatorcontrib><creatorcontrib>Lee, Dong-Ha</creatorcontrib><creatorcontrib>Kang, Young-Hun</creatorcontrib><creatorcontrib>Choi, Woonjoo</creatorcontrib><creatorcontrib>An, Jinung</creatorcontrib><title>Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>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 (
= 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.</description><subject>Circadian rhythm</subject><subject>Circadian rhythms</subject><subject>Clinical trials</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Exercise</subject><subject>Fatigue</subject><subject>Health behavior</subject><subject>Health Promotion</subject><subject>Humans</subject><subject>Intervention</subject><subject>Likert scale</subject><subject>Motivation</subject><subject>Night shifts</subject><subject>Nurses</subject><subject>Pandemics</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Questionnaires</subject><subject>SARS-CoV-2</subject><subject>Shift work</subject><subject>Short message service</subject><subject>Sleep</subject><subject>Sleep deprivation</subject><subject>Sleep Quality</subject><subject>Smartphones</subject><subject>Smartwatches</subject><subject>Wearable computers</subject><subject>Wellness programs</subject><subject>Working hours</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1P3DAQxS1UBJRy7bGy1AuXUH_FcTggoYW2SFBWFNqjZZzxrldJvNgOVXvn_ybLl6CnmfH7-cnjh9BHSvY4r8kXv4C4nNOaMEqoWENbVEpSCEnou1f9Jnqf0oIQroSsN9AmL0lZKs630N2xc2Czv4UeUsLBYYPPwrVvAf-Gtn04nMYwi6bDLkT8Y4gJEv7j8xxfhGyy72f459y7nHAzxNU0Of91clTQGk9N30Dn7T4-xFPfhown7ZAyxOJiVELn_0GDL6M37Qe07kybYOepbqOrr8eXk-_F6fm3k8nhaWEFVbmoJVOVIJWiyjEQVjjLHWdUGAnGlkoSw4waWyDSECO5I0qBkE1ZUWYb4Nvo4NF3OVx30FjoczStXkbfmfhXB-P1W6X3cz0Lt1pVlaSUjga7TwYx3AyQsu58suNHmR7CkDSTjDElhCAj-vk_dBGG2I_rrSjKasXqaqT2HikbQ0oR3MtjKNGrhPXbhMcLn16v8II_R8rvAS96o3o</recordid><startdate>20220117</startdate><enddate>20220117</enddate><creator>Ha, Yeongmi</creator><creator>Lee, Sang-Ho</creator><creator>Lee, Dong-Ha</creator><creator>Kang, Young-Hun</creator><creator>Choi, Woonjoo</creator><creator>An, Jinung</creator><general>MDPI AG</general><general>MDPI</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9041-3201</orcidid><orcidid>https://orcid.org/0000-0003-3263-3155</orcidid></search><sort><creationdate>20220117</creationdate><title>Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial</title><author>Ha, Yeongmi ; Lee, Sang-Ho ; Lee, Dong-Ha ; Kang, Young-Hun ; Choi, Woonjoo ; An, Jinung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-96287407818f2e4c4fc3f3214a6eac5860a2a8eace06a0a63f088e46d5712cde3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Circadian rhythm</topic><topic>Circadian rhythms</topic><topic>Clinical trials</topic><topic>Coronaviruses</topic><topic>COVID-19</topic><topic>Exercise</topic><topic>Fatigue</topic><topic>Health behavior</topic><topic>Health Promotion</topic><topic>Humans</topic><topic>Intervention</topic><topic>Likert scale</topic><topic>Motivation</topic><topic>Night shifts</topic><topic>Nurses</topic><topic>Pandemics</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Questionnaires</topic><topic>SARS-CoV-2</topic><topic>Shift work</topic><topic>Short message service</topic><topic>Sleep</topic><topic>Sleep deprivation</topic><topic>Sleep Quality</topic><topic>Smartphones</topic><topic>Smartwatches</topic><topic>Wearable computers</topic><topic>Wellness programs</topic><topic>Working hours</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ha, Yeongmi</creatorcontrib><creatorcontrib>Lee, Sang-Ho</creatorcontrib><creatorcontrib>Lee, Dong-Ha</creatorcontrib><creatorcontrib>Kang, Young-Hun</creatorcontrib><creatorcontrib>Choi, Woonjoo</creatorcontrib><creatorcontrib>An, Jinung</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ha, Yeongmi</au><au>Lee, Sang-Ho</au><au>Lee, Dong-Ha</au><au>Kang, Young-Hun</au><au>Choi, Woonjoo</au><au>An, Jinung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2022-01-17</date><risdate>2022</risdate><volume>19</volume><issue>2</issue><spage>1014</spage><pages>1014-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><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 (
= 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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35055833</pmid><doi>10.3390/ijerph19021014</doi><orcidid>https://orcid.org/0000-0001-9041-3201</orcidid><orcidid>https://orcid.org/0000-0003-3263-3155</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Circadian rhythm Circadian rhythms Clinical trials Coronaviruses COVID-19 Exercise Fatigue Health behavior Health Promotion Humans Intervention Likert scale Motivation Night shifts Nurses Pandemics Physical activity Physical fitness Questionnaires SARS-CoV-2 Shift work Short message service Sleep Sleep deprivation Sleep Quality Smartphones Smartwatches Wearable computers Wellness programs Working hours |
title | Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial |
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