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Evaluating the Effectiveness of Fatigue Management Training to Improve Police Sleep Health and Wellness: A Pilot Study

James, Lois PhD; Samuels, Charles H. MD, CCFP, DABSM; Vincent, Fiona MSc, CSEP-CEP, EIMC Level 2

Journal of Occupational and Environmental Medicine: January 2018 - Volume 60 - Issue 1 - p 77–82
doi: 10.1097/JOM.0000000000001174
Original Articles

Objectives: To evaluate the effectiveness of an intervention for improving sleep health in a sample of employees from the Royal Canadian Mounted Police (RCMP).

Methods: Using a pre- and post-design we exposed 61 RCMP members to a fatigue-management training program. Pre- and post-intervention surveys included the Pittsburg Sleep Quality Index (PSQI), the World Health Organization Quality of Life (WHOQOL) instrument, and the six item index of psychological distress (Symptom Checklist-90).

Results: We found the training improved member satisfaction with sleep (Wald = 2.58; df = 1; P = 0.03) and reduced symptoms of insomnia (Wald = 5.5; df = 1; P = 0.02). Furthermore, the training reduced the incidence of headaches (Wald = 6.5; df = 1; P = 0.01).

Conclusions: Our findings suggest that a fatigue management training program resulted in positive sleep health benefits for police. We stress the importance of continued evaluation to inform the large-scale implementation of fatigue-management programs.

College of Nursing, Washington State University, Spokane, Washington (Dr James); Cummings School of Medicine, University of Calgary, Calgary, Alberta (Dr Samuels); and “F” Division Workplace Relations Unit, Royal Canadian Mounted Police (Ms Vincent), Canada.

Address correspondence to: Lois James, PhD, Washington State University College of Nursing, Sleep and Performance Research Center, P.O. Box 1495, Room 422C, Spokane, WA (

Funding: The RCMP funded this work via the Fitness and Lifestyle Unit.

The authors declare no conflicts of interest.

Copyright © 2018 by the American College of Occupational and Environmental Medicine