The Effects of Rest Breaks on Driver Fatigue

Driver sleepiness contributes substantially to road death and trauma. Effective countermeasures to reduce driver sleepiness are critical to reducing the incidence of driver sleepiness. Study one determined the effectiveness of a nap break and an active rest break. It was found that a nap break provided objective benefit for reducing driver sleepiness. Study two examined drivers’ ability to recognise increasing sleepiness, and to self-regulate their behaviour by taking a break. The results suggest that drivers were able to identify increasing sleepiness during the test period, and could make the decision to cease driving. However, the ability among participants to identify their increasing sleepiness varied. Strategies to improve perception, detection and mitigation of sleepiness while driving should be pursued.

[1]  Torbjörn Åkerstedt,et al.  The effects of asking for verbal ratings of sleepiness on sleepiness and its masking effects on performance , 2007, Clinical Neurophysiology.

[2]  M. Johns Daytime sleepiness, snoring, and obstructive sleep apnea. The Epworth Sleepiness Scale. , 1993, Chest.

[3]  A N Nicholson,et al.  Influence of back angle on the quality of sleep in seats. , 1987, Ergonomics.

[4]  John A. Groeger,et al.  Trafficking in cognition: applying cognitive psychology to driving , 2002 .

[5]  W. Dement,et al.  Awareness of sleepiness and ability to predict sleep onset: can drivers avoid falling asleep at the wheel? , 2007, Sleep medicine.

[6]  R A Henning,et al.  Frequent short rest breaks from computer work: effects on productivity and well-being at two field sites. , 1997, Ergonomics.

[7]  Jane C Stutts,et al.  Driver risk factors for sleep-related crashes. , 2003, Accident; analysis and prevention.

[8]  Torbjörn Åkerstedt,et al.  Operator performance and signs of sleepiness during day and night work in a simulated thermal power plant , 2003 .

[9]  Daniel J Buysse,et al.  The Pittsburgh sleep quality index: A new instrument for psychiatric practice and research , 1989, Psychiatry Research.

[10]  A. Rechtschaffen,et al.  A manual of standardized terminology, technique and scoring system for sleep stages of human subjects , 1968 .

[11]  T. Åkerstedt,et al.  Subjective and objective sleepiness in the active individual. , 1990, The International journal of neuroscience.

[12]  Michael Schrauf,et al.  EEG alpha spindle measures as indicators of driver fatigue under real traffic conditions , 2011, Clinical Neurophysiology.

[13]  Kerry Armstrong,et al.  Managing driver fatigue: education or motivation? , 2010 .

[14]  M. Johns,et al.  A new method for measuring daytime sleepiness: the Epworth sleepiness scale. , 1991, Sleep.

[15]  G. Kecklund,et al.  Age, gender and early morning highway accidents , 2001, Journal of sleep research.

[16]  N. Sadato,et al.  The neural substrates of driving at a safe distance: a functional MRI study , 2003, Neuroscience Letters.

[17]  A. Muzet,et al.  Correlation between driving errors and vigilance level: influence of the driver's age , 2004, Physiology & Behavior.

[18]  F P McKenna,et al.  HAZARD PERCEPTION IN DRIVERS: A METHODOLOGY FOR TESTING AND TRAINING , 1994 .

[19]  T. Åkerstedt,et al.  Consensus Statement: Fatigue and accidents in transport operations , 2000, Journal of sleep research.

[20]  Mark Wetton,et al.  Hazard perception in novice and experienced drivers: the effects of sleepiness. , 2009, Accident; analysis and prevention.

[21]  T. Åkerstedt,et al.  Promoting alertness with a short nap during a night shift , 1998, Journal of Sleep Research.

[22]  T. Gasser,et al.  Test-retest reliability of spectral parameters of the EEG. , 1985, Electroencephalography and clinical neurophysiology.

[23]  K. Müller,et al.  Recovery of Cognitive Performance from Sleep Debt: Do a Short Rest Pause and a Single Recovery Night Help? , 2008, Chronobiology international.

[24]  T. Åkerstedt,et al.  Validation of the Karolinska sleepiness scale against performance and EEG variables , 2006, Clinical Neurophysiology.

[25]  M S Horswill,et al.  The development and validation of two complementary measures of drivers' hazard perception ability. , 2010, Accident; analysis and prevention.

[26]  T Hori,et al.  The effects of a 20-min nap at noon on sleepiness, performance and EEG activity. , 1999, International journal of psychophysiology : official journal of the International Organization of Psychophysiology.

[27]  J. Dorrian,et al.  The relationship between subjective and objective sleepiness and performance during a simulated night-shift with a nap countermeasure. , 2010, Applied ergonomics.

[28]  P S MENTZ,et al.  Patient preparation. , 1951, The X-ray technician.

[29]  M. Johns,et al.  Daytime sleepiness and sleep habits of Australian workers. , 1997, Sleep.

[30]  Greg Jorgensen,et al.  Napping and nightshift work: Effects of a short nap on psychomotor vigilance and subjective sleepiness in health workers , 2007 .

[31]  M. Carskadon,et al.  Circadian variation of sleep tendency in elderly and young adult subjects. , 1982, Sleep.

[32]  J. Caldwell,et al.  Body posture affects electroencephalographic activity and psychomotor vigilance task performance in sleep-deprived subjects , 2003, Clinical Neurophysiology.

[33]  R. Norton,et al.  Driver sleepiness and risk of serious injury to car occupants: population based case control study , 2002, BMJ : British Medical Journal.

[34]  A T McCartt,et al.  The scope and nature of the drowsy driving problem in New York State. , 1995, Accident; analysis and prevention.

[35]  J A Caldwell,et al.  The effects of exercise as a countermeasure for fatigue in sleep-deprived aviators. , 2000, Military psychology : the official journal of the Division of Military Psychology, American Psychological Association.

[36]  T. Åkerstedt,et al.  Effects of Context on Sleepiness Self‐Ratings during Repeated Partial Sleep Deprivation , 2008, Chronobiology International.

[37]  H. Jasper,et al.  The ten-twenty electrode system of the International Federation. The International Federation of Clinical Neurophysiology. , 1999, Electroencephalography and clinical neurophysiology. Supplement.

[38]  D. Dinges An overview of sleepiness and accidents , 1995, Journal of sleep research.

[39]  M. Bonnet,et al.  Sleep latency testing as a time course measure of state arousal , 2005, Journal of sleep research.

[40]  J. Horne,et al.  Sleep related vehicle accidents , 1995, BMJ.

[41]  G. Kecklund,et al.  Sleepiness in long distance truck driving: an ambulatory EEG study of night driving. , 1993, Ergonomics.

[42]  G. Kecklund,et al.  Sleepiness and performance of professional drivers in a truck simulator—comparisons between day and night driving , 1996, Journal of sleep research.

[43]  P. Philip,et al.  Effects of a combination of napping and bright light pulses on shift workers' sleepiness at the wheel: a pilot study , 2009, Journal of sleep research.

[44]  A E Drummond PARADIGM LOST! PARADISE GAINED? AN AUSTRALIAN PERSPECTIVE ON NOVICE DRIVER SAFETY , 2000 .

[45]  David M Gaba,et al.  Improving alertness and performance in emergency department physicians and nurses: the use of planned naps. , 2006, Annals of emergency medicine.

[46]  John Trinder,et al.  Subjective and predicted sleepiness while driving in young adults. , 2005, Accident; analysis and prevention.

[47]  Mark S. Horswill,et al.  Sleepiness and hazard perception while driving , 2009 .

[48]  M. Johns,et al.  Sensitivity and specificity of the multiple sleep latency test (MSLT), the maintenance of wakefulness test and the Epworth sleepiness scale: Failure of the MSLT as a gold standard , 2000, Journal of sleep research.

[49]  T. Åkerstedt,et al.  Driver sleepiness and individual differences in preferences for countermeasures , 2008, Journal of sleep research.

[50]  M. Hayashi,et al.  Short daytime naps in a car seat to counteract daytime sleepiness: The effect of backrest angle , 2008 .

[51]  A. Buchner,et al.  Drivers' misjudgement of vigilance state during prolonged monotonous daytime driving. , 2009, Accident; analysis and prevention.

[52]  Alain Muzet,et al.  Effect of a short nap on the alertness of young drivers: Repercussion on the perception of motorcycles according to extent of the useful visual field of the driver , 2009 .

[53]  M. Carskadon,et al.  Multiple sleep latency tests during the constant routine. , 1992, Sleep.

[54]  Mark S. Horswill,et al.  Hazard perception and its relevance for driver licensing , 1999 .

[55]  L. Lack,et al.  The recuperative value of brief and ultra‐brief naps on alertness and cognitive performance , 2002, Journal of sleep research.

[56]  H O Lisper,et al.  Effects of the length of a rest break and food intake on subsidiary reaction-time performance in an 8-hour driving task. , 1980, The Journal of applied psychology.

[57]  Drew Dawson,et al.  Perception of simulated driving performance after sleep restriction and caffeine. , 2007, Journal of psychosomatic research.

[58]  F. McKenna,et al.  Drivers' hazard perception ability: Situation awareness on the road , 2004 .

[59]  K Dobbie,et al.  FATIGUE-RELATED CRASHES: AN ANALYSIS OF FATIGUE-RELATED CRASHES ON AUSTRALIAN ROADS USING AN OPERATIONAL DEFINITION OF FATIGUE , 2002 .

[60]  Charles A Czeisler,et al.  Effects of sleep inertia on cognition. , 2006, JAMA.

[61]  Narelle L. Haworth,et al.  Early morning road crashes : the effects of age and gender , 2008 .

[62]  A. Williamson,et al.  Moderate sleep deprivation produces impairments in cognitive and motor performance equivalent to legally prescribed levels of alcohol intoxication , 2000, Occupational and environmental medicine.

[63]  G Kecklund,et al.  The effects of a short daytime nap after restricted night sleep. , 1996, Sleep.

[64]  Göran Kecklund,et al.  Predicting road crashes from a mathematical model of alertness regulation--The Sleep/Wake Predictor. , 2008, Accident; analysis and prevention.

[65]  M H Bonnet,et al.  The threshold of sleep: perception of sleep as a function of time asleep and auditory threshold. , 1982, Sleep.

[66]  Timothy H. Monk,et al.  Daytime sleepiness and performance among healthy 80 and 20 year olds , 1992, Neurobiology of Aging.

[67]  L. Lack,et al.  A brief afternoon nap following nocturnal sleep restriction: which nap duration is most recuperative? , 2006, Sleep.

[68]  B Wigmore,et al.  Prevalence of driver sleepiness in a random population-based sample of car driving. , 2001, Sleep.

[69]  T. Åkerstedt,et al.  Impaired alertness and performance driving home from the night shift: a driving simulator study , 2005, Journal of sleep research.

[70]  T. Roth,et al.  The alerting effects of naps in sleep-deprived subjects. , 1986, Psychophysiology.

[71]  Ward Vanlaar,et al.  Fatigued and drowsy driving: a survey of attitudes, opinions and behaviors. , 2008, Journal of safety research.

[72]  J. Dorrian,et al.  The ability to self‐monitor performance when fatigued , 2000, Journal of sleep research.

[73]  J. Horne,et al.  Counteracting driver sleepiness: effects of napping, caffeine, and placebo. , 1996, Psychophysiology.

[74]  Mark S Horswill,et al.  The hazard perception ability of older drivers. , 2008, The journals of gerontology. Series B, Psychological sciences and social sciences.

[75]  M. Carskadon,et al.  The multiple sleep latency test: what does it measure? , 1982, Sleep.