0202 Fatigue Management to Reduce Performance Risk for Space Exploration. (12th April 2019)

• Record Type: Journal Article
• Authors: Baskin, Pamela
• Is Part Of: Sleep. Volume 42(2019)Supplement 1
• Page Start: A82
• Page End: A83
• Publication Date: 2019-04-12
• Subjects: Sleep -- Physiological aspects -- Periodicals; Sleep disorders -- Periodicals; Sommeil -- Aspect physiologique -- Périodiques; Sommeil, Troubles du -- Périodiques; Sleep disorders; Sleep -- Physiological aspects; Sleep -- physiological aspects; Sleep Wake Disorders; Psychophysiology; Electronic journals; Periodicals; 616.8498
• DOI: 10.1093/sleep/zsz067.201
• Languages: English
• ISSNs: 0161-8105

Abstract

Abstract: Introduction: The Fatigue Management Services team, located at the Johnson Space Center (JSC), is responsible for supporting the International Space Station (ISS) Crew Surgeons and other operational clinicians with the management of sleep loss and circadian desynchrony, including assisting astronauts and other mission support personnel with jet lag effects that are incurred from pre-flight training, in-flight operations, and post-flight recovery. Protocols that manage one's fatigue can increase safety and efficiency, improve sense of well-being, improve performance, improve productivity, and improve attention. An operational proof of concept of the Fatigue Mitigation Protocols (FMP) was conducted by the team and questionnaires were distributed to clients to evaluate the acceptability in order to standardize the Fatigue Management process. Methods: The FMP consists of protocols for collecting baseline data and testing hypnotic medications. The protocols for the hypnotics were adapted from the JSC study, Operational Ground Testing Protocol to Optimize Astronaut Sleep Medication Efficacy and Individual Effects . The proof of concept consisted of five days of a sleep and cognitive baseline using both subjective and objective measures, followed by a minimum of 2 days of clients simulating taking a hypnotic medication, no medications actually consumed. Subjective measures consisted of questionnaires for sleep issues, self-report of sleep, baseline, efficacy, emergent awakening, and morning awakening. The objective measures consisted of both qualitative and quantitative sleep and a cognition measure. A reliable and validated measure identified the acceptability of FMP. Results: The results of the FMP had an above average score of acceptability, compared with published averages. The overall acceptability, based on feedback capture during debriefings, was very positive, as well as providing insight to increase user friendliness further and to make the language both unambiguous and appropriate for at home use. Conclusion: The Fatigue Management Protocols are a standardized and systematic approach to fatigue management that can be followed at any NASA center. The FMP provides both cost effective and convenient guidance for an individualized fatigue management strategy. Support (If Any): Supported by an Innovation Charge Account from the National Aeronautics and Space Administration