Sally A. Ferguson’s research while affiliated with Central Queensland University and other places

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Publications (109)


Co-designed resources to improve sleep health in young shiftworkers: a qualitative study
  • Article

April 2025

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7 Reads

Sleep Medicine

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Sally A. Ferguson

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[...]

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Examining the Feasibility of an App-based Sleep Intervention for Shiftworkers Using the RE-AIM Framework

March 2025

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26 Reads

Behavioral Sleep Medicine

Objectives: This study assessed the feasibility of Sleepfit, an app-based sleep intervention for shiftworkers, to evaluate participant reach, engagement, and interaction. Methods: The RE-AIM framework guided the feasibility assessment. Participants from various shiftwork industries (e.g. healthcare, mining) completed a 14-day trial of the Sleepfit app, alongside baseline and post-intervention surveys. Descriptive statistics were used to evaluate participant enjoyment and engagement, including daily app usage and the number of activities completed. Results: Among the 110 enrolled shiftworkers, 53 (48%) completed post-intervention assessments, and 34 (30.9%) adhered to the full study protocol. Of those who completed baseline surveys, 85.4% downloaded and used Sleepfit, engaging with an average of 17.3% of available activities, with shiftwork-specific modules like "Coping with Shiftwork" showing the highest engagement. Participants cited lack of time, inconvenience, and losing interest as reasons for discontinuing app use. Conclusions: This study indicates the potential feasibility of app-based interventions like Sleepfit to improve shiftworkers' sleep health through tailored, relevant content. Future studies should consider longer durations and larger samples, incorporating wearable technology to enhance data accuracy and assess sustained effects across varied shift schedules.




The relationship between circadian type and physical activity as predictors of sleepiness and fatigue during simulated nightshifts: a randomised controlled trial

December 2024

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36 Reads



Sleep, dietary intake and physical activity changes with onset of shift work in intern paramedics

October 2024

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8 Reads

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1 Citation

Paramedicine

Paramedic work is associated with high staff turn-over, insufficient sleep and adverse health outcomes. Our understanding of the relationship between paramedic work and the health behaviours that may precede adverse health outcomes is limited, as few longitudinal studies have examined health behaviours in workers before they commence on the road work. Such research is needed to inform evidence-based recommendations specifically for new paramedics. The current observational cohort study examined self-reported sleep, dietary intake and physical activity in 21 intern paramedics: 15 female and 6 male (median age: 23.0 years [interquartile range (IQR): 4.0]) from an Australian ambulance service. A subset of participants ( n = 16) provided fasting blood samples for cardiometabolic markers (cholesterol, triglycerides and fasting glucose). Data were collected quarterly (pre-shift work, 3 months, 6 months, 9 months and 12 months post commencement). Linear mixed models showed that the first 12 months of shift work were associated with poorer sleep quality ( p = .036), consumption of fewer kilojoules ( p = .026), reduced saturated fat consumption ( p = .005) and lower sodium ( p = .043) and sugar ( p = .038) intake. There were significant increases in leisure time physical activity ( p = .008). This study shows negative changes in sleep quality and improvements in diet and leisure time physical activity during the first 12 months of paramedic work. Individual differences observed in this study, and ongoing suboptimal dietary intake, highlight a need for larger studies with more participants and a focus on personalised strategies for new recruit paramedics.


Healthy from the Start co‐design stages. *O/L denotes offline workshop participation.
Recruitment and retention of lived experience co‐designers.
Healthy from the Start lived experience co‐designer feedback on resource utility. Error bars represent standard deviation (SD).
Healthy from the Start lived experience co‐design PPEET responses. Error bars represent standard deviation (SD). *denotes additional items added by the research team. PPEET = Public and Patient Engagement Evaluation Tool.
Healthy from the Start: Co‐Designing Sleep, Nutrition and Physical Activity Resources for Young Shiftworkers—Novel Implementation and Evaluation
  • Article
  • Full-text available

October 2024

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63 Reads

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1 Citation

Introduction The increasing prevalence of shiftwork among young adults poses significant health risks, primarily due to its disruptive effects on sleep, nutrition and physical activity. Addressing these risks necessitates the development of tailored, evidence‐based resources to support these key health behaviours. Participatory research approaches, engaging those with relevant lived experience (i.e., co‐design) are a novel and effective approach in developing these resources. As such, the aim of the present study was to explore whether sleep, nutrition and physical activity resources for young shiftworkers could be developed using participatory, co‐design approaches and how co‐designers would rate both the approaches used and the resulting resources. Methods A participatory approach engaged co‐designers (young, experienced or previous shiftworkers; workplace health and safety specialists; science communicators and academic experts) to complete 2–3 online questionnaires and participate in 1–2 online workshops, to co‐design sleep, nutrition and physical activity resources for young shiftworkers. Following resource development, co‐designers assessed both the participatory approach and the resulting resources, through an online questionnaire, which included the Public and Patient Engagement Evaluation Tool (PPEET). Results Co‐designers (n = 48) participated in the development of sleep, nutrition and physical activity resources for young shiftworkers. Co‐designers evaluated the participatory approach positively, with a mean rating across all PPEET items of 4.7 (±0.2) on a 5‐point Likert scale. Co‐designers also provided positive ratings for the resources, with the majority (91.7%) either agreeing or strongly agreeing that they were user‐friendly, valuable and informative for young shiftworkers and would serve as a credible source of health information. Conclusion By adopting a novel participatory approach, we successfully co‐designed sleep, nutrition and physical activity resources for young shiftworkers. Participatory approaches, including co‐design, should be considered when developing health interventions for shiftworkers, given the value of embedding lived experience to address their unique lifestyle challenges. Patient or Public Contribution Co‐designers and/or people with relevant lived experience were involved in all project activities: conceptualisation, design, recruitment, data collection, data analysis, knowledge translation and output generation.

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Citations (74)


... This mode of work contributes to disruption of the diurnal rhythm and disruption of natural biological processes in the body which results in reduced immunity of the body, deterioration of the ability to perform duties, and in the long term may contribute to professional burnout. Insufficient quantity and quality of sleep can lead to cognitive disorders, fatigue, and a greater risk of professional errors [3,4]. For paramedics, these phenomena are of particular importance, as even a temporary reduction www.journals.viamedica.pl/medical_research_journal in concentration can have serious consequences for the health and lives of patients. ...

Reference:

Sleep quality and work ability among paramedics: opportunities for intervention in the healthcare system
Improving sleep health in paramedics through an app-based intervention: a randomised waitlist control pilot trial

BMC Public Health

... The review study by Easton et al. [67] investigates the role of physical activity in facilitating adaptation to shift work, with a focus on how exercise can help mitigate the negative effects of working non-standard hours. ...

Move the night way: how can physical activity facilitate adaptation to shift work?

Communications Biology

... Understanding why different populations (e.g., athletes, inactive individuals, people of various ages) exert effort could provide valuable insights for creating targeted interventions that support goal attainment. For instance, inactive individuals are often made aware of the health benefits of an active lifestyle (Fredriksson et al., 2018), yet many remain inactive (Gupta et al., 2023). If individuals could learn to inherently value physical effort, it may increase their motivation to engage in exercise (Bieleke et al., 2023). ...

Exploring the prioritisation of sleep, diet, and physical activity as pillars of health: correlates and associations with health behaviours in Australian adults

Journal of Activity Sedentary and Sleep Behaviors

... Some studies specifically highlight sleep inertia as a form of cognitive impairment, underscoring its impact on mental functions such as memory, attention and problem-solving capabilities (Occhionero et al., 2021;Ritchie et al., 2017;Thompson et al., 2014). While the duration of sleep inertia can range from a few minutes to several hours, its effects can significantly influence daily activities and overall productivity (Kovac et al., 2023;Wörle et al., 2021). Such prolonged effects can impose considerable limitations on daily activities, impact overall mood, and hinder the ability to perform tasks effectively during the initial waking hours. ...

A preliminary framework for managing sleep inertia in occupational settings

SLEEP Advances

... Due to the circadian timing of REM sleep propensity and the relationship between sleep quality and REM sleep duration, REM sleep was proposed as a sleep quality indicator in a literature review (Barbato, 2021). Furthermore, in a recent study, the duration of REM sleep in daytime sleep was found to interact with the adaptation to night shift work, where the group with the larger circadian adaptation had longer REM sleep duration (Zimberg et al., 2024). ...

Circadian adaptation to night shift work is associated with higher REM sleep duration
  • Citing Article
  • October 2023

Sleep Health

... [6] There was a correlation between HBM and diet quality and physical activity in the working group population. [7] The HBM questionnaire included the components related to dietary patterns and physical activity with the answers about statement items using Likert scale and has been developed on different subjects and target populations. [6,[8][9][10][11][12][13][14][15][16] The development of the HBM questionnaire is important to measure health behavior. ...

The Development and Validation of the Health Belief Model for Shift Workers (HBM-SW) Scale
  • Citing Article
  • October 2023

Behavioral Sleep Medicine

... Sleep contributes to the performance of several bodily functions (e.g., metabolic functions, cognitive abilities, emotional processing). Importantly, lack of sleep can negatively affect people's mental (e.g., depression, anxiety, rumination; Baglioni et al., 2010;Dong et al., 2022;Holdaway et al., 2018) and physical health (e.g., cardiovascular diseases, diabetes; Andersen et al., 2021;Chattu et al., 2019;Patel & Hu, 2008), and disrupt many areas of life, such as performance at school or work (Hill et al., 2024;Musshafen et al., 2021). However, despite the importance of sleep, many individuals fail to meet the recommended daily sleep amount. ...

‘It's satisfying but destructive’: A qualitative study on the experience of bedtime procrastination in new career starters
  • Citing Article
  • October 2023

British Journal of Health Psychology

... incorporating physical activity within these breaks has been found to improve worker productivity and cognitive functions when compared to sedentary micro-breaks in day workers (Benatti and Ried-larsen 2015;chandrasekaran et al. 2021;henning et al. 2009). Using light-intensity physical activity to break up prolonged sitting at work has resulted in improvements in cardiometabolic outcomes (thorp et al. 2014;Wennberg et al. 2016), fatigue and sleepiness (albulescu et al. 2022;thorp et al. 2014;Vincent et al. 2018), and cognitive performance (chandrasekaran et al. 2021;Mijović et al. 2015;tuckwell et al. 2023;tuckwell et al. 2022;Wendsche, Paridon, and Blasche 2022). however, it is unknown whether these findings extend to night working populations with the additional challenge of circadian misalignment resulting from consecutive night shifts (Vincent et al. 2017). in some industries, night staff can be engaging in less physically demanding work than day staff (chappel et al. 2017; hulsegge et al. 2017), providing additional reason to investigate the efficacy of breaking up sitting in night workers. ...

On the move: The impact of breaking up sitting during the day on driving performance when sleep restricted
  • Citing Article
  • July 2023

Transportation Research Part F Traffic Psychology and Behaviour

... Returning to the health sector, a survey of Chinese medical personnel found on the health of employees, especially in the context of sleep quality and biological rhythm disorders [18,19]. [24]. Educational programs on sleep hygiene at many universities are becoming an integral part of classes for future medical professionals [25][26][27]. ...

Healthy Sleep Practices for Shift Workers: Consensus Sleep Hygiene Guidelines using a Delphi Methodology

Sleep

... Hence, the existing literature contains numerous studies examining the frequency of sleep-related problems in SSc and RA, elucidating their underlying causes, and assessing overall sleep quality [4,5,[14][15][16]. Sleep hygiene, which refers to healthy sleep habits encompassing lifestyle, environmental, and behavioral strategies, plays a pivotal role in sleep quality [17]. Therefore, the optimization of sleep hygiene practices appears a readily accessible avenue for mitigating sleep disturbances [18,19]. ...

Sleep hygiene strategies for individuals with chronic pain: a scoping review

BMJ Open