Future directions in fatigue and safety research.

Fatigue is regarded as a major contributor to workplace and highway morbidity and mortality. While the scientific literature is replete with studies that can be traced back more than a hundred years, much remains to be done to improve our knowledge of and ability to alleviate the consequences of fatigue. Moreover, given the dramatic transformation of modern work systems due to a global and 24/7 economy, there is increasing urgency in improving our understanding of fatigue as a safety risk factor, its etiology and management. As a result, a Hopkinton Conference was organized to review the state of knowledge in the area and define future directions for research aimed at preventing or mitigating the consequences of fatigue. The Hopkinton Conference paradigm brings together leading experts on a key research area to define scientific gaps and research needs, and serves as a stimulus for further collaboration. Over the course of several months prior to the conference, participants draft state-of-the-art reviews covering various aspects of the research topic. In this case, five working groups were formed, each charged with developing collaborative manuscripts in a given topic area of interest, as follows: the Link Between Fatigue and Safety, Demographic Issues in Fatigue, Predicting Fatigue, Technological Approaches in the Management of Fatigue, and Organizational Factors in the Management of Fatigue. The participants then convened for a 2 day conference at the Liberty Mutual Research Institute for Safety in Hopkinton to review, debate, and revise the draft manuscripts; examine global issues; and discuss research priorities. The output from this collective effort is captured in this special issue of Accident Analysis and Prevention.

Demographic factors, fatigue, and driving accidents: An examination of the published literature.

This article reviews the literature pertaining to the association between demographic variables (e.g., age, sex, race, socio-economic status) with fatigue, and when feasible, accident risk. It also explores their potential influence and interaction with some working arrangements, commute time, personality characteristics, and circadian chronotype. Fatigue has been implicated in a range of impairments that can have detrimental effects on individuals, and it is differentially associated with conventional demographic variables. However, several major methodological limitations prevent clear conclusions. First, there is absence of a shared definition both within and across disciplines. Second, although fatigue has been investigated using a variety of diverse designs, they have either been too weak to substantiate causality or lacked ecological validity. Third, while both subjective and objective measures have been used as dependent variables, fatigue has been more often found to be more strongly linked with the former. Fourth, with the exception of age and sex, the influence of other demographic variables is unknown, since they have not yet been concomitantly assessed. In instances when they have been assessed and included in statistical analyses, they are considered as covariates or confounders; thus, their contribution to the outcome variable is controlled for, rather than being a planned aspect of investigation. Because the interaction of demographic factors with fatigue is largely a neglected area of study, we recommend greater interdisciplinary collaborations, incorporation of multiple demographic variables as independent factors, and use of within-participant analyses. These recommendations would provide meaningful results that may be used to inform public policy and preventive strategies.

Research needs and opportunities for reducing the adverse safety consequences of fatigue.

Although there has been a significant amount of research on fatigue globally, it remains a major contributor to workplace and highway mortality and morbidity. Given its importance, a Hopkinton Conference was organized to review and discuss the state of knowledge in the area and to define future directions for research aimed at preventing or mitigating the consequences of fatigue. In all, five groups of international contributors produced six articles for this special issue, comprising state of the art reviews, along with a discussion of knowledge gaps and future research needs. In this concluding paper, we capture some of the major outcomes and recommendations from this process. These are organized into five topic areas: the link between fatigue and safety, demographic issues in fatigue, modeling and predicting fatigue, technological approaches to fatigue management, and organizational factors in fatigue management.

Age is more than just a number: implications for an aging workforce in the US transportation sector.

The US workforce is aging. At the same time, there are a record number of open positions in the transportation sector, which has traditionally been a well-paying, but stressful and schedule-dependent, occupation. Due to increasing longevity, need, and ability to work, a possible solution to the transportation workforce shortfall may lie within the retention and recruitment of older workers. This paper uses a socio-technical framework to examine the pertinent, though scant, literature and data related to older workforce demographics and operational needs, the regulatory environment, requisite knowledge, skills and abilities, and application of support technology and training. Although there is evidence of age-related changes in physiology and cognition, the current science remains unable to resolve how an older workforce may most appropriately be applied to transportation to maximize system safety and minimize negative impact to worker well-being.