Effectiveness of a Mobile Wellness Program for Nurses with Rotating Shifts during COVID-19 Pandemic: A Pilot Cluster-Randomized Trial

Yeongmi Ha, Sang-Ho Lee, Dong-Ha Lee, Young-Hun Kang, Woonjoo Choi and Jinung An
Additional contact information
Yeongmi Ha: School of Nursing, Institute of Health Sciences, Gyeongsang National University, Jinju 52727, Korea
Sang-Ho Lee: Convergence Research Advanced Centre for Olfaction, DGIST, Daegu 42988, Korea
Dong-Ha Lee: Division of Intelligent Robot, DGIST, Daegu 42988, Korea
Young-Hun Kang: BIOSFIT, Jinju 52650, Korea
Woonjoo Choi: Department of Nursing, Gyeongsang National University Hospital, Jinju 52727, Korea
Jinung An: Division of Intelligent Robot, DGIST, Daegu 42988, Korea

IJERPH, 2022, vol. 19, issue 2, 1-11

Abstract: Nurses with rotating shifts, including night shifts, have suffered from low physical activity during the COVID-19 pandemic and lower sleep quality due to the disruption of their circadian rhythm. This study aimed to develop and examine the effectiveness of a mobile wellness program on daily steps, sleep quality, exercise self-efficacy, intrinsic motivation for exercise, self-rated fatigue, and wellness. A cluster randomized controlled trial design was used to examine the effectiveness of the mobile wellness program for nurses with rotating shifts. Sixty nurses from one university hospital participated and were allocated to an intervention group and a control group. The intervention group received a 12-week mobile wellness program to improve their physical activity and sleep quality, and the control group was only given a Fitbit to self-monitor their health behaviors. There were significant differences between the two groups in daily steps ( p = 0.000), three components (subjective sleep quality, sleep disturbance, daytime dysfunction) of the PSQI, exercise self-efficacy, intrinsic motivation for exercise, and wellness. In conclusion, this study provides meaningful information that the mobile wellness program using Fitbit, online exercise using Zoom, online health coaching on a Korean mobile platform, and motivational text messages effectively promoted physical activity and sleep quality for nurses with rotating shifts during the COVID-19 pandemic.

Keywords: nurses; mobile health; self-efficacy; wellness; physical activity; sleep quality (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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