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| Seyed Saeed Hashemi Nazari,Ali Moradi,Khaled Rahmani.[J].Chin J Traumatol,2017,20(5):249-258. [doi] |
| A systematic review of the effect of various interventions on reducing fatigue andsleepiness while driving |
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| DOI： |
| KeyWord: Drowsy drivingFatigued drivingInterventionSystematic review |
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| Author Name | Affiliation | | Seyed Saeed Hashemi Nazari | Safety Promotion and Injury Prevention Research Center, Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran | | Ali Moradi | Department of Epidemiology, School of Public Health, Hamedan University of Medical Sciences, Hamedan, Iran | | Khaled Rahmani | Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran |
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| Abstract: |
| Purpose: To identify and appraise the published studies assessing interventions accounting for reducing
fatigue and sleepiness while driving.
Methods: This systematic review searched the following electronic databases: Medline, Science direct,
Scopus, EMBASE, PsycINFO, Transport Database, Cochrane, BIOSIS, ISI Web of Knowledge, specialist road
injuries journals and the Australian Transport and Road Index database. Additional searches included
websites of relevant organizations, reference lists of included studies, and issues of major injury journals
published within the past 15 years. Studies were included if they investigated interventions/exposures
accounting for reducing fatigue and sleepiness as the outcome, measured any potential interventions for
mitigation of sleepiness and were written in English. Meta-analysis was not attempted because of the
heterogeneity of the included studies.
Results: Of 63 studies identified, 18 met the inclusion criteria. Based on results of our review, many
interventions in the world have been used to reduce drowsiness while driving such as behavioral (talking
to passengers, face washing, listening to the radio, no alcohol use, limiting the driving behavior at the
time of 12 p.m. e 6 a.m. etc), educational interventions and also changes in the environment (such as
rumble strips, chevrons, variable message signs, etc). Meta-analysis on the effect of all these interventions was impossible due to the high heterogeneity in methodology, effect size and interventions
reported in the assessed studies.
Conclusion: Results of present review showed various interventions in different parts of the world have
been used to decrease drowsy driving. Although these interventions can be used in countries with high
incidence of road traffic accidents, precise effect of each intervention is still unknown. Further studies are
required for comparison of the efficiency of each intervention and localization of each intervention according to the traffic patterns of each country. |
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