National Academies Press: OpenBook

Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry (2016)

Chapter: Appendix B - Surveys and Sleep Diary

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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
×
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
×
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
×
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
×
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
×
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
×
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Suggested Citation:"Appendix B - Surveys and Sleep Diary." National Academies of Sciences, Engineering, and Medicine. 2016. Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry. Washington, DC: The National Academies Press. doi: 10.17226/21933.
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B-1 Surveys and Sleep Diary A P P E N D I X B Management Survey Materials The management survey presented here was developed by the Northwestern University research team in collaboration with the American Waterways Operators.

B-2 Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry Northwestern University is conducting a research study funded by the Transportation Research Board and the National Cooperative Freight Research Program to identify and assess Best Practices related to improving sleep (duration, quality and efficiency) and fatigue management on vessels in the Tug/Towboat/Barge Industry. As part of this research, we would like to survey key stakeholders within the industry, such as yourself, about practices related to improving sleep (duration, quality and efficiency) and fatigue management that are currently in place within your company. Please note that any information you provide us with will be kept confidential and used anonymously. Please complete each of the following questions where applicable. The survey should take you approximately 10-20 minutes to complete depending on the level of detail you provide. Survey Information

Surveys and Sleep Diary B-3 Please complete each of the following questions where applicable. 1. What is the name of the company you represent? 2. What is your position title? 3. How many crew members does your company employ? 4. How many of these crew members are captains, pilots, or deck crew? 5. How many vessels does your company have? (if applicable) 6. How many barges does your company have? (if applicable) 7. What is the primary watch schedule used by your company? (Please choose all that apply if there is more than one shift schedule) 8. Do you stand by to load or unload cargo? 9. If you stand by to load or unload cargo, do you alter your shift schedule? Contact and company information Company: Captains Pilots Deck Crew 6-6-6-6 7-7-5-5 8-8-4-4 Other watch schedule (please specify) Yes No Yes No

B-4 Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry 10. How long do you stand by to load or unload? 11. Does your company provide CEMS (Crew Endurance Management System) training? 12. Does your company have other practices, procedures and/or training in place related to improving sleep (duration, quality and efficiency) or fatigue management? 13. Rate the effectiveness of the practices, procedures, and/or training in place related to improving sleep (duration, quality and efficiency) or fatigue management 14. Please provide specific examples of your company's practices, procedures and/or training that are in place related to improving sleep (duration, quality and efficiency) or fatigue management? Hours? Minutes? Very effective Somewhat effective Not sure Somewhat uneffective Uneffective Yes No Yes No

Surveys and Sleep Diary B-5 15. How likely would your company be to initiate practices, procedures and/or training related to improving sleep (duration, quality and efficiency) or fatigue management? 16. Does your company provide improvements to sleeping quarters (e.g. light reduction, beds (size, mattress), sound proofing). 17. Rate the effectiveness of the enhancements of sleeping quarters in improving sleep (e.g. light reduction, beds (size, mattress), sound proofing). 18. Please provide specific examples of the improvements to sleeping quarters (e.g. light reduction, beds (size, mattress) sound proofing). 19. How likely would your company be to initiate training on improving sleeping quarters (e.g. light reduction, beds (size, mattress) sound proofing)? 20. Does your company offer training or education related to sleep or sleep-related health factors (e.g. effects of sleep loss on performance and health)? 21. Rate the effectiveness of this training or education related to sleep or sleep-related health factors? 22. Please provide specific examples of the training or education your company offers related to sleep or sleep-related health factors. Questions related to your company's current practices Very likely Somewhat likely Not sure Somewhat unlikely Unlikely Very effective Somewhat effective Not sure Somewhat uneffective Uneffective Very likely Somewhat likely Not sure Somewhat unlikely Unlikely Very effective Somewhat effective Not sure Somewhat uneffective Uneffective Yes No Yes No

B-6 Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry 23. How likely would your company be to initiate training or education related to sleep or sleep-related health factors? 24. Does your company offer screening, training or education on sleep disorders? 25. Rate the effectiveness of the screening, training or education that your company provides related to sleep disorders. 26. Please provide specific examples of your company's screening, training and education related to sleep disorders. 27. How likely would your company be to initiate screenings, training or education for sleep disorders (e.g. obstructive sleep apnea)? 28. If your company has a screening program for sleep disorders (e.g. obstructive sleep apnea), how do you manage and monitor this program? 29. Does your company offer a wellness program? 30. Rate the effectiveness of this wellness program. 31. Please provide more information about your company's wellness program. Questions related to your company's current practices Very likely Somewhat likely Not sure Somewhat unlikely Unlikely Very effective Somewhat effective Not sure Somewhat uneffective Uneffective Very likely Somewhat likely Not sure Somewhat unlikely Unlikely Very effective Somewhat effective Not sure Somewhat uneffective Uneffective Yes No Yes No

Surveys and Sleep Diary B-7 32. How likely would your company be to initiate a wellness program? 33. Does your company offer stress management training? 34. Rate the effectiveness of this stress management training. 35. Please provide more information about the training your company provides related to stress management. 36. How likely would your company be to initiate stress management training? 37. Does your company offer training on diet and nutrition? 38. Rate the effectiveness of this diet and nutrition training. 39. Please provide more information on the training your company provides related to diet and nutrition. 40. How likely would your company be to initiate diet and nutrition training? Questions related to your company's current practices Very likely Somewhat likely Not sure Somewhat unlikely Unlikely Very effective Somewhat effective Not sure Somewhat uneffective Uneffective Very likely Somewhat likely Not sure Somewhat unlikely Unlikely Very effective Somewhat effective Not sure Somewhat uneffective Uneffective Very likely Somewhat likely Not sure Somewhat unlikely Unlikely Yes No Yes No

B-8 Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry 41. Does your company offer training or education on exercise, or give access to exercise facilities? 42. Rate the effectiveness of this training or education on exercise, or access to exercise facilities. 43. Please provide more information about the training or education on exercise or access to exercise facilities that your company provides. 44. How likely would your company be to initiate training or education on exercise? 45. Does your company offer information or training about medical conditions that impact sleep? 46. Rate the effectiveness of this training about medical conditions that impact sleep. 47. Please provide specific examples of how your company offers information or training about medical conditions that impact sleep? 48. How likely would your company be to initiate education or training about medical conditions that impact sleep? 49. Does your company offer information or training about medications that impact sleep? Questions related to your company's current practices Very effective Somewhat effective Not sure Somewhat uneffective Uneffective Very likely Somewhat likely Not sure Somewhat unlikely Unlikely Very effective Somewhat effective Not sure Somewhat uneffective Uneffective Very likely Somewhat likely Not sure Somewhat unlikely Unlikely Yes No Yes No Yes No

Surveys and Sleep Diary B-9 50. Rate the effectiveness of this education or training about medications that impact sleep. 51. Please provide specific examples of how your company offers information or training about medications that impact sleep? 52. How likely would your company be to initiate education or training about medications that impact sleep? 53. Are there any other practices in your company that are related to improving sleep (duration, qualityand efficiency) or fatigue management and are not listed above. 54. Please list any practices in your company that are related to improving sleep (duration, quality and efficiency) or fatigue management that are not listed above. 55. Do you monitor or assess IN ANY CONCRETE WAY the effectiveness or benefit of any of the practices related to sleep/fatigue management that your company has in place? 56. How do you monitor the effectiveness or benefits? 57. Does your company monitor sleep-wake strategies used by crew members (e.g. do they sleep during each rest interval)? Questions related to your company's current practices Very effective Somewhat effective Not sure Somewhat uneffective Uneffective Very likely Somewhat likely Not sure Somewhat unlikely Unlikely Yes No Yes No Yes No

B-10 Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry 58. Does your company do health screens of your workers? 59. Does your company have a program that asks crew about medical conditions and medications that impact sleep and fatigue? 60. If your company has a program that asks crew about medical conditions and medications that impact sleep and fatigue, how do you manage this? 61. Are crew members encouraged to report excessive sleepiness while they are working? 62. If your company has a wellness program would you be willing to share information about your wellness program with the study? 63. Do you have any additional information that you think would be useful for this research? 64. Please provide any additional information that you think would be useful for this research. 65. Are there any best practices related to improving sleep (duration, quality and efficiency) or fatigue management that you would like to see initiated within your company? Questions related to your company's current practices Yes No Yes No Yes No Yes No Yes No Yes No

Surveys and Sleep Diary B-11 66. What are the practices related to improving sleep or fatigue management that you would like to see initiated within your company? 67. Are you willing to participate in a brief phone interview to follow up on your responses to this survey? 68. What is your availability to conduct said interview? 69. What is your email address? 70. What is the best phone number to reach you at? 71. Are you willing to be contacted to aid in the development of a plan to implement the Best Practices identified as part of this project? 72. What is your email address? Email Address: Phone Number: Email Address: Yes No Yes No

B-12 Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry Thank you for your time in completing this survey NU Sleep Team Thank You

Surveys and Sleep Diary B-13 Crew Survey Materials and Sleep Diary

B-14 Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry Please answer the following questions related to the previous study,"Integrating the Crew Endurance Management System (CEMS) with anchor sleep/nap sleep strategies to reduce fatigue and risk on towing vessels (Phase IV)". Did you read the education materials provided at the end of your participation in the research study? How useful did you find the Educational Material you received at the end of the study. Did you use any of the information provided in those materials to improve your sleep or health? If you did use the information provided what aspects of the educational materials were most useful and what practices did you employ? Following your participation in the research study did you change any of your usual behaviors to improve your sleep? Questions Related to The Previous Sleep Research Study Very Useful Somewhat Useful Not Sure Somewhat Not Useful Not Useful Yes No Yes No Yes No

Surveys and Sleep Diary B-15 Can you provide examples of the behaviors you have changed (e.g. reduced caffeine intake close to bed, ear plugs, eye shades) ?

B-16 Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry Please answer the following questions in relation to your current sleep practices/routines/behaviors. Have you ever received Crew Endurance Management System (CEMS) training? If you had CEMS training, how useful did you find the training you received in providing you information on ways to improve sleep and reduce fatigue. If you found the CEMS training useful what aspects of the training did you find the most useful? If you have had CEMS training, how was it received (i.e. did you have a course for a day, online, handouts etc)? Does your company have any practices or procedures in place to improve sleep/reduce fatigue while on the vessel that you find personally beneficial – we are specifically interested in those that are NOT already outlined in CEMS, or the educational material you received at the end of the previous sleep study? Are there any practices or techniques that you use to obtain good quality sleep while on the vessel? New Best Practices Very Useful Somewhat Useful Not Sure Somewhat Not Useful Not Useful Yes No

Surveys and Sleep Diary B-17 Are there any practices or techniques that you use to make sure that when you are working you do not disturb the sleep of your fellow crew? Can you provide details of the practices/techniques you use to make sure that when you are working you do not disturb the sleep of your fellow crew? Is there any reporting techniques you use personally, or in place by your company to report whether or not you were able to obtain enough rest? If there are any reporting techniques you use personally, or in place by your company to report whether or not you were able to obtain enough rest what are they? Are there any practices that you would like to see initiated on your vessel to help improve your sleep or the sleep of your fellow crew members? Can you provide details of the practices you would like to see initiated? Would you be interested in learning more about how to improve your sleep? Are there any specific techniques that you would be interested in learning more about in order to improve your sleep? Yes No Yes No Yes No Yes No Yes No

B-18 Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry Can you provide details of the techniques you would be interested in learning more about?

Surveys and Sleep Diary B-19 What is today's date? (MM/DD/YYYY) What time did your shift begin and end? (please use military time) EXAMPLE: Shift started at: 18:00 Shift ended at: 00:00 Did you sleep in your time off shift? 1.) What time did you go to bed and wake up? (use military time) EXAMPLE: I laid in bed with the purpose of sleeping at: 23:00 I woke up at: 06:00. 2.) How long did it take for you to fall asleep? (In hours and minutes) 3.) How did you feel upon going to bed and waking? 4.) Did you feel anxious or stressed at bedtime? MM DD YYYY Today's date. / / Shift started at: Shift ended at: I laid in bed with the purpose of sleeping at: I woke up at: Other: Hours Minutes Very alert Alert Neither sleepy nor alert Sleepy, not straining to stay awake Very sleepy, fighting against sleep At bedtime: When getting up: Not at all A little Some Quite Very Amount of stress and anxiety Yes No

B-20 Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry 5.) Was it hard to fall asleep? 6.) How did you sleep? 7.) Was your sleep disrupted? 8.) Did you wake too early without being able to fall asleep again? 9.) Number of awakenings during your rest period. 10.) If you woke during your rest period, how long were you awake? 10.1) How long in actual minutes were you awake during your rest period. (please enter your response in minutes e.g. 120 for 2 hours) 11.) Do you feel like you slept long enough? 12.) How deep was your sleep? Not at all Quite Very Perceived sleepiness Very well Quite well Neither nor Quite badly Very badly Quality Not at all Some Very Disruption No A little too early Much too early Choose the one that best represents your situation. None A couple of minutes 10-30 minutes 3/4- 1 hour More than one hour Choose the one that best represents your situation Yes, definitely Yes, nearly enough No, sightly too little No, clearly too little No, definitely too little Choose the one that best represents your situation Very light Quite light Neither nor Quite deep Very deep Choose the one that best represents your situation 0 1 2 3 4 5 6 or more

Surveys and Sleep Diary B-21 13.) How easy was it to get up? 14.) How rested do you feel? 15.) Did you have any caffeine, energy drinks, or medication during the day? If so, what exactly; and how much? (If none, enter a ZERO for each one that applies) 16.) Have you had any alcohol during the night? Very easy Neither nor Very hard Choose the one that best represents your situation Completely Quite Not at all Choose the one that best represents your situation Coffee, amount in ounces: (example: 1cup=about 12oz) Medication: Sleeping Pills: Pain killers: Other: No, nothing at all Yes, pint of beer/one glass of wine Yes, normal dinner drinking (Equals 2 pints of beer/1/2 a bottle of wine) Yes, I have been party drinking (More than 2 pints of beer)

B-22 Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry 17.) Did something special occur that you think might have disturbed your sleep? If your situation is not properly represented by the choices given, please describe it in the "Yes, some other cause" section. 18.) Was there anything specific that caused you to wake and ultimately get out of bed? If your situation is not properly represented by the choices given, please describe it in the "Yes, some other cause" section. Is there anything you would like to add about the day or the sleep? How much fatigue do you feel? No Yes, the work hours Yes, hard physical activity Yes, wrong time for going to bed Yes, worried of oversleeping Yes, illness/pain Yes, noise during sleep Choose the one that best represents your situation. Nothing special (spontaneous awakening) Yes, the alarm clock (or the like) Yes, noise or the like Yes, needed to go to the bathroom Yes, pain Choose the one that best represents your situation. Fully alert, wide awake Very lively, responsive, but not at peak Okay, somewhat refreshed A little tired, less than fresh Moderately tired, let down Extremely tired, very difficult to concentrate Completely exhausted, unable to function effectively Yes, some other cause: (please specify) Yes, other (please specify)

Next: Appendix C - Management Survey Responses »
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TRB's National Cooperative Freight Research Program (NCFRP) Report 36: Enhancing Sleep Efficiency on Vessels in the Tug/Towboat/Barge Industry provides best practices to improve an operator's sleep and reduce operator fatigue in the United States inland waterway industry, including the use of anchor-sleep/nap-sleep strategies.

NCFRP Report 36 identifies and describes the metrics that could be used to evaluate current operational interventions (e.g., educational materials and programs; noise abatement; sleep disorders screening, especially sleep apnea; wellness and nutritional programs) for their effectiveness in improving sleep efficiency on tugs/towboats/barges; evaluates the use of anchor-sleep/nap-sleep strategies on sleep behavior among personnel in the inland waterway industry; and identifies barriers that inhibit waterway personnel from adopting good sleep management practices and propose ways to overcome the barriers.

The report also develops a list of best practices that could be implemented by the waterway industry, companies, crews, or individuals to enhance sleep efficiency; and includes a compendium of best practices for enhancing sleep efficiency in the U.S. inland waterway industry.

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