Characterising the sleep wake behaviour of late adolescents living in rural and township areas surrounding Alice in the Eastern Cape of South Africa
- Authors: Dlepu, Phelokazi
- Date: 2022-10-14
- Subjects: Teenagers Sleep South Africa Alice , Rural teenagers South Africa Alice , Sleep-wake cycle
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/362808 , vital:65364
- Description: Introduction: School going adolescents have been identified as a group that is at risk of obtaining insufficient sleep due to shortened and irregular sleep, all of which can affect the overall wellbeing of adolescents. While there has been extenstive research on adolescent sleep around the world, research in South Africa has been limited. Of the research performed in this context, most has been conducted in city or urban contexts, but there has been comparatively less research on sleep in adolescents from rural and township areas. Therefore, this study focused on characterising and comparing the sleep-wake behaviour of late adolescents from selected rural and township areas in Alice in the Eastern Cape of South Africa. Methods: An adapted version School Sleep Habits Survey (SSHS) was included in the study and assessed demographic, academic, sleep-wake behaviour, lifestyle, and behavioural information of adolescents from rural and township schools in and around Alice. The survey was distributed physically to all the learners from four co-educational rural and township schools. The responses to the survey were analysed with descriptive and non-parametric inferential statistics, as all data were not normally distributed. Results: A total of 123 learners completed the survey. All the participants were in Grade 12, aged 16 to 26 years (median =18, IQR= 18-19) from rural (n=28) and township (n=95) schools. Seventy-four female and 49 male learners participated in the study. Within the sample, there were also a group of participants who were not adolescents (n=22) whose age ranged between 20 and 26. Reported sleep during both the week and weekend (7hours) was lower than both the recommended duration for adolescents and their own self-reported sleep need of a median of 8 hours and 14 minutes. Bedtimes were significantly earlier on weekdays than weekends. The need to do homework and feeling sleepy were cited as the main reasons for going to sleep during the week and the weekends. Wake times on weekdays and weekends did not differ, with most learners citing being woken up by an alarm clock as the main reason for waking during both weekdays and weekends. Most learners (n=47; 38%) reported walking to get to school, while 41 (33%) relied on public transport to get to school. There were no significant effects of gender or of being rural and township scholars in relation to their sleep variables. Comparisons between non-adolescents and adolescents revealed that non-adolescents reported sleeping longer (7 hours and 30 minutes) compared to adolescents (7 hours) than adolescents did on weekends. As a group, the learners in this sample were morningness-orientated in terms of chronotype, presented with low day time sleepiness, some evidence of sleep-wake behaviour problems and of depressive mood symptoms. Nearly half (n=53; 43%) the group reported napping occasionally on school days. In terms of caffeine consumption, just over half (n=64; 52%) of the learners reported never consuming caffeinated substances such as soda, coffee, or tea. Conclusions: The reported sleep duration of learners in this study was consistent on both the week and weekend but was shorter than the recommended 8-10 hours for late adolescents. While learners in this sample reported early bedtimes, sleep was likely curtailed by the early rise times due to the contextual constraints where scholars had to commute, by either walking or taking public transport, to make the early school start times. There was a high prevalence of sleep disturbances in this sample however, the effects of this (increased daytime sleepiness) were lower which can be attributed to low reported prevalence of caffeine consumption combined with the high prevalence of reported day time napping on school days and weekends. While only a snapshot, the results of this study support previous research that has highlighted the challenges that many adolescents across the globe experience when it comes to obtaining enough sleep. The results of this study highlighted the need for more research to understand the sleep-wake behaviours of learners and their lifestyles more objectively. Given the early starts for many participants in this study, interventions such as delaying school start times may help to improve the amount of sleep that learners get during the week. However, extensive consultations would be needed to ensure that systemic changes that aim to improve sleep of adolescents are applicable for the context of rural and townships areas in South Africa. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2022
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- Date Issued: 2022-10-14
Drifting towards death: a South African patient safety incident through an HFE Systems lens
- Authors: Agar, Sarah Leigh
- Date: 2022-10-14
- Subjects: Patients Safety measures , Medical errors Prevention , Human engineering , Medical care South Africa
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/362716 , vital:65356
- Description: Patient Safety Incidents (PSI) are a frequent occurrence within the South African public healthcare system wherein a patient is unnecessarily maimed, harmed, killed, or put through significant trauma, emotional or physical. These incidents have a significant impact on the performance of the system and the well-being of individuals involved. Often PSI are the result of multiple system failings that provide the necessary preconditions for the PSI to occur. Thus, to provide appropriate patient safety recommendations to address and aid in the prevention of future PSI it is necessary to apply a systems approach to PSI analysis. A systems approach supports a ‘bigger picture’ view of an incident which includes looking beyond the immediate causes of a PSI and taking the different levels of the healthcare system into consideration during incident analysis. Human Factors and Ergonomics (HFE) is at its core a systems discipline and has been successfully applied to multiple fields including healthcare. HFE offers multiple incident analysis tools grounded in systems theory. The Life Esidimeni incident, a PSI that resulted in the death of 144 MHCU, is the biggest PSI in recent South African history and is therefore an important potential case study for the application of HFE systems tools within the South African healthcare context (an area that is lacking in existing literature). The objectives of this research were to (i) Systematically uncover the causal factors that led to the outcome of the of the Life Esidimeni incident; (ii) Identify critical faults, and gaps within the healthcare system that led to the Life Esidimeni PSI; and (iii) Provide proactive recommendations for future prevention of PSI. To fulfil these objectives a descriptive case study research method design was adopted using a qualitative systems-based tool, AcciMap. The application of AcciMap to Life Esidimeni enabled both the sharp end and blunt end causal factors that contributed to the outcome of the incident to be identified. Importantly this provided insight into the critical faults and gaps of the South African public healthcare system. The results of the AcciMap indicated that there were four main broad systemic faults in the system. These broad areas were categorized as key themes, which include: (i) competency, (ii) safeguards, (iii) time pressures, and (iv) vertical integration. From these key themes recommendations aimed at addressing the critical faults and gaps in the system and preventing future PSI were made. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2022
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- Date Issued: 2022-10-14
Variables associated with run out opportunities in cricket: coaches’ perceptions versus video analyses of the Indian Premier League 2018/2019 seasons
- Authors: Sholto-Douglas, Robert
- Date: 2022-10-14
- Subjects: Indian Premier League , Cricket Coaching , Video analysis , Fielding , Run out
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/365014 , vital:65670
- Description: The purpose of this investigation was to add a scientific element to the understanding of run out opportunities in T20 (twenty/twenty) formats, which would in turn, provide recommendations to players and coaches around the topic of run outs. Due to a lack of research in this field, the study was two-fold, as there is little research known on this topic. Firstly, surveying experienced coaches on what they would expect to take place during run out opportunities from different areas of the field in a T20 game. Secondly, the study looked at what happened during successful and unsuccessful run outs from different areas of the field in two Indian Premier League (IPL) seasons. The aim of the study was to determine what variables, within an area of fielding, led to a successful or non-successful run out from different zones in the field. Coaches were required to fill out a survey which asked them to give their expectations on run out opportunities during a T20 competition. The data from the questionnaire would be used to gain a greater understanding of the way coaches understand different characteristics of run outs and whether this matched the findings of the second part of this study. The second part of the study investigated run out opportunities in two consecutive IPL seasons, based on video footage, looking at how different variables impacted successful or marginally missed run out opportunities in different areas of the field and at different times of the game. The areas were put into four different zones. Zone 1 being close to the batter, zone 2 being in the inner ring, zone 3 being on the edge of the ring and zone 4 being boundary fielders. Most of the coaches believed that in zone 1 of the field, the bowler would have the most opportunities, where in fact, based on the video footage, these fell to the wicket-keeper. In zone 2 there were a larger range of fielding positions (10) that run outs fell to when analysing video footage. The coaches supported this by often naming the same fielding positions. There was a divide in zone 3. Most run out opportunities from the video footage came to extra cover, where most coaches didn’t believe that would be the case and rather mentioned mid-off and mid-on. When analysing video footage in zone 4, it had two fielding positions (long on and deep mid-wicket) make up the majority of run out chances in this area and these two positions were quoted by most of the coaches as having the most run out opportunities fall to them. Throughout the findings, as concluded from the video footage, there were some results that matched the coaches’ expectation and some results where findings from the video footage differed from the coaches’ expectations. These findings are all useful. Firstly, it validates coaching practices. Secondly, it provides coaches with greater insight as to where they aren’t getting it correct in their fielding training. In conclusion, this study found that although coaches perceptions, for the most part, matched what took place on the field, there were instances where we saw the opposite action take place. This has important practical implications for coaching and practice. , Thesis (MSc) -- Faculty of Science, Human Kinetics and Ergonomics, 2022
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- Date Issued: 2022-10-14