Ethics in Design and Implementation of Technologies for Workplace Health Promotion: A Call for Discussion.

Aim: This study aims to initiate discussion on the ethical issues surrounding the development and implementation of technologies for workplace health promotion. We believe this is a neglected topic and such a complex field of study that we cannot come up with solutions easily or quickly. Therefore, this study is the starting point of a discussion about the ethics of and the need for policies around technologies for workplace health promotion. Method: Based on a literature review, the present study outlines current knowledge of ethical issues in research, development, and implementation of technologies in the workplace. Specifically, the focus is on two ethical issues that play an important role in the worker-employer relation: privacy and autonomy. Application: Two cases indicative for a multidisciplinary project aimed at developing and evaluating sensor and intervention technologies that contribute to keeping ageing workers healthy and effectively employable are explored. A context-specific approach of ethics is used to investigate ethical issues during the development and implementation of sensor and intervention technologies. It is a holistic approach toward the diverse field of participants and stakeholders, and the diversity in perceptions of relevant values, depending on their respective professional languages. Discussion: The results show how protecting the privacy and autonomy of workers cannot be seen as stand-alone issues, but, rather, there is interplay between these values, the work context, and the responsibilities of workers and employers. Consequently, technologies in this research project are designed to improve worker conscientious autonomy, while concurrently creating balance between privacy and health, and assigning responsibilities to appropriate stakeholders. Conclusion: Focusing on a contextual conceptualisation of the ethical principles in the design and implementation of digital health technologies helps to avoid compartmentalization, out-of-context generalisation, and neglect of identifying responsibilities. Although it is a long reiterative process in which all stakeholders need to be included in order to assess all ethical issues sufficiently, this process is crucial to achieving the intended goal of a technology. Having laid out the landscape and problems of ethics around technologies for workplace health promotion, we believe policies and standards, and a very overdue discussion about these, are needed.

Caffeine Boosts Preparatory Attention for Reward-related Stimulus Information.

The intake of caffeine and the prospect of reward have both been associated with increased arousal, enhanced attention, and improved behavioral performance on cognitive tasks, but how they interact to exert these effects is not well understood. To investigate this question, we had participants engage in a two-session cued-reward cognitive task while we recorded their electrical brain activity using scalp electroencephalography. The cue indicated whether monetary reward could be received for fast and accurate responses to a color-word Stroop stimulus that followed. Before each session, participants ingested decaffeinated coffee with either caffeine (3-mg/kg bodyweight) or placebo (3-mg/kg bodyweight lactose). The behavioral results showed that both caffeine and reward-prospect improved response accuracy and speed. In the brain, reward-prospect resulted in an enlarged frontocentral slow wave (contingent negative variation, or CNV) and reduced posterior alpha power (indicating increased cortical activity) before stimulus presentation, both neural markers for preparatory attention. Moreover, the CNV enhancement for reward-prospect trials was considerably more pronounced in the caffeine condition as compared to the placebo condition. These interactive neural enhancements due to caffeine and reward-prospect were mainly visible in preparatory attention activity triggered by the cue (CNV). In addition, some interactive neural enhancements in the processing of the Stroop target stimulus that followed were also observed. The results suggest that caffeine facilitates the neural processes underlying attentional preparation and stimulus processing, especially for task-relevant information.

Dynamics in typewriting performance reflect mental fatigue during real-life office work.

Mental fatigue has repeatedly been associated with decline in task performance in controlled situations, such as the lab, and in less controlled settings, such as the working environment. Given that a large number of factors can influence the course of mental fatigue, it is challenging to objectively and unobtrusively monitor mental fatigue on the work floor. We aimed to provide a proof of principle of a method to monitor mental fatigue in an uncontrolled office environment, and to study how typewriting dynamics change over different time-scales (i.e., time-on-task, time-of-day, day-of-week). To investigate this, typewriting performance of university employees was recorded for 6 consecutive weeks, allowing not only to examine performance speed, but also providing a natural setting to study error correction. We show that markers derived from typewriting are susceptible to changes in behavior related to mental fatigue. In the morning, workers first maintain typing speed during prolonged task performance, which resulted in an increased number of typing errors they had to correct. During the day, they seemed to readjust this strategy, reflected in a decline in both typing speed and accuracy. Additionally, we found that on Mondays and Fridays, workers adopted a strategy that favored typing speed, while on the other days of the week typing accuracy was higher. Although workers are allowed to take breaks, mental fatigue builds up during the day. Day-to-day patterns show no increase in mental fatigue over days, indicating that office workers are able to recover from work-related demands after a working day.

Age Modulates the Effects of Mental Fatigue on Typewriting.

In the present study, we examined whether age influences the effects of mental fatigue on task performance, and if we could validate the use of measures based on typing behavior as an index of the effects of mental fatigue on different aspects of cognition. Young (N = 24, 18-30 years) and middle-aged (N = 24, 50-67 years) participants performed a typewriting task and a mouse targeting task for 120 min. At the beginning and at the end of the experiment the level of subjective fatigue was assessed. During task performance measures based on typing behavior and EEG were recorded. Results showed that subjective fatigue increased over the experiment in both the young and the middle-aged group. Typing speed decreased with time-on-task (ToT) in both age groups, reflected in larger general interkey intervals and in an increase in typing time. In addition, typing accuracy decreased with ToT in the young group, however, not in the middle-aged group, reflected by an increase in typing errors. Moreover, the young group used the backspace key more often with ToT due to delayed error-correction, reflected in larger backspace sequences, resulting in larger interkey intervals and increased typing time. This effect was absent in the middle-aged group. In the young group, the P3 brain potential amplitude decreased over the experiment, which was related to an increase in typing time, longer general interkey intervals, and an increase in typing errors, suggesting that decreased task engagement was related to less efficient typewriting, at least in the young group. These results indicate that measures based on typing behavior could give information about the process of mental fatigue, and in addition suggest that age influences the effect of mental fatigue on typewriting. More specifically, younger adults more often adopt a strategy that emphasizes speed, while middle-aged adults act more error-aversive than younger adults.