Dementia Clinical Trial
Official title:
Therapy Light Rooms for Nursing Home Patients With Dementia - Designing Diurnal Conditions for Improved Sleep, Mood and Behavioural Problems (DEM.LIGHT)
This intervention study will investigate the effect of therapy light rooms on sleep, circadian rhythms, mood, behavioural problems and function in nursing home (NH) patients with dementia.
People with dementia often have fragmented night-time sleep, prolonged night-time awakenings
and increased daytime sleep. Behavioural and psychological symptoms of dementia (BPSD) (e.g.
agitation, depression) are also common. Noticeably, both sleep problems and BPSD are related
to a disturbed circadian rhythm. Light is the most important input to the circadian system,
and exposure to sufficient daylight is important for entrainment of the circadian rhythm to
the surroundings. Dementia patients living in nursing homes (NH) are less exposed to daylight
than dementia patients living at home. Bright light therapy is a promising treatment in these
patients as it may improve sleep, BPSD, and independent functioning. However, traditional
bright light treatment has not been routinely employed in NH patients or patients with
dementia. This may be related to difficulties in achieving adherence to the traditional
treatment and thus the benefit of bright light therapy for people with dementia still remains
unclear.
DEM.LIGHT uses modern LED (light-emitting diodes) technology that enables light therapy with
the least possible interference of the day-to-day life in NHs, as the treatment is not
confined to a light source presupposing behavioural compliance. Ceiling-mounted LED-sources
can be programmed in terms of timing, light intensity and colour temperature. DEM.LIGHT uses
this to provide therapy light rooms with a dynamic light condition that better emulates
natural light throughout the day. The study is a cluster-randomized trial evaluating the
effect of therapy light rooms on various measures of physical and mental health in NH
patients with dementia. Data will be collected at baseline, after 8 and 16 weeks of
treatment, and at the end of the intervention period (24 weeks).
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