Methodology Issues in a Tailored Light Treatment for Persons With Dementia
Phase 1 Methodology Issues in a Tailored Light Treatment for Persons With Dementia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Mariana G Figueiro, PhD
- Phone Number: 518 3669306
- Email: mariana.figueiro@mountsinai.org
Study Locations
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New York
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Albany, New York, United States, 12204
- Icahn School of Medicine at Mount Sinai
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New York, New York, United States, 10029
- Icahn School of Medicine at Mount Sinai
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- mild to moderate Alzheimer's disease and related dementia (ADRD)
Exclusion Criteria:
- major organ failure,
- major illness,
- history of head injury,
- hypertension or diabetes,
- use psychotropic (sleep aid) medicine, obstructing cataracts, macular degeneration, and blindness
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Participants with Dementia
All participants experience a baseline for 1 week and an active intervention for 4 weeks for all 3 conditions (high active intervention, mid level active intervention, and inactive intervention).
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The active intervention is a bluish white light source delivering at least 500 lux at the eye of the patient during at least 2 hours daily.
The inactive intervention is a yellowish white light source delivering at most 50 lux at the eye of the patient during at least 2 hours daily.
The Mid level active intervention is a bluish white light source delivering at least 300 lux at the eye of the patient during at least 2 hours daily.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Pittsburgh Sleep Quality Index (PSQI)
Time Frame: Change from Baseline (week 0) and intervention (week 4)
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Caregivers (on behalf of subjects who cannot complete) and subjects are asked to complete the Pittsburgh Sleep Quality Index (PSQI), which is assessed at baseline and after 4 weeks they are exposed to the lighting intervention.
The seven component scores are summed to provide a global score ranging from 0 to 21 and a score of 5 or above indicates sleep disturbance.
A higher number indications a greater sleep disturbance
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Change from Baseline (week 0) and intervention (week 4)
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Cohen-Mansfield Agitation Inventory (CMAI)
Time Frame: Change from Baseline (week 0) and intervention (week 4)
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Caregivers (on behalf of subjects who cannot complete) and subjects are asked to fill out the Cohen-Mansfield Agitation Score, which is assessed at baseline and after 4 weeks they are exposed to the lighting intervention.
29 item instrument, each item scored 1-7.
Total range score from 29-203 - a higher score indicates more agitation
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Change from Baseline (week 0) and intervention (week 4)
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Cornell Scale for Depression in Dementia (CSDD) Questionnaire
Time Frame: Change from Baseline (week 0) and intervention (week 4)
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Caregivers (on behalf of subjects who cannot complete) and subjects are asked to fill out subjective questionnaires assessing depression using the Cornell Scale for Depression in Dementia (CSDD) Questionnaires are assessed at baseline and after 4 weeks they are exposed to the lighting intervention.
The CSDD consists of 19 questions rated on a scale of 0 to 2 with all scores summed for a total score range 0-38.
A score greater than 12 indicates depression and a higher score indicates greater depression.
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Change from Baseline (week 0) and intervention (week 4)
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Activity of Daily Living Questionnaire (MDS-ADL)
Time Frame: Change from Baseline (week 0) and intervention (week 4)
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Caregivers (on behalf of subjects who cannot complete) and subjects are asked to fill out subjective Activity of Daily Living questionnaire (MDS-ADL), which is assessed at baseline and after 4 weeks they are exposed to the lighting intervention.
Scores range from 4 to 18 and a higher score indicates a higher dependence.
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Change from Baseline (week 0) and intervention (week 4)
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Circadian Stimulus Dose
Time Frame: Change from Baseline (week 0) and intervention (week 4)
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Subjects are asked to wear a calibrated light meter to obtain light/dark and activity/rest patterns for 7 days prior to intervention and for 7 days after 3 weeks that the light treatment is applied.
These data are used to determine circadian disruption (correlation between light/dark and activity/rest) and light dose.
Circadian stimulus (CS) is the amount of light needed to activate the circadian system.
The range is 0 to 0.6 the higher the number the greater the CS dose
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Change from Baseline (week 0) and intervention (week 4)
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Sleep Efficiency Score
Time Frame: Change from Baseline (week 0) and intervention (week 4)
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Subjects are asked to wear an actigraph to obtain activity/rest patterns for 7 days prior to intervention and for 7 days after 3 weeks that the light treatment is applied.
Actigraphs are used to measure sleep efficiency.
Full scale score from 0-100, higher score indicates better efficiency.
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Change from Baseline (week 0) and intervention (week 4)
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Mariana G Figueiro, PhD, Icahn School of Medicine at Mount Sinai
Publications and helpful links
General Publications
- Hanford N, Figueiro M. Light therapy and Alzheimer's disease and related dementia: past, present, and future. J Alzheimers Dis. 2013;33(4):913-22. doi: 10.3233/JAD-2012-121645.
- Figueiro MG, Hamner R, Higgins P, Hornick T, Rea MS. Field measurements of light exposures and circadian disruption in two populations of older adults. J Alzheimers Dis. 2012;31(4):711-5. doi: 10.3233/JAD-2012-120484.
- Figueiro MG, Plitnick BA, Lok A, Jones GE, Higgins P, Hornick TR, Rea MS. Tailored lighting intervention improves measures of sleep, depression, and agitation in persons with Alzheimer's disease and related dementia living in long-term care facilities. Clin Interv Aging. 2014 Sep 12;9:1527-37. doi: 10.2147/CIA.S68557. eCollection 2014.
- Figueiro MG, Plitnick B, Roohan C, Sahin L, Kalsher M, Rea MS. Effects of a Tailored Lighting Intervention on Sleep Quality, Rest-Activity, Mood, and Behavior in Older Adults With Alzheimer Disease and Related Dementias: A Randomized Clinical Trial. J Clin Sleep Med. 2019 Dec 15;15(12):1757-1767. doi: 10.5664/jcsm.8078. Epub 2019 Nov 8.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Aberrant Motor Behavior in Dementia
- Neurologic Manifestations
- Nervous System Diseases
- Mental Disorders
- Behavioral Symptoms
- Neurobehavioral Manifestations
- Sleep Wake Disorders
- Dyskinesias
- Psychomotor Disorders
- Pathological Conditions, Signs and Symptoms
- Behavior
- Signs and Symptoms
- Parasomnias
- Depression
- Psychomotor Agitation
Other Study ID Numbers
Other Study ID Numbers
- GCO 20-4007
- 7R01AG034157-11 (U.S. NIH Grant/Contract)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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