- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04921332
Bright Light Therapy for Depression Symptoms in Adults With Cystic Fibrosis (CF) and COPD
February 26, 2023 updated by: Erica Osborn
Effect of Bright Light Therapy on Depression Symptoms in Adult Inpatients With Cystic Fibrosis (CF) and Chronic Obstructive Pulmonary Disease (COPD)
This is a project that will determine whether the use of daily bright light therapy has an effect on depressive symptoms experienced by adult inpatients with CF and COPD.
The purpose of this project is to apply a daily 30-minute BLT intervention to hospitalized adult CF and COPD patients in order to decrease symptoms of depression as measured by depression inventory scoring.
Study Overview
Status
Terminated
Intervention / Treatment
Detailed Description
This project will occur on a 29-bed pulmonary step-down unit at a 1,600-bed academic medical center.
This unit commonly treats patients with CF, COPD, and other pulmonary complications.
The unit's patient care staff will be educated on the bright light lamps in order to prevent interruptions and to encourage compliance.
Study Type
Interventional
Enrollment (Actual)
4
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh
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Pittsburgh, Pennsylvania, United States, 15213
- University of Pittsburgh Medical Center Presbyterian Hospital
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Diagnosed with cystic fibrosis or chronic obstructive pulmonary disease (COPD)
- Adult age 18 or older
- Admitted to the pulmonary step-down and transplant unit
- Score greater than zero on pre-intervention Beck's Depression Inventory-II (BDI-II)
Exclusion Criteria:
- Pre-existing ophthalmological conditions or photosensitivity
- Migraines
- Receiving high dose steroids for transplant rejection (due to mood altering qualities),
- Antibiotics that increase light sensitivity
- Diagnosed with bipolar disorder (light therapy may trigger mania)
- Admissions anticipated to span less than 48 hours
- Children are being excluded due to the fact that only adult CF and COPD subjects are admitted to University of Pittsburgh Medical Center (UPMC) Presbyterian hospital
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Bright Light Therapy (BLT)
The intervention will consist of daily BLT sessions lasting 30 minutes at approximately 10AM (since many CF and COPD patients may not awaken until this time) starting on the day of admission through discharge for a goal of seven consecutive days.
The intervention will use a 10,000-lux light box placed approximately 16-24 inches from the patient's face.
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With its built in automatic timer shut-off function, the bedside registered nurse (RN) would not need to return to the room to turn off this lamp after 30 minutes because the lamp will automatically shut off on its own.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Pre- and Post-intervention Beck's Depression Inventory II Scores (BDI-II)
Time Frame: First at time of admission, second at end of 7 day goal or upon discharge.
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Change between pre-intervention and post-intervention self-reported answer totals to the 21 scored items on BDI-II (minimum score obtainable=0 (absent symptoms); maximum score obtainable=63 (most severe symptoms).
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First at time of admission, second at end of 7 day goal or upon discharge.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of Days Until Completion of Daily Bright Light Therapy (BLT)
Time Frame: Daily for duration of intervention period (goal/maximum of 7 days).
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The RN will sign a daily log indicating what time therapy was initiated and if therapy was refused.
These logs will be collected from patient doors at the end of each week by the principal investigator (PI) in order to measure compliance with completion of therapy on a daily basis.
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Daily for duration of intervention period (goal/maximum of 7 days).
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Erica Osborn, BSN, University of Pittsburgh
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Lam RW, Levitt AJ, Levitan RD, Michalak EE, Cheung AH, Morehouse R, Ramasubbu R, Yatham LN, Tam EM. Efficacy of Bright Light Treatment, Fluoxetine, and the Combination in Patients With Nonseasonal Major Depressive Disorder: A Randomized Clinical Trial. JAMA Psychiatry. 2016 Jan;73(1):56-63. doi: 10.1001/jamapsychiatry.2015.2235. Erratum In: JAMA Psychiatry. 2016 Jan;73(1):90.
- Kopp BT, Hayes D Jr, Ghera P, Patel A, Kirkby S, Kowatch RA, Splaingard M. Pilot trial of light therapy for depression in hospitalized patients with cystic fibrosis. J Affect Disord. 2016 Jan 1;189:164-8. doi: 10.1016/j.jad.2015.08.056. Epub 2015 Sep 28.
- Guzel Ozdemir P, Boysan M, Smolensky MH, Selvi Y, Aydin A, Yilmaz E. Comparison of venlafaxine alone versus venlafaxine plus bright light therapy combination for severe major depressive disorder. J Clin Psychiatry. 2015 May;76(5):e645-54. doi: 10.4088/JCP.14m09376.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 7, 2021
Primary Completion (Actual)
March 22, 2022
Study Completion (Actual)
March 22, 2022
Study Registration Dates
First Submitted
June 2, 2021
First Submitted That Met QC Criteria
June 2, 2021
First Posted (Actual)
June 10, 2021
Study Record Updates
Last Update Posted (Estimate)
February 28, 2023
Last Update Submitted That Met QC Criteria
February 26, 2023
Last Verified
February 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- STUDY20110407
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
Data produced from this project may be shared with investigators conducting research on a similar topic within the University of Pittsburgh and outside.
Shared information from this project will be de-identified under an approved DUA.
IPD Sharing Time Frame
Results and data from this study will be available immediately and maintained for seven years following completion.
IPD Sharing Access Criteria
Investigators conducting research on a similar topic within the University of Pittsburgh and outside
IPD Sharing Supporting Information Type
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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