Light Therapy for Seniors in Long Term Care

Royer, Michael P.; Ballentine, Noel H.; Eslinger, Paul J.; Houser, Kevin W.; Mistrick, Richard G.; Behr, Richard A.; Rakos, Kirk

doi:10.1016/j.jamda.2011.05.006

Cited by 46 publications

(41 citation statements)

References 8 publications

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“…Also in Antarctica normal fluorescent light of 100-300 lux showed a significant delay in melatonin onset compared to blue-enriched white light with no difference in rest-activity rhythms by NCPRA under the two light conditions [29]. Similarly, a recent study reported cognitive improvements using an assessment of cognitive function and a profile of mood states with 30 minutes of blue LED light (400 lux) each day compared to red light in older people in long term care [75]. Despite these positive effects of blue or blue-enriched light, in the current study only one of the mood variables showed a significant difference between the two light conditions.…”

Section: Discussionmentioning

confidence: 86%

Blue-Enriched Lighting for Older People Living in Care Homes: Effect on Activity, Actigraphic Sleep, Mood and Alertness

Hopkins

Morgan

Schlangen

et al. 2017

CAR

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Environmental (little outdoor light; low indoor lighting) and age-related physiological factors (reduced light transmission through the ocular lens, reduced mobility) contribute to a light-deprived environment for older people living in care homes. This study investigates the effect of increasing indoor light levels with blueenriched white lighting on objective (rest-activity rhythms, performance) and self-reported (mood, sleep, alertness) measures in older people. Eighty residents (69 female), aged 86 ± 8 yrs (mean ± SD), participated (MMSE 19 ± 6). Overhead fluorescent lighting was installed in communal rooms (n=20) of seven care homes.Four weeks of blue-enriched white lighting (17000 K  900 lux) were compared with four weeks of control white lighting (4000 K  200 lux), separated by three weeks wash-out. Participants completed validated mood and sleep questionnaires, psychomotor vigilance task (PVT) and wore activity and light monitors (AWL). Restactivity rhythms were assessed by cosinor, non-parametric circadian rhythm (NPCRA) and actigraphic sleep analysis. Blue-enriched (17000 K) light increased wake time and activity during sleep decreasing actual sleep time, sleep percentage and sleep efficiency (p < 0.05) (actigraphic sleep). Compared to 4000 K lighting, blueenriched 17000 K lighting significantly (p < 0.05) advanced the timing of participants' rest-activity rhythm (cosinor), increased daytime and night-time activity (NPCRA), reduced subjective anxiety (HADA) and sleep quality (PSQI). There was no difference between the two light conditions in daytime alertness and performance (PVT). Blue-enriched lighting produced some positive (increased daytime activity, reduced anxiety) and negative (increased night-time activity, reduced sleep efficiency and quality) effects in older people.Keywords: care home, light therapy; mood; elderly; rest-activity; sleep. 3 Graphical AbstractThe effect of blue-enriched 17000 K lighting (right) on the rest-activity, sleep and mood of older people living in care homes has been investigated compared to control 4000 K lighting (middle) (left, original lighting) 4

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Section: Discussionmentioning

confidence: 86%

Blue-Enriched Lighting for Older People Living in Care Homes: Effect on Activity, Actigraphic Sleep, Mood and Alertness

Hopkins

Morgan

Schlangen

et al. 2017

CAR

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“…Ryu and colleagues (2012) found the combined use of a sleep mask and sleep-inducing music was effective in improving self-reported sleep quality using the Verran and Synder-Halpern sleeping scale. In contrast, Richardson et al (2007) and Royer and colleagues (2012) found no treatment effect when using a sleep mask and ear plugs with no music and bright light therapy alone, respectively.…”

Section: Resultsmentioning

confidence: 87%

What is Occupational Therapy's Role in Addressing Sleep Problems among Older Adults?

Leland¹,

Marcione²,

Niemiec³

et al. 2014

OTJR: Occupation, Participation and Health

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Sleep problems, prevalent among older adults, are associated with poor outcomes and high healthcare costs. In 2008, rest and sleep became its own area of occupation in the AOTA Occupational Therapy Practice Framework. This scoping review examined a broad context of sleep research in order to highlight efficacious interventions for older adults that fall within the occupational therapy scope of practice and present an agenda for research and practice. Four sleep intervention areas clearly aligned with the Practice Framework, including cognitive behavioral therapy for insomnia, physical activity, and multi-component interventions. Occupational therapy is primed to address sleep problems by targeting the context and environment, performance patterns, and limited engagement in evening activities that may contribute to poor sleep. Occupational therapy researchers and clinicians need to work collaboratively to establish the evidence-base for occupation-centered sleep interventions in order to improve the health and quality of life of the older adult.

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“…Persons with Alzheimer's disease tend to have phase advancement, resulting in being awake at night when others are normally going to sleep (62). Bright light (2000 lux) given in the morning can reverse this abnormality and can reduce agitated behavior (63). Sleeping abnormalities, especially sleep apnea, have been associated with rapid cognitive decline (64,65).…”

mentioning

confidence: 99%

Behavioral management in the person with dementia

Morley

2013

The Journal of nutrition, health and aging

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Light Therapy for Seniors in Long Term Care

Cited by 46 publications

References 8 publications

Blue-Enriched Lighting for Older People Living in Care Homes: Effect on Activity, Actigraphic Sleep, Mood and Alertness

Blue-Enriched Lighting for Older People Living in Care Homes: Effect on Activity, Actigraphic Sleep, Mood and Alertness

What is Occupational Therapy's Role in Addressing Sleep Problems among Older Adults?

Behavioral management in the person with dementia

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