Trial Outcomes & Findings for Effects of Bright Light on Co-occurring Cancer-related Symptoms in Breast Cancer Survivors (NCT NCT03304587)

NCT ID: NCT03304587

Last Updated: 2025-06-10

Results Overview

Study participants kept a daily log where they listed the dates and times they used the light visor - noting time they put it on, and the time they took it off. The light exposure were recorded to assess adherence to the treatment protocol. Adherence: percentage that the study participant used the light visor for 30 minutes per day during the 14-day light therapy intervention (based on the daily log that reported use or not use of the light visor for 30 minutes for the 14 days of the intervention and the time they put it on each day and took it off each day) Attrition: study participants withdrew from the study prior to completing the intervention

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

30 participants

Primary outcome timeframe

Up to 3 weeks from registration

Results posted on

2025-06-10

Participant Flow

10 participants withdrew prior to assignment for: schedule coordination issues (n=8); loss of contact after 3 attempts (n=2)

Participant milestones

Participant milestones
Measure
Arm 1: Bright Blue-green Light
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Overall Study
STARTED
15
15
Overall Study
Withdrawal
1
1
Overall Study
COMPLETED
14
14
Overall Study
NOT COMPLETED
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm 1: Bright Blue-green Light
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Overall Study
Headache after intervention
0
1
Overall Study
Withdrawal by Subject
1
0

Baseline Characteristics

Effects of Bright Light on Co-occurring Cancer-related Symptoms in Breast Cancer Survivors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=5 Participants
14 Participants
n=7 Participants
29 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Age, Continuous
50.8 years
STANDARD_DEVIATION 8.1 • n=5 Participants
54.2 years
STANDARD_DEVIATION 8.7 • n=7 Participants
52.4 years
STANDARD_DEVIATION 8.4 • n=5 Participants
Sex: Female, Male
Female
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
14 Participants
n=5 Participants
14 Participants
n=7 Participants
28 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States · Greater Lansing, Michigan
11 Participants
n=5 Participants
11 Participants
n=7 Participants
22 Participants
n=5 Participants
Region of Enrollment
United States · St Louis Metro., Illinois/Missouri
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Education
15.6 years
STANDARD_DEVIATION 2.7 • n=5 Participants
16.5 years
STANDARD_DEVIATION 2.6 • n=7 Participants
16.1 years
STANDARD_DEVIATION 2.7 • n=5 Participants
Marital Status
Single
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Marital Status
Married/Partnered
11 Participants
n=5 Participants
9 Participants
n=7 Participants
20 Participants
n=5 Participants
Marital Status
Divorced
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Marital Status
Widowed
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Employment
Full time
9 Participants
n=5 Participants
10 Participants
n=7 Participants
19 Participants
n=5 Participants
Employment
Part time
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Employment
Self employed
4 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
Employment
Retired
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Living Arrangement
Lives alone
1 participants
n=5 Participants
2 participants
n=7 Participants
3 participants
n=5 Participants
Living Arrangement
Lives with others
14 participants
n=5 Participants
13 participants
n=7 Participants
27 participants
n=5 Participants
Tumor Stage
Stage I
8 participants
n=5 Participants
11 participants
n=7 Participants
19 participants
n=5 Participants
Tumor Stage
Stage II
5 participants
n=5 Participants
3 participants
n=7 Participants
8 participants
n=5 Participants
Tumor Stage
Stage III
2 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
Previous Treatment
Chemotherapy
2 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
Previous Treatment
Radiation
8 participants
n=5 Participants
10 participants
n=7 Participants
18 participants
n=5 Participants
Previous Treatment
Both (chemotherapy & radiation)
5 participants
n=5 Participants
4 participants
n=7 Participants
9 participants
n=5 Participants
Number of Comorbidities
0
7 participants
n=5 Participants
6 participants
n=7 Participants
13 participants
n=5 Participants
Number of Comorbidities
1
5 participants
n=5 Participants
3 participants
n=7 Participants
8 participants
n=5 Participants
Number of Comorbidities
2
3 participants
n=5 Participants
3 participants
n=7 Participants
6 participants
n=5 Participants
Number of Comorbidities
3 or more
0 participants
n=5 Participants
3 participants
n=7 Participants
2 participants
n=5 Participants
Chronotype
Eveningness
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Chronotype
Morningness
11 Participants
n=5 Participants
11 Participants
n=7 Participants
22 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 3 weeks from registration

Study participants kept a daily log where they listed the dates and times they used the light visor - noting time they put it on, and the time they took it off. The light exposure were recorded to assess adherence to the treatment protocol. Adherence: percentage that the study participant used the light visor for 30 minutes per day during the 14-day light therapy intervention (based on the daily log that reported use or not use of the light visor for 30 minutes for the 14 days of the intervention and the time they put it on each day and took it off each day) Attrition: study participants withdrew from the study prior to completing the intervention

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Study Attrition and Adherence
Attrition
1 Participants
1 Participants
Study Attrition and Adherence
Adherence to light therapy
14 Participants
14 Participants

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Patient-Reported Outcomes Measurement Information System (PROMIS)-Sleep disturbance T-Score. A higher PROMIS-Sleep disturbance T-score represents greater\\worse sleep disturbance. PROMIS measures provide a common metric: the T-score (mean = 50, standard deviation = 10). A mean of 50 equals the mean in the U.S. general population. Higher scores mean worse sleep disturbance Note: For negatively-worded concepts like Fatigue, a T-score of 60 is one SD worse than average. By comparison, a Fatigue T-score of 40 is one SD better than average.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Sleep Disturbance as Measured by the PROMIS-Sleep Disturbance
Baseline
56 T-score
Standard Deviation 6
57.3 T-score
Standard Deviation 7.5
Effects of Bright Light on Sleep Disturbance as Measured by the PROMIS-Sleep Disturbance
Post-Test
49.6 T-score
Standard Deviation 5.3
50.4 T-score
Standard Deviation 6

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Pittsburgh Sleep Quality Index (PSQI) Global score: The PSQI has 7 components, with each component self-rated from 0-3, with 3 being worse sleep quality. Global PSQI sleep score is the sum of all 7 components, with score range from 0-21, with higher score meaning worse sleep quality.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Sleep Disturbance as Measured by the PSQI
Baseline
9.3 score on a scale
Standard Deviation 3.2
9.6 score on a scale
Standard Deviation 3.2
Effects of Bright Light on Sleep Disturbance as Measured by the PSQI
Post-Test
7.8 score on a scale
Standard Deviation 2.4
6.0 score on a scale
Standard Deviation 3.1

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Patient-Reported Outcomes Measurement Information System (PROMIS)-Cancer-Fatigue T-Score. A higher PROMIS-Cancer-Fatigue T-score represents greater\\worse fatigue. PROMIS measures provide a common metric: the T-score (mean = 50, standard deviation = 10). A mean of 50 equals the mean in the U.S. general population. Higher scores mean worse fatigue Note: For negatively-worded concepts like Fatigue, a T-score of 60 is one SD worse than average. By comparison, a Fatigue T-score of 40 is one SD better than average.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Fatigue as Measured by the PROMIS-Cancer-Fatigue
Baseline
55.8 T-score
Standard Deviation 6.8
56.3 T-score
Standard Deviation 7.9
Effects of Bright Light on Fatigue as Measured by the PROMIS-Cancer-Fatigue
Post Test
48.3 T-score
Standard Deviation 4.4
50.5 T-score
Standard Deviation 6.4

SECONDARY outcome

Timeframe: Kept throughout the approx 3 weeks of the study

Fatigue self-report is rated numerically from 1-5, with greater score meaning more fatigue

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Fatigue as Measured by the Daily Log
Baseline self-reported fatigue
3.54 score on a scale
Standard Deviation 2.03
4.57 score on a scale
Standard Deviation 2.41
Effects of Bright Light on Fatigue as Measured by the Daily Log
Post-Test self-reported fatigue
1.92 score on a scale
Standard Deviation 1.44
2.86 score on a scale
Standard Deviation 2.35

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Patient-Reported Outcomes Measurement Information System (PROMIS)-Depression T-Score. A higher PROMIS-Depression T-score represents greater\\worse Depression. PROMIS measures provide a common metric: the T-score (mean = 50, standard deviation = 10). A mean of 50 equals the mean in the U.S. general population. Higher scores mean worse worse depression. Note: For negatively-worded concepts like Fatigue, a T-score of 60 is one SD worse than average. By comparison, a Fatigue T-score of 40 is one SD better than average.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Depression as Measured by the PROMIS-Depression
Baseline
50.4 T-score
Standard Deviation 7.9
51.1 T-score
Standard Deviation 6.4
Effects of Bright Light on Depression as Measured by the PROMIS-Depression
Post-Test
45.2 T-score
Standard Deviation 5.9
46.5 T-score
Standard Deviation 7.0

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Center for Epidemiologic Studies Depression Scale (CES-D) score: Total CES-D range is 0-60, with higher score meaning more depressed.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Depression as Measured by the CES-D
Baseline
14.7 score on a scale
Standard Deviation 8.3
16.3 score on a scale
Standard Deviation 4.1
Effects of Bright Light on Depression as Measured by the CES-D
Post-Test
6.0 score on a scale
Standard Deviation 3.8
8.9 score on a scale
Standard Deviation 5.3

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

MoCA (Montreal Cognitive Assessment): Test conducted by researcher, with total score range 0-30. Higher score means less cognitive dysfunction.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Lights on Cognitive Dysfunction as Measured by the MoCA
Baseline
27.9 score on a scale
Standard Deviation 1.7
26.6 score on a scale
Standard Deviation 2.2
Effects of Bright Lights on Cognitive Dysfunction as Measured by the MoCA
Post-Test
28.0 score on a scale
Standard Deviation 2.0
27.1 score on a scale
Standard Deviation 1.7

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Patient-Reported Outcomes Measurement Information System (PROMIS)-Physical Function T-Score. A higher PROMIS-Physical Function T-score represents greater\\better Physical Function. PROMIS measures provide a common metric: the T-score (mean = 50, standard deviation = 10). A mean of 50 equals the mean in the U.S. general population. Higher scores mean better functioning. Note: A T-score of 60 is one SD greater than average; A T-Score of 40 is one SD lower than average.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effect of Bright Light on Quality of Life as Measured by the PROMIS-Physical Function
Baseline
47.5 T-score
Standard Deviation 10.2
48.6 T-score
Standard Deviation 8.1
Effect of Bright Light on Quality of Life as Measured by the PROMIS-Physical Function
Post-Test
48.7 T-score
Standard Deviation 9.2
51.3 T-score
Standard Deviation 8.3

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Quality of Life (QOL)-Global Health score: Range 0-100, higher score is better global health quality of life Quality of Life (QOL) Symptom score: Range 0-100, Higher score is worse symptoms quality of life Quality of Life (QOL)-Function: Range 0-100, Higher score is better functional quality of life

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effect of Bright Light on Quality of Life as Measured by EORTC QLQ-30
Baseline QOL-Global
65.6 score on a scale
Standard Deviation 16.6
76.1 score on a scale
Standard Deviation 16.0
Effect of Bright Light on Quality of Life as Measured by EORTC QLQ-30
Post-Test QOL-Global
76.2 score on a scale
Standard Deviation 7.9
81.0 score on a scale
Standard Deviation 11
Effect of Bright Light on Quality of Life as Measured by EORTC QLQ-30
Baseline QOL-Symptom
20.7 score on a scale
Standard Deviation 13.0
19.5 score on a scale
Standard Deviation 9.0
Effect of Bright Light on Quality of Life as Measured by EORTC QLQ-30
Post-Test QOL-Symptom
13.4 score on a scale
Standard Deviation 7.1
12.1 score on a scale
Standard Deviation 7.3
Effect of Bright Light on Quality of Life as Measured by EORTC QLQ-30
Baseline QOL-Function
76.7 score on a scale
Standard Deviation 15.7
80.4 score on a scale
Standard Deviation 10.4
Effect of Bright Light on Quality of Life as Measured by EORTC QLQ-30
Post-Test QOL-Function
87.0 score on a scale
Standard Deviation 6.6
87.6 score on a scale
Standard Deviation 9.2

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Objective testing using in-lab polysomnography (PSG) is used to measure the effects of bright light on level of stress. Minutes of total sleep time is reported.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Level of Stress as Measured by the PSG-Total Sleep Time
Post-Test
386.1 minutes
Standard Deviation 84.8
415.9 minutes
Standard Deviation 71.5
Effects of Bright Light on Level of Stress as Measured by the PSG-Total Sleep Time
Baseline
394.2 minutes
Standard Deviation 68.9
393.53 minutes
Standard Deviation 59.35

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Objective testing using in-lab polysomnography (PSG)is used to measure the effects of bright light on level of stress. Sleep efficiency is reported as percentage of total sleep time.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Level of Stress as Measured by the PSG-Sleep Efficiency
Baseline
81.9 percentage of sleep time
Standard Deviation 7.9
82.7 percentage of sleep time
Standard Deviation 8.08
Effects of Bright Light on Level of Stress as Measured by the PSG-Sleep Efficiency
Post-Test
81.0 percentage of sleep time
Standard Deviation 14.3
82.4 percentage of sleep time
Standard Deviation 12.2

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Objective testing using in-lab polysomnography (PSG) is used to measure the effects of bright light on level of stress. Minutes of latency to sleep onset is reported.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Level of Stress as Measured by the PSG-Sleep Onset Latency
Post-Test
35.7 minutes
Standard Deviation 33.1
52.4 minutes
Standard Deviation 55.4
Effects of Bright Light on Level of Stress as Measured by the PSG-Sleep Onset Latency
Baseline
58.6 minutes
Standard Deviation 64.8
43.9 minutes
Standard Deviation 49.5

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Objective testing using in-lab polysomnography (PSG)is used to measure the effects of bright light on level of stress. Minutes of awakenings during sleep is recorded.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Level of Stress as Measured by the PSG-Awakenings
Baseline
20.5 minutes
Standard Deviation 8.6
16.4 minutes
Standard Deviation 7.1
Effects of Bright Light on Level of Stress as Measured by the PSG-Awakenings
Post-Test
15.6 minutes
Standard Deviation 5.2
15.2 minutes
Standard Deviation 6.0

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Objective testing using in-lab polysomnography (PSG)is used to measure the effects of bright light on level of stress. Arousal minutes during sleep are recorded

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Level of Stress as Measured by the PSG-Arousals
Baseline
53.4 minutes
Standard Deviation 20.4
64.6 minutes
Standard Deviation 40.7
Effects of Bright Light on Level of Stress as Measured by the PSG-Arousals
Post-Test
45.8 minutes
Standard Deviation 17.9
58.0 minutes
Standard Deviation 32.2

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Objective testing using in-lab polysomnography (PSG) is used to measure the effects of bright light on level of stress. Arousal index is total number of arousals per hour of sleep.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Level of Stress as Measured by the PSG-Arousal Index
Baseline
8.4 Total number of arousals per hr of sleep
Standard Deviation 3.5
9.6 Total number of arousals per hr of sleep
Standard Deviation 5.3
Effects of Bright Light on Level of Stress as Measured by the PSG-Arousal Index
Post-Test
7.8 Total number of arousals per hr of sleep
Standard Deviation 2.8
8.1 Total number of arousals per hr of sleep
Standard Deviation 4.0

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Objective testing using in-lab polysomnography (PSG) is used to measure the effects of bright light on level of stress. Minutes till wake after sleep onset is reported.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Level of Stress as Measured by the PSG-Wake After Sleep Onset (WASO)
Baseline
51.6 minutes
Standard Deviation 19.9
47.8 minutes
Standard Deviation 22.7
Effects of Bright Light on Level of Stress as Measured by the PSG-Wake After Sleep Onset (WASO)
Post-Test
72.8 minutes
Standard Deviation 41.5
48.2 minutes
Standard Deviation 31.4

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Objective testing using in-lab polysomnography (PSG) used to measure effects of bright light on level of stress. Minutes spent in each sleep stage is reported. Stage 1 is when a person first falls asleep, normally lasts 1-7minutes. Body has not fully relaxed, though body and brain activities start to slow with periods of brief movements. Stage 2 the body enters a more subdued state including a drop in temperature, relaxed muscles and slowed breathing and heart rate. Stage 3 muscle tone, pulse and breathing rate decrease as body relaxes. REM brain activity picks up, body experiences atonia-a temporary paralysis of muscles except for eyes and muscles that control breathing. Usually takes 90 minutes to reach REM stage.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (Min)
Post-Test Stage 1
24.7 minutes
Standard Deviation 7.9
26.1 minutes
Standard Deviation 14.5
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (Min)
Baseline Stage 2
236.7 minutes
Standard Deviation 49.1
241.2 minutes
Standard Deviation 55.4
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (Min)
Post-Test Stage 2
250.3 minutes
Standard Deviation 61.3
279.9 minutes
Standard Deviation 74.3
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (Min)
Baseline Stage 3
37.7 minutes
Standard Deviation 40.0
32.5 minutes
Standard Deviation 23.4
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (Min)
Baseline REM
93.9 minutes
Standard Deviation 30.7
91.7 minutes
Standard Deviation 28.9
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (Min)
Post-Test REM
84.0 minutes
Standard Deviation 28.9
86.5 minutes
Standard Deviation 33.9
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (Min)
Baseline Stage 1
26.0 minutes
Standard Deviation 12.6
28.2 minutes
Standard Deviation 13.9
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (Min)
Post-Test Stage 3
27.1 minutes
Standard Deviation 30.2
23.4 minutes
Standard Deviation 27.4

SECONDARY outcome

Timeframe: Baseline (day 2 of study) and Post-treatment (approx day 17 of study)

Objective testing using in-lab polysomnography (PSG) is used to measure the effects of bright light on level of stress. Percentage of time in each sleep stage is reported. Stage 1 is when a person first falls asleep, normally lasts 1-7minutes. Body has not fully relaxed, though body and brain activities start to slow with periods of brief movements. Stage 2 the body enters a more subdued state including a drop in temperature, relaxed muscles and slowed breathing and heart rate. Stage 3 muscle tone, pulse and breathing rate decrease as body relaxes. REM brain activity picks up, body experiences atonia-a temporary paralysis of muscles except for eyes and muscles that control breathing. Usually takes 90 minutes to reach REM stage.

Outcome measures

Outcome measures
Measure
Arm 1: Bright Blue-green Light
n=15 Participants
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 Participants
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (%)
Baseline Stage 1
6.9 percentage of sleep time
Standard Deviation 4.0
7.4 percentage of sleep time
Standard Deviation 4.4
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (%)
Post-Test Stage 1
6.7 percentage of sleep time
Standard Deviation 2.9
6.3 percentage of sleep time
Standard Deviation 3.3
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (%)
Baseline Stage 2
60.6 percentage of sleep time
Standard Deviation 10.7
61.0 percentage of sleep time
Standard Deviation 7.7
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (%)
Baseline Stage 3
9.2 percentage of sleep time
Standard Deviation 9.0
8.5 percentage of sleep time
Standard Deviation 6.6
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (%)
Post-Test Stage 3
7.3 percentage of sleep time
Standard Deviation 7.5
6.4 percentage of sleep time
Standard Deviation 8.4
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (%)
Baseline REM
23.4 percentage of sleep time
Standard Deviation 5.4
23.2 percentage of sleep time
Standard Deviation 6.5
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (%)
Post-Test REM
21.2 percentage of sleep time
Standard Deviation 5.8
20.7 percentage of sleep time
Standard Deviation 6.9
Effects of Bright Light on Level of Stress as Measured by the PSG-sleep Stages (%)
Post-Test Stage 2
64.8 percentage of sleep time
Standard Deviation 7.7
66.7 percentage of sleep time
Standard Deviation 11.0

Adverse Events

Arm 1: Bright Blue-green Light

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Arm 2: Dim Red Light

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Arm 1: Bright Blue-green Light
n=15 participants at risk
* Bright blue-green light (\~515nm; 12,000 lux) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Bright blue-green light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Arm 2: Dim Red Light
n=15 participants at risk
-Dim red light (5 lux) (control group) for 30 minutes once a day. * For those who have scores of ≤41 (evening types) on Horne-Ostberg Morningness-Eveningness Questionnaire (MEQ), light will be delivered within 30 minutes of waking for 14 consecutive mornings. For those who receive scores of ≥59 (morning types), light will be delivered between 1900-2000 hours for 14 consecutive evenings. * Light therapy will be self-administered using a light visor cap * Each participant will make (3) overnight visits to the sleep laboratory * On 2 randomly selected days, the participants will wear a light meter during wake time Dim red light: -The cap visor-mounted device controls the distance of the light exposure, and positions the light source above eye level to target on the lower retina for better effect \*\*See study protocol for measurement details
Nervous system disorders
Headache
0.00%
0/15 • Baseline assessment through post-assessment (up to 3 weeks)
Self-reported symptoms following intervention
6.7%
1/15 • Number of events 1 • Baseline assessment through post-assessment (up to 3 weeks)
Self-reported symptoms following intervention

Additional Information

Dr. Horng-Shiuann Wu, Associate Professor

Michigan State University College of Nursing

Phone: 517-884-4643

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place