Exposing people with dementia to biodynamic light: The impact of biodynamic lighting on neuropsychiatric symptoms

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background:
The increase of neuropsychiatric symptoms in people with dementia count for 46% of the transit to more controlled environments. Medication to repress these symptoms is widely used, but the side effects are significant, and the effect at the start is not predictable. Research that aims at non-pharmacological interventions is important. One of the promising non-pharmacological interventions is lighting. In this study, the effectiveness of dynamic lighting, lighting with variable intensity and correlated color temperature, on neuropsychiatric symptoms in older people with dementia is studied.

Question:
It was hypothesized that the exposure to dynamic lighting would decrease the amount and/or the severity of the neuropsychiatric symptoms.

Methods:
A dynamic lighting innovation designed to stimulate a regular and healthy circadian rhythm was installed in the common area of a clinical setting. Two conditions of 21 days with and 21 days without exposure to dynamic lighting were monitored. After each condition, measures of presence, the severity of symptoms and emotional impact were collected using the Neuro Psychiatric Inventory-Questionnaire (NPI-Q).

Results:
Eighteen participants were included in the research and completed a condition with and without exposure to dynamic lighting. Per the respondent, the total index of severity of neuropsychiatric symptoms was lower after exposure. Also on a group level, a tendency (p=.187) was found for decreasing the total index of severity of the neuropsychiatric symptoms in the condition that received dynamiclighting. Significance was only found in the severity scores on the symptom disinhibited behavior (p=.01).

Conclusion:
A dynamic lighting intervention can be used to decrease the severity of neuropsychiatric symptoms, more specific disinhibited behavior. This is important because disinhibited behavior is related to a disturbed circadian rhythm, is distressing for caregivers and can accelerate the process leading to institutionalization. The findings in this study implicate the importance of future research on the possibilities of dynamic lighting in dementia.
Original languageEnglish
Pages (from-to)206-214
JournalGerontechnology
Volume18
Issue number4
DOIs
Publication statusPublished - 2020

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Lighting
Circadian Rhythm
Controlled Environment
Caregivers
Color
Innovation
Equipment and Supplies

Cite this

@article{22729ffd23db458a9f4c604ceba567b2,
title = "Exposing people with dementia to biodynamic light: The impact of biodynamic lighting on neuropsychiatric symptoms",
abstract = "Background: The increase of neuropsychiatric symptoms in people with dementia count for 46{\%} of the transit to more controlled environments. Medication to repress these symptoms is widely used, but the side effects are significant, and the effect at the start is not predictable. Research that aims at non-pharmacological interventions is important. One of the promising non-pharmacological interventions is lighting. In this study, the effectiveness of dynamic lighting, lighting with variable intensity and correlated color temperature, on neuropsychiatric symptoms in older people with dementia is studied. Question: It was hypothesized that the exposure to dynamic lighting would decrease the amount and/or the severity of the neuropsychiatric symptoms. Methods: A dynamic lighting innovation designed to stimulate a regular and healthy circadian rhythm was installed in the common area of a clinical setting. Two conditions of 21 days with and 21 days without exposure to dynamic lighting were monitored. After each condition, measures of presence, the severity of symptoms and emotional impact were collected using the Neuro Psychiatric Inventory-Questionnaire (NPI-Q). Results: Eighteen participants were included in the research and completed a condition with and without exposure to dynamic lighting. Per the respondent, the total index of severity of neuropsychiatric symptoms was lower after exposure. Also on a group level, a tendency (p=.187) was found for decreasing the total index of severity of the neuropsychiatric symptoms in the condition that received dynamiclighting. Significance was only found in the severity scores on the symptom disinhibited behavior (p=.01). Conclusion: A dynamic lighting intervention can be used to decrease the severity of neuropsychiatric symptoms, more specific disinhibited behavior. This is important because disinhibited behavior is related to a disturbed circadian rhythm, is distressing for caregivers and can accelerate the process leading to institutionalization. The findings in this study implicate the importance of future research on the possibilities of dynamic lighting in dementia.",
author = "{van Lieshout-van Dal}, E. and L.J.A.E. Snaphaan and N. Arkink and I.M.B. Bongers",
year = "2020",
doi = "10.4017/gt.2019.18.4.002.00",
language = "English",
volume = "18",
pages = "206--214",
journal = "Gerontechnology",
issn = "1569-1101",
publisher = "International Society for Gerontechnology",
number = "4",

}

Exposing people with dementia to biodynamic light : The impact of biodynamic lighting on neuropsychiatric symptoms. / van Lieshout-van Dal, E.; Snaphaan, L.J.A.E.; Arkink, N.; Bongers, I.M.B.

In: Gerontechnology, Vol. 18, No. 4, 2020, p. 206-214.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Exposing people with dementia to biodynamic light

T2 - The impact of biodynamic lighting on neuropsychiatric symptoms

AU - van Lieshout-van Dal, E.

AU - Snaphaan, L.J.A.E.

AU - Arkink, N.

AU - Bongers, I.M.B.

PY - 2020

Y1 - 2020

N2 - Background: The increase of neuropsychiatric symptoms in people with dementia count for 46% of the transit to more controlled environments. Medication to repress these symptoms is widely used, but the side effects are significant, and the effect at the start is not predictable. Research that aims at non-pharmacological interventions is important. One of the promising non-pharmacological interventions is lighting. In this study, the effectiveness of dynamic lighting, lighting with variable intensity and correlated color temperature, on neuropsychiatric symptoms in older people with dementia is studied. Question: It was hypothesized that the exposure to dynamic lighting would decrease the amount and/or the severity of the neuropsychiatric symptoms. Methods: A dynamic lighting innovation designed to stimulate a regular and healthy circadian rhythm was installed in the common area of a clinical setting. Two conditions of 21 days with and 21 days without exposure to dynamic lighting were monitored. After each condition, measures of presence, the severity of symptoms and emotional impact were collected using the Neuro Psychiatric Inventory-Questionnaire (NPI-Q). Results: Eighteen participants were included in the research and completed a condition with and without exposure to dynamic lighting. Per the respondent, the total index of severity of neuropsychiatric symptoms was lower after exposure. Also on a group level, a tendency (p=.187) was found for decreasing the total index of severity of the neuropsychiatric symptoms in the condition that received dynamiclighting. Significance was only found in the severity scores on the symptom disinhibited behavior (p=.01). Conclusion: A dynamic lighting intervention can be used to decrease the severity of neuropsychiatric symptoms, more specific disinhibited behavior. This is important because disinhibited behavior is related to a disturbed circadian rhythm, is distressing for caregivers and can accelerate the process leading to institutionalization. The findings in this study implicate the importance of future research on the possibilities of dynamic lighting in dementia.

AB - Background: The increase of neuropsychiatric symptoms in people with dementia count for 46% of the transit to more controlled environments. Medication to repress these symptoms is widely used, but the side effects are significant, and the effect at the start is not predictable. Research that aims at non-pharmacological interventions is important. One of the promising non-pharmacological interventions is lighting. In this study, the effectiveness of dynamic lighting, lighting with variable intensity and correlated color temperature, on neuropsychiatric symptoms in older people with dementia is studied. Question: It was hypothesized that the exposure to dynamic lighting would decrease the amount and/or the severity of the neuropsychiatric symptoms. Methods: A dynamic lighting innovation designed to stimulate a regular and healthy circadian rhythm was installed in the common area of a clinical setting. Two conditions of 21 days with and 21 days without exposure to dynamic lighting were monitored. After each condition, measures of presence, the severity of symptoms and emotional impact were collected using the Neuro Psychiatric Inventory-Questionnaire (NPI-Q). Results: Eighteen participants were included in the research and completed a condition with and without exposure to dynamic lighting. Per the respondent, the total index of severity of neuropsychiatric symptoms was lower after exposure. Also on a group level, a tendency (p=.187) was found for decreasing the total index of severity of the neuropsychiatric symptoms in the condition that received dynamiclighting. Significance was only found in the severity scores on the symptom disinhibited behavior (p=.01). Conclusion: A dynamic lighting intervention can be used to decrease the severity of neuropsychiatric symptoms, more specific disinhibited behavior. This is important because disinhibited behavior is related to a disturbed circadian rhythm, is distressing for caregivers and can accelerate the process leading to institutionalization. The findings in this study implicate the importance of future research on the possibilities of dynamic lighting in dementia.

U2 - 10.4017/gt.2019.18.4.002.00

DO - 10.4017/gt.2019.18.4.002.00

M3 - Article

VL - 18

SP - 206

EP - 214

JO - Gerontechnology

JF - Gerontechnology

SN - 1569-1101

IS - 4

ER -