Evidence map›Paper›PMID 34225698›Full record

Trial reportBMC neurology2021

Home-based light therapy for fatigue following acquired brain injury: a pilot randomized controlled trial.

Laura J Connolly, Shantha M W Rajaratnam, Jade M Murray, Gershon Spitz, Steven W Lockley, Jennie L Ponsford

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Laura J ConnollyMonash Epworth Rehabilitation Research Centre, Epworth Healthcare, Melbourne, Australia. laura.connolly@monash.edu.
Shantha M W RajaratnamTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Australia.
Jade M MurrayTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Australia.
Gershon SpitzMonash Epworth Rehabilitation Research Centre, Epworth Healthcare, Melbourne, Australia.
Steven W LockleyTurner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Australia.
Jennie L PonsfordMonash Epworth Rehabilitation Research Centre, Epworth Healthcare, Melbourne, Australia.
Epworth Hospital · AUMonash University · AUBrigham and Women's Hospital · US

Funding

National Health and Research Council APP1104692
6 · The paper itself

Abstract

BACKGROUND AND

objectivesFatigue and sleep disturbance are debilitating problems following brain injury and there are no established treatments. Building on demonstrated efficacy of blue light delivered via a lightbox in reducing fatigue and daytime sleepiness after TBI, this study evaluated the efficacy of a novel in-home light intervention in alleviating fatigue, sleep disturbance, daytime sleepiness and depressive symptoms, and in improving psychomotor vigilance and participation in daily productive activity, following injury

methodsThe impact of exposure to a dynamic light intervention (Treatment) was compared to usual lighting (Control) in a randomized within-subject, crossover trial. Outcomes were fatigue (primary outcome), daytime sleepiness, sleep disturbance, insomnia symptoms, psychomotor vigilance, mood and activity levels. Participants (N = 24, M ± SD

resultsRandom-effects mixed-model analysis showed no significantly greater change in fatigue on the Brief Fatigue Inventory during Treatment, but a medium effect size of improvement (p = .33, d = -0.42). There were significantly greater decreases in sleep disturbance (p = .004), insomnia symptoms (p = .036), reaction time (p = .004) and improvements in productive activity (p = .005) at end of Treatment relative to Control, with large effect sizes (d > 0.80). Changes in other outcomes were non-significant.

conclusionsThis pilot study provides preliminary support for in-home dynamic light therapy to address sleep-related symptoms in acquired brain injury.

trial registrationThis trial was registered with the Australian and New Zealand Clinical Trials Registry on 13 June 2017, www.anzctr.org.au , ACTRN12617000866303.

Indexed as

PhototherapyAdultAustraliaBrain InjuriesHumansMiddle AgedNew ZealandPilot ProjectsFatigueLight therapySleep disturbanceSleepinessStrokeTraumatic brain injury

Identifiers

PMID34225698
PMCPMC8256500
OpenAlexW3180479501

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.