Feasibility and Preliminary Efficacy of a Bright Light Intervention in Ovarian and Endometrial Cancer Survivors.
Study Goal
The researchers aimed to assess the feasibility and preliminary effects of bright light (BL) therapy on sleep in ovarian and endometrial cancer survivors, and explore underlying biologic and chronobiologic factors.
Results Summary
The study found that BL therapy showed trends toward improving nighttime awakenings, sleep quality, and depression compared to dim light (DL), with medium to large effect sizes, though improvements returned to baseline by 3-month follow-up.
Population
Ovarian and endometrial cancer survivors
Effective Dosage
45 minutes of BL or DL daily
Duration
4 weeks
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Bright light (BL) therapy | decrease | sleep disturbance | cancer and other populations | - | can improve | #1 |
Bright light (BL) therapy | decrease | symptom burden | cancer and other populations | - | can improve | #2 |
Bright light (BL) therapy | increase | health-related quality of life | cancer and other populations | - | can improve | #3 |
Bright light (BL) therapy | decrease | number of nighttime awakenings per actigraphy | ovarian or endometrial cancer survivors | - | trended toward improvements | #4 |
Bright light (BL) therapy | increase | sleep quality per self-report | ovarian or endometrial cancer survivors | - | trended toward improvements | #5 |
Bright light (BL) therapy | decrease | depression per self-report | ovarian or endometrial cancer survivors | - | trended toward improvements | #6 |
Bright light (BL) therapy | decrease | number of nighttime awakenings per actigraphy | ovarian or endometrial cancer survivors | - | improved from T1 to T2 before returning to baseline at T3 | #7 |
Bright light (BL) therapy | increase | sleep quality per self-report | ovarian or endometrial cancer survivors | - | improved from T1 to T2 before returning to baseline at T3 | #8 |
Bright light (BL) therapy | decrease | depression per self-report | ovarian or endometrial cancer survivors | - | improved from T1 to T2 before returning to baseline at T3 | #9 |
Bright light (BL) therapy | decrease | sleep disturbance | ovarian and endometrial cancer survivors | - | may be an effective, non-pharmacological approach to reduce | #10 |
Bright light (BL) therapy | decrease | symptom burden | ovarian and endometrial cancer survivors | - | may be an effective, non-pharmacological approach to reduce | #11 |
BACKGROUND: Cancer-related sleep disturbance is common and can adversely affect physical and mental health. Bright light (BL) therapy is a novel intervention that targets sleep by promoting circadian regulation. Emerging evidence suggests BL can improve sleep disturbance, symptom burden, and health-related quality of life in cancer and other populations; however, this research is limited. The present two-phase pilot study assessed the feasibility and preliminary intended effects of BL therapy on sleep in ovarian and endometrial cancer survivors, and explored biologic and chronobiologic factors that may underlie intervention effects. METHODS: In phase I, focus groups were conducted with 12 survivors and 9 gynecologic oncology clinicians to evaluate and gather feedback about the proposed study. In phase II, a pilot randomized controlled trial was conducted with 18 ovarian or endometrial cancer survivors who were randomized 1:1 to receive 45 min of BL or dim light (DL) for 4 weeks. Participants wore wrist actigraphs; completed sleep diaries and self-report questionnaires; and provided blood, saliva, and urine samples at baseline (T1), post-intervention (T2), and 3-month follow-up (T3). RESULTS: Study procedures were modified according to focus group results. Enrollment, retention, and adherence were all ≥ 80%. Mixed-model ANOVAs demonstrated that the number of nighttime awakenings per actigraphy, and sleep quality and depression per self-report, trended toward improvements in the BL condition compared to the DL condition. These variables improved from T1 to T2 before returning to baseline at T3. Effect sizes were generally medium to large. CONCLUSIONS: Study findings suggest that BL therapy is feasible among ovarian and endometrial cancer survivors. It may be an effective, non-pharmacological approach to reduce sleep disturbance and symptom burden in this population.