Evidence map›Paper›PMID 31370871›Full record

ArticleTrials2019

A pragmatic effectiveness randomized controlled trial of the duration of psychiatric hospitalization in a trans-diagnostic sample of patients with acute mental illness admitted to a ward with either blue-depleted evening lighting or normal lighting conditions.

Jan Scott, Knut Langsrud, Daniel Vethe, Kaia Kjørstad, Cecilie L Vestergaard, Patrick Faaland, Stian Lydersen, Arne Vaaler, Gunnar Morken, Terje Torgersen and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03788993 (A Pragmatic Effectiveness Randomized Controlled Trial of Duration of Psychiatric Hospitalization in a Trans-diagnostic Sample of Patients With Acute Mental Illness Admitted to a Ward With Either Blue Depleted Evening Lighting or Normal Lighting Conditions.), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 41% 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.

NCT03788993 nacompletednot on this map

A Pragmatic Effectiveness Randomized Controlled Trial of Duration of Psychiatric Hospitalization in a Trans-diagnostic Sample of Patients With Acute Mental Illness Admitted to a Ward With Either Blue Depleted Evening Lighting or Normal Lighting Conditions.

TypeinterventionalSponsorSt. Olavs HospitalRan2018 to 2021Enrolled475ConditionsMental DisorderArmsBlue-depleted evening light condition, Normal light condition
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
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  3. Article
  4. 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

11 authors at 2 institutions in 2 countries.

Jan ScottDepartment of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
Knut LangsrudDepartment of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
Daniel VetheDepartment of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
Kaia KjørstadDepartment of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
Cecilie L VestergaardDepartment of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
Patrick FaalandDepartment of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
Stian LydersenDepartment of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
Arne VaalerDivision of Mental Health Care, St. Olavs University Hospital, Trondheim, Norway.
Gunnar MorkenDepartment of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.
Terje TorgersenDivision of Mental Health Care, St. Olavs University Hospital, Trondheim, Norway.
Håvard KallestadDepartment of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway. havard.kallestad@ntnu.no.ORCID http://orcid.org/0000-0002-9173-942X
Norwegian University of Science and Technology · NOSt Olav's University Hospital · NO

Funding

Norges Teknisk-Naturvitenskapelige Universitet (NO) 81850077Norges Teknisk-Naturvitenskapelige Universitet (NO) 81850104St. Olavs Hospital Universitetssykehuset i Trondheim (NO) 17/10533-134St. Olavs Hospital Universitetssykehuset i Trondheim (NO) 18/10647-110
6 · The paper itself

Abstract

backgroundThere is increasing recognition of the need to stabilize sleep-wake cycles in individuals with major mental disorders. As such, clinicians and researchers advocate the use of interventions targeted at sleep and circadian dysrhythmias as an adjunct to the standard treatments offered for acute illness episodes of a broad range of diagnoses. To determine the trans-diagnostic generalizability of chronotherapy, we explore the benefits of admitting individuals with an acute illness episode to a psychiatric inpatient unit where changes in light exposure are integrated into the therapeutic environment. METHODS/

designA two-arm, pragmatic effectiveness, randomized controlled treatment trial, where individuals admitted for acute inpatient psychiatric care will be allocated to a ward with blue-depleted evening light or to a ward with the same layout and facilities but lacking the new lighting technology. The trial will test whether the experimental lighting conditions offer any additional benefits beyond those associated with usual treatment in an acute psychiatric inpatient unit. The main objectives are to examine any differences between groups in the mean duration of hospitalization in days. Additional analyses will compare group differences in symptoms, functioning, medication usage, and side effects and whether length of stay is associated with stability of sleep-wake cycles and circadian rhythms. Ancillary investigations should determine any benefits according to diagnostic subgroups and potential drawbacks such as any adverse effects on the well-being of professionals working across both wards. DISCUSSION: This unit offers a unique opportunity to explore how exposure to different lighting conditions may modify sleep-wake cycles and how any changes in sleep-wake cycle may impact on the clinical and functional outcomes of individuals experiencing an acute episode of a severe mental disorder that requires inpatient care. The findings could influence the future design of hospital units offering care to patients with mental or physical disorders.

trial registrationClinicalTrials.gov, ID: NCT03788993 . Retrospectively registered on 28 December 2018.

Indexed as

ChronotherapyColor TherapyLightingPatients' RoomsSleepAcute DiseaseHumansMental DisordersNorwayPatient AdmissionPragmatic Clinical Trials as TopicTime FactorsTreatment OutcomeAcute treatmentAdmissionBlue-depleted lightChronotherapyCircadian rhythmsInpatientLightMental disordersSleep

Identifiers

PMID31370871
PMCPMC6676579
OpenAlexW2964588886

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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 OpenQuestion graph.