About this trial
Participants will randomly be placed into one of four groups and experience one of the four following conditions: (1) a placebo light that provides a 40 hertz (Hz) flicker (rhythmic light \[RL\]); (2) a placebo light with a random flicker (placebo condition for rhythmic light); (3) a light source that will stimulate the circadian system and provides a 40 Hz flicker (RL); or (4) a light source that will stimulate the circadian system and provides a random flicker (placebo condition for rhythmic light). Following a baseline week, participants will experience his/her assigned lighting condition for two hours in the morning for 8 weeks. After a 4-week washout period, a final round of assessments will be obtained. Study assessments (except for the Pittsburgh Sleep Quality Index and Montreal Cognitive Assessment) will be collected at the end of each week, for a total of 8 assessments.
Eligibility criteria
Qualifiers
Participants must be diagnosed with mild cognitive impairment or mild Alzheimer's disease, as defined by a Montreal Cognitive Assessment score between 17 and 25;
Have sleep disturbance indicated by a score >5 on the Pittsburgh Sleep Quality Index
Participants must reside in their homes, independent living, or assisted living facilities
Disqualifiers
Participants taking sleep medication
Residence in a skilled nursing facility or long-term care
Obstructing cataracts, macular degeneration, and blindness
Severe sleep apnea or restless leg syndrome
Trial design
Treatments tested in this trial
- Circadian-Effective Light
- Rhythmic Light
- Placebo Light
- Placebo Rhythmic Light