Series of virtual light therapy interventions for fatigue: a feasibility pilot study protocol for a series of personalised (N-of-1) trials

Introduction Fatigue is one of the most commonly recorded patient symptoms that can result in deficits in aspects of psychomotor functioning, cognition, work performance and mood. Research shows that bright light and dim light therapy may be an efficacious way to reduce symptoms of fatigue. Still, t...

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Main Authors: Mark Butler, Karina W Davidson, Ying Kuen Cheung, Thevaa Chandereng, Stefani D'Angelo, Courtney Lewis, Danielle Miller, Alexandra Perrin, Jerry Suls
Format: Article
Language:English
Published: BMJ Publishing Group 2022-10-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/10/e055518.full
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author Mark Butler
Karina W Davidson
Ying Kuen Cheung
Thevaa Chandereng
Stefani D'Angelo
Courtney Lewis
Danielle Miller
Alexandra Perrin
Jerry Suls
author_facet Mark Butler
Karina W Davidson
Ying Kuen Cheung
Thevaa Chandereng
Stefani D'Angelo
Courtney Lewis
Danielle Miller
Alexandra Perrin
Jerry Suls
author_sort Mark Butler
collection DOAJ
description Introduction Fatigue is one of the most commonly recorded patient symptoms that can result in deficits in aspects of psychomotor functioning, cognition, work performance and mood. Research shows that bright light and dim light therapy may be an efficacious way to reduce symptoms of fatigue. Still, the feasibility, scalability, individual treatment effects and adverse event heterogeneity of these treatments are unknown.Methods and analysis The current study evaluates the feasibility, acceptability and effectiveness of a series of personalised (N-of-1) interventions for virtual delivery of bright light therapy and dim light therapy versus usual care treatment for fatigue in 60 participants. We hypothesise that this study will provide valuable information about implementing virtual, N-of-1 randomised controlled trials (RCTs) for fatigue. It will also offer results about determining participants’ ratings of usability and satisfaction with the virtual, personalised intervention delivery system; evaluating participants’ improvement of fatigue symptoms; and, in the long term, identify ways to integrate N-of-1 light therapy trials into patient care.Ethics and dissemination This trial was approved by the Northwell Health Institutional Review Board. The trial results will be published in a peer-reviewed journal. All publications resulting from this series of personalised trials will follow the Consolidated Standards of Reporting Trials extension for N-of-1 trials CENT 2015 reporting guidelines.Registration details This trial is registered in www.ClinicalTrials.gov (number NCT04707846).Trial registration number NCT04707846.
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spelling doaj.art-0e8c991a96fa4a099b1bc0c01f8bce352022-12-22T04:34:39ZengBMJ Publishing GroupBMJ Open2044-60552022-10-01121010.1136/bmjopen-2021-055518Series of virtual light therapy interventions for fatigue: a feasibility pilot study protocol for a series of personalised (N-of-1) trialsMark Butler0Karina W Davidson1Ying Kuen Cheung2Thevaa Chandereng3Stefani D'Angelo4Courtney Lewis5Danielle Miller6Alexandra Perrin7Jerry Suls8Institute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USAInstitute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USAMailman School of Public Health, Columbia University, New York, New York, USAMailman School of Public Health, Columbia University, New York, New York, USAInstitute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USAInstitute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USAInstitute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USAInstitute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USAInstitute of Health System Science, Feinstein Institutes for Medical Research, Northwell Health, Manhasset, New York, USAIntroduction Fatigue is one of the most commonly recorded patient symptoms that can result in deficits in aspects of psychomotor functioning, cognition, work performance and mood. Research shows that bright light and dim light therapy may be an efficacious way to reduce symptoms of fatigue. Still, the feasibility, scalability, individual treatment effects and adverse event heterogeneity of these treatments are unknown.Methods and analysis The current study evaluates the feasibility, acceptability and effectiveness of a series of personalised (N-of-1) interventions for virtual delivery of bright light therapy and dim light therapy versus usual care treatment for fatigue in 60 participants. We hypothesise that this study will provide valuable information about implementing virtual, N-of-1 randomised controlled trials (RCTs) for fatigue. It will also offer results about determining participants’ ratings of usability and satisfaction with the virtual, personalised intervention delivery system; evaluating participants’ improvement of fatigue symptoms; and, in the long term, identify ways to integrate N-of-1 light therapy trials into patient care.Ethics and dissemination This trial was approved by the Northwell Health Institutional Review Board. The trial results will be published in a peer-reviewed journal. All publications resulting from this series of personalised trials will follow the Consolidated Standards of Reporting Trials extension for N-of-1 trials CENT 2015 reporting guidelines.Registration details This trial is registered in www.ClinicalTrials.gov (number NCT04707846).Trial registration number NCT04707846.https://bmjopen.bmj.com/content/12/10/e055518.full
spellingShingle Mark Butler
Karina W Davidson
Ying Kuen Cheung
Thevaa Chandereng
Stefani D'Angelo
Courtney Lewis
Danielle Miller
Alexandra Perrin
Jerry Suls
Series of virtual light therapy interventions for fatigue: a feasibility pilot study protocol for a series of personalised (N-of-1) trials
BMJ Open
title Series of virtual light therapy interventions for fatigue: a feasibility pilot study protocol for a series of personalised (N-of-1) trials
title_full Series of virtual light therapy interventions for fatigue: a feasibility pilot study protocol for a series of personalised (N-of-1) trials
title_fullStr Series of virtual light therapy interventions for fatigue: a feasibility pilot study protocol for a series of personalised (N-of-1) trials
title_full_unstemmed Series of virtual light therapy interventions for fatigue: a feasibility pilot study protocol for a series of personalised (N-of-1) trials
title_short Series of virtual light therapy interventions for fatigue: a feasibility pilot study protocol for a series of personalised (N-of-1) trials
title_sort series of virtual light therapy interventions for fatigue a feasibility pilot study protocol for a series of personalised n of 1 trials
url https://bmjopen.bmj.com/content/12/10/e055518.full
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