| 1. |
- Aarts, Mariëlle P. J., et al.
(författare)
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Dynamic lighting systems in psychogeriatric care facilities in the Netherlands : A quantitative and qualitative analysis of stakeholders’ responses and applied technology
- 2015
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Ingår i: Indoor + Built Environment. - 1420-326X .- 1423-0070. ; 24:5, s. 617-630
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Tidskriftsartikel (refereegranskat)abstract
- Long-term care facilities are currently installing dynamic lighting systems with the aim to improve the well-being and behaviour of residents with dementia. The aim of this study was to investigate the implementation of dynamic lighting systems from the perspective of stakeholders and the performance of the technology. Therefore, a questionnaire survey was conducted with the management and care professionals of six care facilities. Moreover, light measurements were conducted in order to describe the exposure of residents to lighting. The results showed that the main reason for purchasing dynamic lighting systems lied in the assumption that the well-being and day/night rhythmicity of residents could be improved. The majority of care professionals were not aware of the reasons why dynamic lighting systems were installed. Despite positive subjective ratings of the dynamic lighting systems, no data were collected by the organizations to evaluate the effectiveness of the lighting. Although the care professionals stated that they did not see any large positive effects of the dynamic lighting systems on the residents and their own work situation, the majority appreciated the dynamic lighting systems more than the old situation. The light values measured in the care facilities did not exceed the minimum threshold values reported in the literature. Therefore, it seems illogical that the dynamic lighting systems installed in the researched care facilities will have any positive health effects.
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| 2. |
- Aarts, Mariëlle P.J., et al.
(författare)
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Performance of personally worn dosimeters to study non-image forming effects of light : Assessment methods
- 2017
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Ingår i: Building and Environment. - : Elsevier. - 0360-1323 .- 1873-684X. ; 117, s. 60-72
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Tidskriftsartikel (refereegranskat)abstract
- When determining the effects of light on human beings, it is essential to correctly measure the effects, and to correctly measure the adequate properties of light. Therefore, it is important to know what is being measured and know the quality of the measurement devices. This paper describes simple methods for identifying three quality indices; the directional response index, the linearity index and the temperature index. These indices are also checked for several commonly used portable light measurement devices. The results stresses what was already assumed, the quality and the outcome of these devices under different circumstances were very different. Also, the location were these devices are normally worn has an impact on the results. The deviation range between worn vertically at eye level and the wrist is between 11% (outdoor) to 27% (indoor). The smallest deviation, both in indoor and outdoor, was found when the device was placed on the sides of the eye (7%).
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| 3. |
- Aarts, Mariëlle P. J., et al.
(författare)
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Shedding a light on phototherapy studies with people having dementia : A critical review of the methodology from a light perspective
- 2016
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Ingår i: American Journal of Alzheimer’s Disease and Other Dementia. - : Sage Publications. - 1533-3175 .- 1938-2731. ; 31:7, s. 551-563
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Tidskriftsartikel (refereegranskat)abstract
- Light therapy is applied to older people with dementia as a treatment to reset the biological clock, to improve the cognitive functioning, and to reduce behavioral symptoms. Although the methodological quality of light therapy studies is essential, many aspects concerning the description of the lighting applied are missing. This study reviewed light therapy studies concerning the effects on people with dementia as a way to check the methodological quality of the description of light from a light engineering perspective. Twelve studies meeting the inclusion criteria were chosen for further analysis. Each study was scored on a list of aspects relevant to a proper description of lighting aspects. The overview demonstrates that the overall quality of the methodologies is poor. The studies describe the lighting insufficiently and not in the correct metrics. The robustness of light therapy studies can be improved by involving a light engineer or specialist.
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| 4. |
- Aries, Myriam, et al.
(författare)
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Daylight and health : A review of the evidence and consequences for the built environment
- 2015
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Ingår i: Lighting Research and Technology. - : SAGE Publications. - 1477-1535 .- 1477-0938. ; 47:1, s. 16-27
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Tidskriftsartikel (refereegranskat)abstract
- Daylight has been associated with multiple health advantages. Some of these claims are associations, hypotheses or beliefs. This review presents an overview of a scientific literature search on the proven effects of daylight exposure on human health. Studies were identified with a search strategy across two main databases. Additionally, a search was performed based on specific health effects. The results are diverse and either physiological or psychological. A rather limited statistically significant and well-documented scientific proof for the association between daylight and its potential health consequences was found. However, the search based on specific health terms made it possible to create a first subdivision of associations with daylight, leading to the first practical implementations for building design.
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| 5. |
- van Duijnhoven, Juliette, et al.
(författare)
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Recommendations for measuring non-image-forming effects of light : A practical method to apply on cognitive impaired and unaffected participants
- 2017
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Ingår i: Technology and Health Care. - : IOS Press. - 0928-7329 .- 1878-7401. ; 25:2, s. 171-186
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The non-image-forming effects of luminous radiation on people with intellectual disabilities or dementia received attention from researchers. Such studies, however, have generally been conducted using disparate methodologies which precludes generalization and reproducibility.OBJECTIVE: The aim of this study was to determine the practical applicability of measurement devices for studies investigating non-image-forming effects of luminous radiation, specifically for people with intellectual disabilities or dementia.METHODS: In three experiments, ten cognitive impaired people and thirty-nine unaffected subjects participated by wearing one or more portable devices. Six devices were assessed in total. Measurement data was accompanied with user experiences obtained from questionnaires, interviews and observations in order to assess the devices on practical and comfort issues.RESULTS: On average, the devices worn by the cognitive impaired subjects were not experienced as annoying or irritating. No significant differences are found between genders and for one of the portable devices significantly less annoyance was reported by the cognitive impaired participants compared to the unaffected group of participants.INNOVATIVE SOLUTION: The three phases of the research process in towards measuring personal luminous exposures are: selection of the most suitable portable device, application of the assessment method, and the application of the device in the (pilot) study.CONCLUSIONS: However, the findings of this study suggest that inaccuracies potentially caused by practical and comfort issues associated with the portable devices need to be considered.
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| 6. |
- Van Hoof, Joost, et al.
(författare)
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Light therapy in smart healthcare facilities for older adults : An overview
- 2015
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Ingår i: Recent advances in ambient intelligence and context-aware computing. - Hersey, PA : IGI Global. - 9781466672857 - 1466672846 - 9781466672840 ; , s. 300-307
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Light therapy is applied as treatment for a variety of problems related to health and ageing, including dementia. Light therapy is administered via light boxes, light showers, and ambient bright light using ceiling-mounted luminaires. Long-term care facilities are currently installing dynamic lighting systems with the aim to improve the well-being of residents with dementia and to decrease behavioural symptoms. The aim of this chapter is to provide an overview of the application of ceiling-mounted dynamic lighting systems as a part of intelligent home automation systems found in healthcare facilities. Examples of such systems are provided and their implementation in practice is discussed. The available, though limited, knowledge has not yet been converted into widespread implementable lighting solutions, and the solutions available are often technologically unsophisticated and poorly evaluated from the perspective of end-users. New validated approaches to the design and application of ambient bright light are needed.
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