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Trial registered on ANZCTR
Registration number
ACTRN12609000719235
Ethics application status
Not yet submitted
Date submitted
19/08/2009
Date registered
21/08/2009
Date last updated
21/08/2009
Type of registration
Prospectively registered
Titles & IDs
Public title
The effects of interventional light exposure on sleep-wake cycles in a post-operative cardiac population.
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Scientific title
The effects of interventional light exposure on sleep-wake cycles in a post-operative cardiac population.
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Post-operative sleep patterns
243552
0
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Post-operative pain
243553
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Post-operative mood
243554
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Condition category
Condition code
Surgery
239855
239855
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0
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Other surgery
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Cardiovascular
239856
239856
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0
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Other cardiovascular diseases
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Other
239862
239862
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0
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Research that is not of generic health relevance and not applicable to specific health categories listed above
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients in the interventional group will be given light boxes emitting light of up to 10 000 lux to use for a set period of individually determined time of the morning throughout their hospital stay, both in the intensive care unit (ICU) and ward. This should increase their daily light exposure. During the night patients will be given eye masks to reduce night time light exposure.
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Intervention code [1]
241158
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Treatment: Devices
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Comparator / control treatment
The control groups will have standard hospital treament while being given similar light boxes that are modified to give out less than 10 lux while having a negligible effect on light exposure.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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core body temperature rhythm changes (as measured by ingestible temperature probes) - reduction in rhythm, phase shift, changes in amplitude
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Assessment method [1]
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Timepoint [1]
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at baseline (pre-operative, 1 week), post-operatively in hospital (1 week), post-operatively at home (1 week), at 12 weeks (1week)
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Primary outcome [2]
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changes in melatonin as measured by saliva and urine levels - reduction in rhythm, phase shift, changes in amplitude
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Assessment method [2]
240632
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Timepoint [2]
240632
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at baseline (pre-operative, 1 week), post-operatively in hospital (1 week), post-operatively at home (1 week), at 12 weeks (1week)
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Primary outcome [3]
240633
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mean beck depression score
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Assessment method [3]
240633
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Timepoint [3]
240633
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at baseline (pre-operative), post-operatively in hospital (1 week post-operatively), post-operatively at home (2 week post-operatively), at 13 weeks
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Primary outcome [4]
240634
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sleep-wake cycle patterns as measured by actigraphy
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Assessment method [4]
240634
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Timepoint [4]
240634
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at baseline (pre-operative, 1 week), post-operatively in hospital (1 week), post-operatively at home (1 week), at 12 weeks (1week)
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Secondary outcome [1]
257265
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Pain management in the hospital environment as measured by visual analogue scales
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Assessment method [1]
257265
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Timepoint [1]
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at baseline (pre-operative, 1 week wherever necessary), post-operatively in hospital (1 week, every 6 hours), post-operatively at home (1 week, every six hours), at 12 weeks (1week wherever necessary)
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Eligibility
Key inclusion criteria
Be scheduled for elective cardiac bypass surgery at Auckland City Hospital
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Scheduled for a re-do of a surgical procedure.
Scheduled for requiring magnetic resonance imaging (MRI) as the core body temperature emasuring equipment is incompatible.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/10/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
1959
0
New Zealand
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State/province [1]
1959
0
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Auckland
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Address [1]
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Department of Anaesthesiology
98 -100 Mountain Road
Epsom, Auckland.
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Country [1]
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New Zealand
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Primary sponsor type
Individual
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Name
Anisoara Jardim
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Address
Department of Anaesthesiology
98 -100 Mountain Road
Epsom, Auckland.
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Country
New Zealand
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Secondary sponsor category [1]
237000
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Individual
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Name [1]
237000
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Dr. Guy Warman
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Address [1]
237000
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Department of Anaesthesiology
98 -100 Mountain Road
Epsom, Auckland.
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Country [1]
237000
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New Zealand
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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Ethics committee address [1]
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Ethics committee country [1]
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Date submitted for ethics approval [1]
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19/08/2009
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Approval date [1]
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Ethics approval number [1]
243658
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Summary
Brief summary
Sleep is important for patient post-operative recovery. Following cardiac surgery, patients are often found to have disturbed sleep. If sleep quality or quantity is compromised there may be a consequent delay in post-operative recovery. The hospital environment has various characteristics which may cause sleep disruption: the lighting environment is thought to be weaker than a natural lighting environment, patients are in pain, they are regularly awoken for monitoring and the hospital is noisy . As a response to the lighting environment, the circadian clock controls the timing of various physiological processes, including sleep. Consequently, sleep-wake cycles are influenced by lighting and time of day. We will monitor activity-rest rhythms to determine whether the disrupted sleep commonly experienced by the post-operative patient is possibly due to circadian disruption, inadequate pain management or some other variable. We aim to establish whether the use of an interventional therapeutic light source can improve post-operative recovery. Hypothetically, if circadian disruption is the underlying cause of sleep disruption, correctly timed light exposure should consolidate sleep-wake cycle timing, improving sleep quantity and quality. This may also have positive secondary outcomes such as improved mood and decreased recovery time.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
30074
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Email
30074
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Contact person for public queries
Name
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Anisoara Jardim
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Address
13321
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Department of Anaesthesiology
98 -100 Mountain Road
Epsom, Auckland.
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Country
13321
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New Zealand
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Phone
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+64 21 705 562
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Anisoara Jardim
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Address
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Department of Anaesthesiology
98 -100 Mountain Road
Epsom, Auckland.
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Country
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New Zealand
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Phone
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+64 21 705 562
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Fax
4249
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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