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Implementing a Lighting Intervention in Public Areas of Long-term Care Facilities: Lessons Learned

SLOANE, PHILIP D. MD, MPH; NOELL-WAGGONER, EUNICE BS; HICKMAN, SUSAN PHD; MITCHELL, C. MADELINE MURP; WILLIAMS, CHRISTIANNA S. PHD; PREISSER, JOHN S. PHD; BARRICK, ANN LOUISE PHD; ZIMMERMAN, SHERYL PHD; BRAWLEY, ELIZABETH FIIDA, AAHID

FEATURE TOPIC: ENVIRONMENTAL INNOVATIONS IN CARE
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Research suggests that high-intensity light, similar to that provided by natural daylight, may have therapeutic effects on sleep, mood, and behavior in persons with dementia. To determine the impact of high-intensity, low-glare, ambient light on residents and staff, dementia care units at 2 sites were renovated. The effects of different patterns of lighting on residents and staff were compared with those of industry standard lighting. Side effects were minimal and the changes were generally well received. Recommendations are provided for facilities interested in increasing lighting levels to enhance resident quality of life.

Philip D. Sloane, MD, MPH, is Professor, Department of Family Medicine, and Codirector, Program on Aging, Disability and Long-Term Care, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill.

Eunice Noell-Waggoner, BS, is Interior Architecture, Lighting Certified, Center of Design for an Aging Society, Portland, Oregon.

Susan Hickman, PhD, is Assistant Professor, School of Nursing, Oregon Health & Science University, Portland.

C. Madeline Mitchell, MURP, is Research Associate, Program on Aging, Disability and Long-Term Care, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill.

Christianna S. Williams, PhD, is Research Associate, Program on Aging, Disability and Long-Term Care, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill.

John S. Preisser, PhD, is Associate Professor, Biostatistics, School of Public Health, University of North Carolina at Chapel Hill.

Ann Louise Barrick, PhD, is Professor of Psychology, University of North Carolina at Chapel Hill.

Sheryl Zimmerman, PhD, is Professor of Social Work and Codirector, Program on Aging, Disability and Long-Term Care, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill.

Elizabeth Brawley, FIIDA, AAHID, is Environmental Designer and Consultant, Design Concepts Unlimited, Sausalito, California.

Address correspondence to: Philip Sloane, MD, MPH, Department of Family Medicine and Program on Aging, Disability and Long-Term Care, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, NC 27599. E-mail: psloane@med.unc.edu.

Supported by grant R01-AT00212, and R01-AT00212-AS from the National Center for Complementary and Alternative Medicine, and grant K02 AG00970 from the National Institute on Aging. The authors thank the following individuals, who provided valuable assistance in project implementation: Stephen Bruno, Linda Bullock, Nancy Chapman, Chih-Ju Chen, Lauren Cohen, Vicki Cothran, Donna Dawson, Jennifer Edimon, Michelle Henninger Forest, Jose Garcia, Cathy Gordon, Al Judd, Dot Justice, Vernice McClure, Robena Meek, Connie Mullins, Stephen Oxley, Kristen Swafford, and Lea Winslow. In addition, we acknowledge the following individuals and organizations, who provided professional, financial, or in-kind assistance to the project: Advance Transformer Company; Better Bricks Daylighting Laboratories; Cascade Lighting; Center of Design for an Aging Society; Collins & Aikman; C. F. Stinson; DeaMor; Encompass Lighting Technology; Energy Trust of Oregon, Inc; General Electric Lighting; Interface Engineering; Johnson Air Products; Kalwall; Lighting Design Laboratory; Lithonia Lighting; LRS Architects; Lutron; MechoShade Systems; Northwest Energy Efficiency Alliance; Ocean Optics; Oregon Department of Energy; Pacific Coast Air Balancing; Platt Electric; Seabold Construction; and SPI Lighting.

©2005Lippincott Williams & Wilkins, Inc.