- E-postElisabeth.Flo@uib.no
- Telefon+47 55 58 88 85
- BesøksadresseChristies gate 125015 BergenRom332
- PostadressePostboks 78075020 Bergen
Elisabeth Flo-Groeneboom er psykolog og professor ved Institutt for klinisk psykologi, Det psykologiske fakultet, Universitetet i Bergen (UiB), og leder for Human Light Lab og “Bergen Research group for Innovation, Growth, Health and Technology” (BRIGHT). Etter hun tok doktorgrad innen søvnmedisin jobbet Flo-Groeneboom ved Senter for alders- og sykehjemsmedisin ved Det medisinske fakultet, UiB.
I dag forsker hun på og underviser om ikke-farmakologiske intervensjoner, søvn og døgnrytmer, psykiske helseutfordringer gjennom livet, og funksjon hos eldre og personer med demens.
Aktuell forskning har et klinisk anvendt fokus, med en bredde fra eksperimenter i lyslaboratoriet til implementering av komplekse intervensjoner i Randomiserte kontrollerte studier (RCT).
Vitenskapelig artikkel
- (2021). The longitudinal association between the use of antihypertensive medications and 24-hour sleep in nursing homes: results from the randomized controlled COSMOS trial. BMC Geriatrics. 9 sider.
- (2021). The effects of bright light treatment on affective symptoms in people with dementia: a 24-week cluster randomized controlled trial. BMC Psychiatry. 15 sider.
- (2021). The effect of bright light treatment on rest–activity rhythms in people with dementia: A 24 week cluster randomized controlled trial. Clocks & Sleep. 449-464.
- (2021). Sleep and its association with pain and depression in nursing home patients with advanced dementia -a cross-sectional study. Frontiers in Psychology.
- (2021). Managing Pain and Psychosis Symptoms in Nursing Home Patients: Results from a Cluster-Randomized Controlled Trial (COSMOS). Journal of the American Medical Directors Association. 1692-1698.
- (2021). Insufficient melanopic equivalent daylight illuminance in nursing home dementia units across seasons and gaze directions. Lighting Research and Technology. 14 sider.
- (2021). Ambient bright light treatment improved proxy-rated sleep but not sleep measured by actigraphy in nursing home patients with dementia: a placebo-controlled randomised trial. BMC Geriatrics. 15 sider.
- (2020). New knowledge on the impact of sleep disturbances illustrates the urgent need to address sleep problems in nursing home residents. International Psychogeriatrics.
- (2020). General practitioners' provision of end-of-life care and associations with dying at home: a registry-based longitudinal study. Family Practice. 340-347.
- (2020). An Actigraphy-Based Validation Study of the Sleep Disorder Inventory in the Nursing Home. Frontiers in Psychiatry. 1-13.
- (2019). The effect of a multicomponent intervention on quality of Life in residents of nursing homes: A randomized controlled trial (COSMOS). Journal of the American Medical Directors Association. 330-339.
- (2019). Psychosis symptoms in nursing home residents with and without dementia?Cross-sectional analyses from the COSMOS study. International Journal of Geriatric Psychiatry. 683-691.
- (2019). Implementing a novel strategy for interprofessional medication review using collegial mentoring and systematic clinical evaluation in nursing homes (COSMOS). BMC Geriatrics. 1-11.
- (2019). Associations between home deaths and end-of-life nursing care trajectories for community-dwelling people: a population-based registry study. BMC Health Services Research. 1-9.
- (2018). Tolerability of buprenorphine transdermal system in nursing home patients with advanced dementia: a randomized, placebo-controlled trial (DEP.PAIN.DEM). Clinical Interventions in Aging. 935-946.
- (2018). Long-term pain treatment did not improve sleep in nursing home patients with comorbid dementia and depression: A 13-week randomized placebo-controlled trial. Frontiers in Psychology. 1-10.
- (2018). Efficacy and Safety of Analgesic Treatment for Depression in People with Advanced Dementia: Randomised, Multicentre, Double-Blind, Placebo-Controlled Trial (DEP.PAIN.DEM). Drugs & Aging. 545-558.
- (2018). Effects of pain treatment on sleep in nursing home patients with dementia and depression: A multicenter placebo-controlled randomized clinical trial. International Journal of Geriatric Psychiatry. 663-670.
- (2018). Description of an advance care planning intervention in nursing homes: Outcomes of the process evaluation. BMC Geriatrics. 1-11.
- (2018). Deprescribing antihypertensive treatment in nursing home patients and the effect on blood pressure. Journal of Geriatric Cardiology. 275-283.
- (2018). Comparing unplanned and potentially planned home deaths: a population-based cross-sectional study. BMC Palliative Care. 1-11.
- (2018). Advance Care Planning in Nursing Homes–Improving the Communication Among Patient, Family, and Staff: Results From a Cluster Randomized Controlled Trial (COSMOS). Frontiers in Psychology. 1-10.
- (2017). High prevalence of insomnia and hypnotic use in patients visiting their general practitioner. Family Practice. 20-24.
- (2017). Clinically significant discrepancies between sleep problems assessed by standard clinical tools and actigraphy. BMC Geriatrics. 1-8.
- (2017). Associations between pain and depression in nursing home patients at different stages of dementia. Journal of Affective Disorders. 8-14.
- (2016). The interactive relationship between pain, psychosis, and agitation in people with dementia: results from a cluster-randomised clinical trial. Behavioural Neurology. 1-8.
- (2016). Staff distress improves by treating pain in nursing home patients with dementia: results from a cluster-randomized controlled trial. Journal of Pain and Symptom Management. 795-805.
- (2016). Multi-psychotropic drug prescription and the association to neuropsychiatric symptoms in three Norwegian nursing home cohorts between 2004 and 2011. BMC Geriatrics. 9 sider.
- (2016). Identifying and managing pain in people with Alzheimer’s Disease and other types of dementia: a aystematic review. CNS Drugs. 481-497.
- (2016). A review of the implementation and research strategies of advance care planning in nursing homes. BMC Geriatrics.
- (2015). Treating pain in dementia - are we good enough? Journal of Pain & Palliative Care Pharmacotherapy. 303-304.
- (2015). Lindrende behandling og omsorg ved livets slutt hos personer med demens. Omsorg: Nordisk tidsskrift for Palliativ Medisin. 84-89.
- (2015). COSMOS-improving the quality of life in nursing home patients: Protocol for an effectiveness-implementation cluster randomized clinical hybrid trial. Implementation Science.
- (2014). The importance of pain management in older people with dementia. British Medical Bulletin. 139-148.
- (2014). Short rest periods between work shifts predict sleep and health problems in nurses at 1-year follow-up. Occupational and Environmental Medicine. 555-561.
- (2014). Prevalence and predictors of recovery from chronic fatigue syndrome in a routine clinical practice. Behaviour Research and Therapy. 1-8.
- (2014). Predictors of shift work disorder among nurses: a longitudinal study. Sleep Medicine. 1449-1455.
- (2014). Effective pain management in patients with dementia: benefits beyond pain? Drugs & Aging. 863-871.
- (2013). Shift-related sleep problems vary according to work schedule. Occupational and Environmental Medicine. 238-245.
- (2013). Personality factors predict sleep-related shift work tolerance in different shifts at 2-year follow-up: a prospective study. BMJ Open.
- (2013). Insomnia, excessive sleepiness, excessive fatigue, anxiety, depression and shift work disorder in nurses having less than 11 hours in-between shifts. PLOS ONE.
- (2012). Shift work disorder in nurses - assessment, prevalence and related health problems. PLOS ONE. 9 sider.
- (2012). A reliability and validity study of the Bergen shift work sleep questionnaire in nurses working three-shift rotations. Chronobiology International. 937-946.
- (2011). Transient changes in frontal alpha asymmetry as a measure of emotional and physical distress during sleep. Brain Research. 234-249.
Faglig foredrag
- (2022). Lys som behandling og miljøtiltak: erfaringer fra dem.light, en randomisert kontrollert studie i sykehjem.
- (2014). Søvn og smerter blant pasienter med demens.
Populærvitenskapelig foredrag
- (2015). The effect of pain and pain treatment on agitation and psychosis in nursing home patients suffering from dementia.
Vitenskapelig foredrag
- (2022). Light to make you sleep better or feel better? Experiences from a randomized controlled trial in nursing home patients with severe dementia.
- (2019). DEM.LIGHT: Lysterapirom for betra søvn, døgnrytme, åtferd og humør hos sjukeheimspasientar med demens.
- (2018). Placebo conditions and blinding in bright light therapy studies on dementia: A systematic review.
- (2018). Few planned home deaths in Norway. A population-based cross-sectional study. (Oral session O6.2.1).
- (2017). Effects of pain treatment on sleep in People With dementia and depression: a placebo-controlled randomised clinical trial.
- (2015). Pain and sleep in persons with dementia.
- (2013). Short rest periods of less than 11 hours between work shifts predict sleep and health problems in nurses at one year follow-up.
- (2013). Shift-rotations with less than 11 hours rest periods predict shift work disorder, excessive sleepiness and pathological fatigue in nurses at one year follow-up.
- (2011). Shift work disorder in nurses.
- (2011). Shift work disorder - operationalization, prevalence and related health outcome in nurses.
Fagbok
- (2019). Eldreboken: Diagnoser og behandling. Fagbokforlaget.
Populærvitenskapelig artikkel
- (2013). Ulik forekomst av søvnlidelser mellom fylker og mellom by og land. SØVN. 22-25.
- (2011). Nattarbeid gir helseproblemer. Sykepleien Forskning. 70-72.
Kronikk
- (2015). Kan jeg få dø hjemme? BT.
- (2014). Døden flyttet inn på institusjon. Vårt land.
Doktorgradsavhandling
- (2019). Sleep in Nursing Home Patients: Clinical Assessment and the Effects of Pain Treatment on Sleep.
- (2013). Sleep and Health in Shift Working Nurses.
Intervju
- (2022). Stiller klokka trass vedtak om å fjerne praksisen.
- (2022). No stiller vi klokka: – Går inn på folk.
- (2022). Derfor får du ikke sove.
- (2012). Skiftarbeid gir søvnproblemer.
Programdeltagelse
- (2022). Søvnløs.
- (2022). Salong: Den gåtefulle søvnen.
- (2022). Lindmo på NRK.
- (2022). God morgen Nordland.
Sammendrag/abstract
- (2020). The acute effects of light on alertness, cognition, and mood: a systematic review. Journal of Sleep Research.
- (2016). Medication review based on clinical evaluation in nursing homes. The journal of Nursing Home Research.
- (2015). La oss sove på det. Morgenbladet.
- (2015). Advance care planning in norwegian nursing homes – study protocol for a randomised controlled trial. BMJ Supportive & Palliative Care.
- (2012). Work-related sleep problems vary according to work schedule. Journal of Sleep Research. 274-274.
Poster
- (2020). The acute effects of light on alertness, cognition, and mood: a systematic review.
- (2020). Ambient bright light treatment improved subjectively measured sleep but not sleep measured by actigraphy in nursing home patients with dementia: A placebo-controlled randomized trial.
- (2019). Pain, depression and their association with sleep in nursing home patients with advanced dementia .
- (2019). ENLIGHT: effects of light on cognition in dementia.
- (2018). Designing of diurnal light conditions for improved circadian rhythms in dementia - An intervention study.
- (2016). Staff distress improves by treating pain in nursing home patients with dementia .
- (2016). "Sleep in Nursing Home Patients: A Cross-sectional Study Using Actigraphic and Informant-observed Assessments of Sleep Disturbances" .
- (2015). Psychosis and agitation and their interactive relationship to pain in people with dementia: results from a randomized clinical trial.
- (2015). Multi-psychotropic drug prescription in nursing home patients with dementia.
- (2015). Implementation of Advance Care Planning in Norwegian Nursing Homes An effectiveness-implementation hybrid trial .
- (2015). Implementation of Advance Care Planning in Norwegian Nursing Homes .
- (2015). Implementation and Research Strategies of Advance Care Planning in Nursing Homes. A Review of the Literature.
- (2015). High prevalence of DSM-5/ICSD-3 insomnia, self-reported sleep problems, and hypnotic use in patients visiting their general practitioner.
- (2015). Epidemiology of Home Death in Norway.
- (2015). Daytime sleep and Activity - a Descriptive Study of Elderly Nursing Home Patients in Norway.
- (2014). Insomnia and non-restorative sleep.
- (2011). Systematic study of insomnia symptoms in relation to work schedule.
- (2011). Bergen Shift Work Sleep Questionnaire: a new and comprehensive measurement of shift work related sleep disturbances.
- (2010). Shift work disorder and its relation to reduced Health-related quality of life.
Errata
- (2017). Erratum to: The Liverpool Care Pathway: discarded in cancer patients but good enough for dying nursing home patients? A systematic review. BMC Medical Ethics. 52.
Vitenskapelig oversiktsartikkel/review
- (2022). How can light be used to optimize sleep and health in older adults? Progress in Brain Research. 331-355.
- (2021). Assessing Momentary Well-Being in People Living With Dementia: A Systematic Review of Observational Instruments. Frontiers in Psychology. 20 sider.
- (2020). Scoping review: Intergenerational resource transfer and possible enabling factors. International Journal of Environmental Research and Public Health. 1-22.
- (2020). Light interventions and sleep, circadian, behavioral, and psychological disturbances in dementia: A systematic review of methods and outcomes. Sleep Medicine Reviews. 1-12.
- (2017). The Liverpool Care Pathway: a systematic review discarded in cancer patients but good enough for dying nursing home patients. BMC Medical Ethics. 1-13.
- (2017). Opioid Prescription Use in Nursing Home Residents with Advanced Dementia. Pain medicine (Malden, Mass.). 8 sider.
- (2016). Joint occurrence of pain and sleep disturbances in people with dementia. A systematic review. Current Alzheimer Research. 539-545.
- (2015). Søvn på sykehjem. Omsorg: Nordisk tidsskrift for Palliativ Medisin.
- (2015). Sleep, circadian rhythms, and athletic performance. Sleep Medicine Reviews. 1-9.
- (2015). Kvalitet og kompetanse på sykehjem – behov for en standard for behandling og omsorg. Omsorg: Nordisk tidsskrift for Palliativ Medisin.
- (2015). Aktiviteter på sykehjem - hva fungerer? Omsorg: Nordisk tidsskrift for Palliativ Medisin. 55-60.
Fagartikkel
- (2019). Lys som intervensjon for personer med demens. SØVN. 20-27.
- (2014). Svingdørsturnus like uheldig som nattevakter. Dagens medisin.
Optimale lysbetingelser for bedre hukommelse og humør (ENLIGHT)
ENLIGHT-prosjektet undersøker hvorvidt lysterapi kan være en effektiv måte å forbedre tilværelsen for hjemmeboende personer med demens. Mangelen på systematiske og grunnleggende studier med personer med demens gjør dette til et viktig for videre teoretisk og metodologisk utvikling.
DEM.LIGHT
Psykisk lidelse, atferds- og søvnproblemer rammer 90 % av personer med demens. I sykehjem i dag benyttes i stor grad psykofarmaka for å dempe symptomene, men det er ofte med manglende effekt og betydelige bivirkninger. Lysterapi viser lovende resultater, men det er et behov for større randomiserte og kontrollerte studier.
DEM.LIGHT installerte lysterapi-rom på demensenheter for å undersøke effekten på søvn, døgnrytme, atferdsproblemer, psykisk lidelse, medikamentbruk, smerte og livskvalitet.
KOSMOS
KOSMOS står for «KOmmunikasjon, Smertebehandling, Medikamentgjennomgang, Organisering av aktiviteter og Sikkerhet». KOSMOS er en praktisk intervensjon rettet mot kliniske og psykiatriske problemer, overmedisinering og sosiale behov hos pasienter på sykehjem.
Kompetansefelt