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Reliability of the Smart Bulb and Comparison to the Lux IQ

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Reliability of the Smart Bulb and Comparison to the Lux IQ Maude Gravel 1 , Marilou Sibley 1 , Elliott Morrice 2,3 , Caitlin Murphy 1,2,3 & Aaron Johnson 2,3 1 School of Optometry, University of Montreal, 2 Department of Psychology, Concordia University, 3 CRIR/Lethbridge-Layton-Mackay Rehabilitation Centre du CIUSSS du Centre- Ouest-de-l’Île-de-Montréal
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Page 1: Reliability of the Smart Bulb and Comparison to the Lux IQ

Reliability of the Smart Bulb and Comparison to the Lux IQ

Maude Gravel1, Marilou Sibley1, Elliott Morrice2,3, Caitlin Murphy1,2,3 & Aaron Johnson2,3

1School of Optometry, University of Montreal, 2Department of Psychology, Concordia

University, 3CRIR/Lethbridge-Layton-Mackay

Rehabilitation Centre du CIUSSS du Centre-

Ouest-de-l’Île-de-Montréal

Page 2: Reliability of the Smart Bulb and Comparison to the Lux IQ

Background

More than 5.5 million Canadians with visualimpairment

• >60% referred to vision rehabilitation have difficulties with reading

There is a general agreement stating that visual acuityimproves with increasing illumination

• Performance is better at all levels if contrast isincreased.

The type of lighting and its intensity, color and direction all affect an individual’s visual performance

Each person responds differently to light;

• Therefore appropriate lighting must beassessed.

Statistics Canada, 2018, Wittich et al., 2018

Characteristics of Light

Brightness:

Hue:

Temperature:

Page 3: Reliability of the Smart Bulb and Comparison to the Lux IQ

Participants

Page 4: Reliability of the Smart Bulb and Comparison to the Lux IQ

Questionnaires and Screening Tools

Questionnaires

● Informed Consent● Language Background Questionnaire

Screening Tools

● Montreal Cognitive Assessment (MoCA)● Freiburg Visual Acuity & Contrast Test (FrACT)● Hardy Rand and Rittler (HRR) Plates

Page 5: Reliability of the Smart Bulb and Comparison to the Lux IQ

Testing Procedure

Lux IQ

● 10 IReST text + practice text● Adjustments using the

practice text prior to the startof each trial.○ Settings go back to

recommended start point according to LuxIQ protocol: 500lux & 6500K

Smart Bulb

● 10 IReST text + practice text● Adjustments using the practice

text prior to the start of each trial.○ iPad: Light parameters

(brightness, temperature and hue)

○ Distance between the light source and the text

Settings remained the same for the duration of the trial

Page 6: Reliability of the Smart Bulb and Comparison to the Lux IQ

Descriptive Statistics

Lux IQ Smart Bulb

Reading Speed

(words/minute)

Mean: 215.1 ± 20.7

Range: 168.0-251.3

Mean: 207.5 ± 28.78

Range: 148.5 - 281.9

Number of errors Mean: 0.95 ± 0.82

Range: 0 - 3

Mean: 1.90 ± 1.46

Range: 0 - 7

Brightness (lux) Mean: 953.3 ± 526.1

Range: 500 - 3400

Mean: 103.8 ± 78.58

Range: 6.39 - 342

Temperature (K) Mean: 5494 ± 1011

Range: 545 - 6550

Mean: 3731 ± 1699

Range: 2287 - 1.45e+4

Page 7: Reliability of the Smart Bulb and Comparison to the Lux IQ

Linear Regression

Lux IQ Smart Bulb

R value 0.181 0.575

R2 value 0.0327 or 3.27% 0.330 or 33.0%

Correlations

Lux IQ Smart Bulb

Reading Speed and

Brightness

p = 0.620 Not

Significant

p = <.001 Significant

Reading Speed and

Temperature

p = 0.135 Not

Significant

p = 0.685 Not

significant

Brightness and

Temperature

p = 0.135 Not

Significant

p = 0.025 Significant

Page 8: Reliability of the Smart Bulb and Comparison to the Lux IQ

F(9, 35.93) = 22.83

p < 0.001*

F(9, 36.18) = 28.23

p < 0.001*F(9,36.6)=0.205

p=0.992

F(9,31.1)=0.788

p=0.629

Brightness & Temperature Across Participants

Lux IQ Smart Bulb

Page 9: Reliability of the Smart Bulb and Comparison to the Lux IQ

IntraclassCorrelations

Lux IQ

Brightness

ICC 0.967

Temperature

ICC 0.745

Brightness

ICC 0.745

Temperature

ICC 0.970

Smart Bulb

Page 10: Reliability of the Smart Bulb and Comparison to the Lux IQ

Independent t-Test: Lux IQ v Smart Bulb

Reading Speed

t(159)=1.92, p=.057

Brightness

t(198)=15.97, p<.001*

Temperature

t(188)=8.80, p<.001*

Page 11: Reliability of the Smart Bulb and Comparison to the Lux IQ

Discussion & Conclusion

No correlation between reading speed and the Lux IQ parameters

Bias protocol leading to cooler and brighter parameters

No correlation between reading speed and the light device used

Brightness and temperature selecion was more consistent with the Smart Bulb

Smart BulbCheaper than Lux IQ (20-140$ v. 1500$ CAD)All parameters can be modified using an appCan be installed with many different types of lamps

Next step: To evaluate both light devices in older individuals with & without visual impairment

Page 12: Reliability of the Smart Bulb and Comparison to the Lux IQ

•Ajied, R., Aubin, M.-J., Buhrmann, R., & Freeman, E. E. (2018). Prevalence and determinants of visual impairment in Canada: cross-sectional data fromthe Canadian longitudinal study on aging. Canadian Journal of Ophthalmology , 291-297.

•Breslin, C., & Muller, C. (2011). Vision loss in Canada. The National coalition for vision health , 1-4.

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•Ebrahimian, E. (2011). Design standards and guidelines. Los Angeles: Department of Public Works.

•Eperjesi, F., C. Maiz-Fernandez, H. E. Bartlett. (2007). “Reading performance with various lamps in age-related macular degeneration” Ophthalmic and Physiological Optics. 27: 93–99

•Encyclopedia, T. C. (2006, 6 6). Blindness and Visual Impairment. Retrieved 10 24, 2018, from The Canadian Encyclopedia:https://www.thecanadianencyclopedia.ca/en/article/blindness-and-visual-impairment

•Holton, Henrik, Asger B. Christiansen, Michael J. Albeck, Claus R. Johnsen. (2011). “The impact of light source on discrimination ability in subjects withage-related macular degeneration” Acta Ophthalmologica Scandinavica. 89: 779–784

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•Nasreddine, Z. S., Phillips, N. A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., . . . Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: a bried screening tool for mild cognitive impairment. Journal of the American Geriatrics Society.

•Purlmutter, Monica S., Anjali Bhorade, Mae Gordon, Holly Hollingsworth, Jack E. Engsberg, M. Carolyn Baum. (2013). “Home Lighting Assessment for Clients With Low Vision” The American Journal of Occupational Therapy. 67(6): 674-682

•Seiple, W., Overbury, O., Rosenthal, B., Arango, T., Odom, J. V., & Morse, A. R. (2018). “Brief Report—Effects of lighting on reading speed as a functionof letter size”. American Journal of Occupational Therapy, 72, 7202345020

•Statistique Canada. (2009, Septembre 2). Statistique Canada. Retrieved 10 24, 2018, from https://www150.statcan.gc.ca/n1/pub/89-628-x/2009013/fs-fi/fs-fi-eng.htm

•Wittich, Walter, Lorie St. Amour, Jonathan Jarry, William Seiple. (2018). “Test-retest Variability of a Standardized Low Vision Lighting Assessment” Optometry and Vision Science. 95(9): 852-858

References


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