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private without receiving any help. Although contact between the researcher and participant was kept to a minimum (daily email, text, or phone message), it is possible that the attention received through the intervention was the active ingredient rather than the potential circadian regulation resulting in exposure to the light. Future studies examining sham light therapy as a control could address this limitation. In addition, this sample was likely comprised of persons who were highly motivated to seek treatment for their symptoms. This is demonstrated by treatment adherence and completion. Treatment adherence was extraordinarily high and zero participants withdrew from the study. Motivation is important to consider when thinking about how this treatment would generalize to other persons struggling with NES and it is possible that less motivated individuals would not have these same results due to non-compliance with BLT recommendations. Treatment compliance, however, was also based on self-report so fidelity may not be as high as what was reported. Participants were asked to either text, call, or email the researcher to confirm completion of light therapy each day. Thus, it is possible that an individual did not complete treatment even if they confirmed they had in order to be financially compensated, for social desirability reasons, or both purposes. Finally, there is possible influence in this study of carryover effect. The interval between administrations was relatively short which could impact answers at post-treatment. This limitation could be addressed in the future with the inclusion of a control group. Future Research Although this evidence is promising, further research is needed to investigate BLT for the treatment of NES. Future studies should include randomized controlled trials that include larger sample sizes and valid control conditions such as sham light therapy (non-therapeutic light). 55PDF Image | BRIGHT LIGHT THERAPY FOR late NIGHT EATING SYNDRome
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