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ArticleTrials2024

The Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) for serious mental illness in community mental health part 3: study protocol to evaluate sustainment in a hybrid type 2 effectiveness-implementation cluster-randomized trial.

Laurel D Sarfan, Emma R Agnew, Marlen Diaz, Ashby Cogan, Julia M Spencer, Rafael Esteva Hache, Shannon Wiltsey Stirman, Cara C Lewis, Amy M Kilbourne, Allison G Harvey

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05956678 (Implementing and Sustaining a Sleep Treatment to Improve Community Mental Health Part 3), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05956678 nacompletednot on this map

Implementing and Sustaining a Sleep Treatment to Improve Community Mental Health Part 3: Sustainment

TypeinterventionalSponsorUniversity of California, BerkeleyRan2023 to 2024Enrolled130ConditionsSleep Wake Disorders, Circadian Rhythm DisordersArmsStandard Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C), Adapted Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Laurel D SarfanDepartment of Psychology, University of California, 2121 Berkeley Way, Berkeley, CA, 94720, USA. sarfanld@berkeley.edu.
Emma R AgnewDepartment of Psychology, University of California, 2121 Berkeley Way, Berkeley, CA, 94720, USA.
Marlen DiazDepartment of Psychology, University of California, 2121 Berkeley Way, Berkeley, CA, 94720, USA.
Ashby CoganDepartment of Psychology, University of California, 2121 Berkeley Way, Berkeley, CA, 94720, USA.
Julia M SpencerDepartment of Psychology, University of California, 2121 Berkeley Way, Berkeley, CA, 94720, USA.
Rafael Esteva HacheDepartment of Psychology, University of California, 2121 Berkeley Way, Berkeley, CA, 94720, USA.
Shannon Wiltsey StirmanDissemination and Training Division, National Center for PTSD, Palo Alto, CA, USA.
Cara C LewisKaiser Permanente Washington Health Research Institute, Seattle, USA.
Amy M KilbourneQuality Enhancement Research Initiative, U.S. Department of Veterans Affairs, Washington, D.C., USA.
Allison G HarveyDepartment of Psychology, University of California, 2121 Berkeley Way, Berkeley, CA, 94720, USA.
University of California, Berkeley · USKaiser Permanente Washington Health Research Institute · USNational Center for PTSD · USQuality Enhancement Research Initiative · US

Funding

Implementing and Sustaining a Transdiagnostic Sleep and Circadian Treatment to Improve Severe Mental Illness Outcomes in Community Mental Health.R01MH120147 · NIMH · UNIVERSITY OF CALIFORNIA BERKELEY · PI HARVEY, ALLISON G · 2019 to 2023
$3.9M
A transdiagnostic sleep and circadian treatment to improve community SMI outcomesR01MH105513 · NIMH · UNIVERSITY OF CALIFORNIA BERKELEY · PI HARVEY, ALLISON G · 2015 to 2018
$2.8M
Colon Cancer Networks: Linking Modeling to ExperimentR43CA094702 · NCI · GENE NETWORK SCIENCES, INC. · PI KHALIL, IYA G · 2002 to 2002
$100k
Advancing Sustainability of Evidence-Based Treatments in Community Mental HealthF32MH131284 · NIMH · UNIVERSITY OF CALIFORNIA BERKELEY · PI SARFAN, LAUREL D · 2022 to 2024
$76k
NCI NIH HHS R43 CA094702NIMH NIH HHS F32 MH131284NIMH NIH HHS F32MH131284NIMH NIH HHS R01 MH120147NIMH NIH HHS R01MH120147
6 · The paper itself

Abstract

backgroundAlthough research on the implementation of evidence-based psychological treatments (EBPTs) has advanced rapidly, research on the sustainment of implemented EBPTs remains limited. This is concerning, given that EBPT activities and benefits regularly decline post-implementation. To advance research on sustainment, the present protocol focuses on the third and final phase-the Sustainment Phase-of a hybrid type 2 cluster-randomized controlled trial investigating the implementation and sustainment of the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) for patients with serious mental illness and sleep and circadian problems in community mental health centers (CMHCs). Prior to the first two phases of the trial-the Implementation Phase and Train-the-Trainer Phase-TranS-C was adapted to fit the CMHC context. Then, 10 CMHCs were cluster-randomized to implement Standard or Adapted TranS-C via facilitation and train-the-trainer. The primary goal of the Sustainment Phase is to investigate whether adapting TranS-C to fit the CMHC context predicts improved sustainment outcomes.

methodsData collection for the Sustainment Phase will commence at least three months after implementation efforts in partnering CMHCs have ended and may continue for up to one year. CMHC providers will be recruited to complete surveys (N = 154) and a semi-structured interview (N = 40) on sustainment outcomes and mechanisms. Aim 1 is to report the sustainment outcomes of TranS-C. Aim 2 is to evaluate whether manipulating EBPT fit to context (i.e., Standard versus Adapted TranS-C) predicts sustainment outcomes. Aim 3 is to test whether provider perceptions of fit mediate the relation between treatment condition (i.e., Standard versus Adapted TranS-C) and sustainment outcomes. Mixed methods will be used to analyze the data. DISCUSSION: The present study seeks to advance our understanding of sustainment predictors, mechanisms, and outcomes by investigating (a) whether the implementation strategy of adapting an EBPT (i.e., TranS-C) to the CMHC context predicts improved sustainment outcomes and (b) whether this relation is mediated by improved provider perceptions of treatment fit. Together, the findings may help inform more precise implementation efforts that contribute to lasting change.

trial registrationClinicalTrials.gov identifier: NCT05956678 . Registered on July 21, 2023.

Indexed as

Mental DisordersMental HealthCommunity Mental Health CentersHumansRandomized Controlled Trials as TopicSleepSurveys and QuestionnairesAdaptationCircadianCommunity mental healthImplementationSerious mental illnessSleepSustainmentTrain-the-trainerTranS-CTransdiagnostic

Identifiers

PMID38225677
PMCPMC10788981
OpenAlexW4390885533

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.