Evidence map›Paper›PMID 41734718›Full record

Trial reportBehaviour research and therapy2026

Patient outcomes and session dose in a randomized controlled trial of the Transdiagnostic Intervention for Sleep and Circadian Dysfunction: Influential factors and methodological considerations.

Anne E Milner, Laurel D Sarfan, Marlen Diaz, Rafael Esteva Hache, Estephania Ovalle Patino, Allison G Harvey

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Behaviour research and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anne E MilnerUniversity of California, Berkeley, CA, USA.
Laurel D SarfanUniversity of California, Berkeley, CA, USA; Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Marlen DiazUniversity of California, Berkeley, CA, USA.
Rafael Esteva HacheStony Brook University, New York, NY, USA.
Estephania Ovalle PatinoUniversity of California, Los Angeles, CA, USA.
Allison G HarveyUniversity of California, Berkeley, CA, USA. Electronic address: aharvey@berkeley.edu.

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
NIMH NIH HHS R01 MH120147
6 · The paper itself

Abstract

objectiveRandomized controlled trials (RCTs) assessing the implementation of evidence-based psychological treatments (EBPTs) into clinical practice may involve variations that are not always systematically investigated. This study aimed to investigate the impact of such variations in the context of an effectiveness-implementation hybrid trial - specifically, the relationship between trial outcomes and number of treatment sessions, dropout, and differences in assessment timing.

methodAdults (N = 539) with sleep and circadian problems were randomized to the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TSC; Adapted or Standard version) or usual care followed by delayed treatment (UC-DT).

resultsParticipants who completed the recommended number of TSC sessions showed larger effect sizes and more significant improvements relative to UC-DT, when compared to participants who received a partial session dose. Notably, a substantial number of participants who dropped out of treatment showed a meaningful clinical change by mid-treatment (20%), though this number did not differ significantly from the number of patients who received the full dose of treatment. Larger treatment effects were observed when assessments were completed within 3 months of their planned date. Kaplan-Meier Survival Analyses indicated that the dose to optimize the primary outcome of sleep disturbance at post-treatment was eight sessions for Standard TSC and six sessions for Adapted TSC.

conclusionsThis study underscores the impact of methodological variations on treatment outcomes in the implementation of TSC into clinical practice. Furthermore, our findings establish specific session thresholds for Standard and Adapted TSC to optimize clinical outcomes.

Indexed as

Chronobiology DisordersSleep Wake DisordersAdultFemaleHumansMaleMiddle AgedTreatment OutcomeDesign considerationsDose-responseEvidence-based psychological treatmentTransdiagnostic

Identifiers

PMID41734718
PMCPMC13209623

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.