Improving Sleep Treatment for Mental Health Patients
Author Information
Author(s): Harvey Allison G., Agnew Emma R., Hache Rafael Esteva, Spencer Julia M., Diaz Marlen, Patino Estephania Ovalle, Milner Anne, Dong Lu, Kilbourne Amy M, Buysse Daniel J., Callaway Catherine A., Sarfan Laurel D.
Primary Institution: University of California Berkeley
Hypothesis
Does adapting the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C) improve outcomes in community mental health settings compared to the standard version?
Conclusion
Both Adapted and Standard versions of TranS-C improved sleep, psychiatric symptoms, and functional impairment, with some advantages for the adapted version.
Supporting Evidence
- TranS-C was associated with significant improvements in sleep disturbance and psychiatric symptoms.
- Adapted TranS-C was delivered in a shorter format, making it more feasible for community mental health providers.
- Both treatment versions were rated positively by providers in terms of fit and acceptability.
Takeaway
This study tested a sleep treatment for people with mental health issues and found that both versions helped improve their sleep and overall well-being.
Methodology
The study used a cluster-randomized design with community mental health centers, comparing an adapted version of TranS-C to the standard version.
Potential Biases
Potential biases include self-reported diagnoses and the lack of structured clinical interviews.
Limitations
The study's design may inflate effect size differences, and the outcomes were not pre-specified for all measures.
Participant Demographics
Participants included 396 CMHC patients with serious mental illness and 93 CMHC providers, with a diverse range of demographics.
Statistical Information
P-Value
<0.001
Confidence Interval
95% CI [−4.56, 0.43]
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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