Better sleep could ease severe mental illness symptoms, study finds
NCT ID NCT04154631
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a sleep and circadian treatment (TranS-C) for people with severe mental illness (SMI) in community mental health centers. The treatment was adapted to better fit these settings. Researchers looked at whether it improved sleep, daily functioning, and symptoms in 489 participants. The goal was to see if the adapted version works better than the standard one and if it's acceptable to providers.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Behavioral sleep and circadian treatment (TranS-C)
- What this could lead to
- If successful, this could provide an effective, practical sleep treatment tailored for people with severe mental illness in community settings, improving daily functioning and well-being.
- What could go wrong
- This is an implementation study, not a test of a new drug or cure. The treatment is behavioral, so results depend on provider and patient engagement, and may not work for everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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489 people
The number who actually took part.
- Started
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Jan 2020
- Finished
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Dec 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: The inclusion criteria for CMHCs are: * Publicly funded adult mental health outpatient services * Support from CMHC leadership The inclusion criteria for CMHC providers are: * Employed or able to deliver client-facing services to CMHC clients * Interest in learning and delivering TranS-C * Volunteer to participate and formally consent to participate Consumers must meet the following inclusion criteria: * Aged 18 years and older * Meet criteria for an SMI per self-report and confirmed by referring provider or administration of the Mini International Neuropsychiatric Interview (MINI) (DSM-5, Version 7.0.0) by a licensed clinical social worker on the research team * Exhibit a sleep or circadian disturbance as determined by endorsing 4 "quite a bit" or 5 "very much" (or the equivalent for reverse scored items) on one or more PROMIS-SD questions * Receiving the standard of care for the SMI and consent to regular communications between the research team and provider * Consent to access their medical record and participate in assessments * Guaranteed place to sleep for at least 2 months that is not a shelter Exclusion Criteria: * Presence of an active and progressive physical illness or neurological degenerative disease directly related to the onset and course of the sleep and circadian dysfunction, or making participation in the study unfeasible based on confirmation from the treating clinician and/or medical record * Presence of substance abuse/dependence only if it makes participation in the study unfeasible * Current active intent or plan to commit suicide (those with suicidal ideation are eligible) only if it makes participation in the study unfeasible, or homicide risk * Night shift work \>2 nights per week in the past 3 months * Pregnancy or breast-feeding
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Alameda County Behavioral Health Care Services
Oakland, California, 94606, United States
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Bay Area Community Health
San Jose, California, 95148, United States
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Contra Costa Health, Housing, and Homeless Services Division
Concord, California, 94520, United States
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County of Santa Cruz Behavioral Health Services for Children and Adults
Santa Cruz, California, 95060, United States
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Kings County Behavioral Health
Hanford, California, 93230, United States
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Lake County Behavioral Health Services
Lucerne, California, 95458, United States
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Monterey County Behavioral Health
Salinas, California, 93906, United States
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Placer County Health and Human Services, Adult System of Care
Roseville, California, 95678, United States
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Santa Barbara County Department of Behavioral Wellness
Goleta, California, 93110, United States
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Solano County Department of Health & Social Services, Behavioral Health Services
Fairfield, California, 94533, United States
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