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Sleep DisorderNCT05986604

NIA_Improving Function and Well-being by Improving Patient Memory: Transdiagnostic Sleep and Circadian Treatment

A study testing Memory Support Intervention and Transdiagnostic Intervention for Sleep and Circadian Dysfunction in people with Sleep Disorder and Circadian Dysregulation, run by University of California, Berkeley at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Mental illness is often chronic, severe, and difficult to treat. Though there has been significant progress towards establishing effective and efficient interventions for psychological health problems, many individuals do not gain lasting benefits from these treatments. Read more about this study

Who is it for?
Ages 50 years and olderHealthy volunteers can take part
What is being tested?
Memory Support Intervention and Transdiagnostic Intervention for Sleep and Circadian Dysfunction
Could I receive a placebo?
No, everyone receives an active treatment
How many people
178 participants
Where
1 siteUnited States
Study dates
4 Jan 2024to 28 Jul 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 50 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Aged 50 years and older;
  • English language fluency;
  • Experiencing a mobility impairment;
  • Low income;
  • 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.
  • 25-30 on the Montreal Cognitive Assessment, as a negative screen for cognitive impairment.
  • Able/willing to give informed consent.

Who cannot join

  • Severe untreated sleep disordered breathing (AHI>30) or moderate untreated sleep disordered breathing with severe daytime sleepiness (AHI of 15-30 and Epworth Sleepiness Scale >10);
  • Medical conditions that prevent a participant from comprehending and following the basic tenants of treatment (e.g., dementia) or that interfere with sleep in a manner that can't be addressed by a cognitive behavioral treatment (e.g., the Structured Clinical Interview for Sleep Disorders will be used to screen for narcolepsy, REM sleep behavior disorder) or that may preclude full participation (e.g., receipt of end of life care);
  • Homelessness;
  • Night shift work >2 nights per week in the past 3 months;
  • Substance abuse/dependence only if it makes participation in the study unfeasible;
  • Suicide risk sufficient to preclude treatment on an outpatient basis.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Allison Harvey, PhD contact

5106427138

aharvey@berkeley.edu

United States1 site, 1 recruiting
  • University of California, Berkeley

    Berkeley, California, 94720-1650

    Allison Harvey, PhD, 510-642-7138, aharvey@berkeley.edu

    Nena Salazar, ‪(925) 421-0083‬, n.salazar@berkeley.edu

    Recruiting

Other trials in United States

About this study

Official title: NIA_Improving Sleep and Circadian Functioning, Daytime Functioning, and Well-being for Midlife and Older Adults by Improving Patient Memory for a Transdiagnostic Sleep and Circadian Treatment

Mental illness is often chronic, severe, and difficult to treat. Though there has been significant progress towards establishing effective and efficient interventions for psychological health problems, many individuals do not gain lasting benefits from these treatments. The Memory Support Intervention (MSI) was developed utilizing existing findings from the cognitive science literature to improve treatment outcomes. In this study, the investigators aim to conduct an open trial that includes individuals 50 years and older to assess if a novel version of the Memory Support Intervention improves sleep and circadian functioning, reduces functional impairment, and improves patient memory for treatment.

Read the detailed description

Life expectancy has increased drastically in the United States. Longer life is too often associated with illness, discomfort, disability, and dependency. Progress toward promoting health and well-being as we age must include the identification of novel treatment targets that are safe, powerful, inexpensive, and deployable. The proposed research will test one such target-patient memory for the contents of treatment.

Over 5 years, we will recruit adults who are 50 years and older and who are experiencing sleep and circadian problems (n = 178, including 20% for attrition). Participants will be randomly allocated to TranS-C plus the MSI ("TranS-C+MSI") or TranS-C alone via eight 50-minute, weekly, individual sessions. Assessments will be conducted at baseline, post-treatment, and at 6- and 12-month follow-up (6FU and 12FU).

Specific Aim 1: To evaluate if adding the MSI to TranS-C (a) improves sleep and circadian functioning, (b) improves daytime functioning, (c) improves well-being and (d) improves patient memory by comparing the effects of TranS-C+MSI vs. TranS-C alone. Hypothesis 1. Compared to TranS-C alone, people who receive TranS-C+MSI will improve more on all outcomes at post-treatment, 6FU and 12FU.

Specific Aim 2: To evaluate if patient memory for treatment mediates the relation between treatment condition and sleep and circadian functioning. Hypothesis 2. TranS-C+MSI will be associated with better memory for treatment relative to TranS-C alone, and in turn, better memory for treatment will be associated with better sleep and circadian functioning immediately following treatment and at 6FU and 12FU.

Specific Aim 3: To evaluate if subgroups hypothesized to derive added benefit from memory support moderate (a) patient memory for treatment and (b) treatment outcome. Hypothesis 3. Treatment effects for TranS-C+MSI will be larger at post-treatment for those who are older, have fewer years of education, poorer baseline cognitive functioning and more severe baseline sleep disruption and sleep-related impairment.

Exploratory analyses will compare the treatments on (a) patient adherence as well as patient-rated treatment credibility and utilization of treatment elements and (b) provider-rated acceptability, appropriateness, and feasibility.

Being tested
Memory Support Intervention, Transdiagnostic Intervention for Sleep and Circadian Dysfunction
Medical subject headings
Sleep Wake Disorders, Chronobiology Disorders, Memory Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Memory Support InterventionBehavioural

    Also called MSI

    The Memory Support Intervention is designed to improve patient memory for treatment and involves a series of specific procedures that support the encoding and retrieval stages of episodic memory. The memory support strategies are proactively, strategically and intensively integrated into treatment-as-usual to support encoding. Memory support is delivered alongside each 'treatment point', defined as a main idea, principle, or experience that the treatment provider wants the patient to remember or implement as part of the treatment.

  • Transdiagnostic Intervention for Sleep and Circadian DysfunctionBehavioural

    Also called TranS-C

    TranS-C aims to provide one protocol to treat a range of sleep and circadian problems because sleep and circadian problems are often not so neatly categorized and because the existing research provides few guidelines to treat more complex patients.

Study groups in NCT05986604
Study groupRoleWhat they receive
TranS-C+MSIExperimentalTransdiagnostic Intervention for Sleep and Circadian Dysfunction will be combined with the Memory Support Intervention
Receives: Behavioral: Memory Support Intervention; Behavioral: Transdiagnostic Intervention for Sleep and Circadian Dysfunction
TranS-C aloneActive comparatorThe Transdiagnostic Sleep and Circadian Intervention will be delivered alone
Receives: Behavioral: Transdiagnostic Intervention for Sleep and Circadian Dysfunction

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Patient-Reported Outcomes Measurement Information System - Sleep Disturbance

    Assesses perceived functional impairments related to sleep problems using a self-report questionnaire. The minimum value is 8. The maximum value is 40. Higher scores mean more sleep disturbance (worse outcome).

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  2. Sheehan Disability Scale

    Assesses functional impairment on a scale from 0 to 30, where higher scores mean higher impairment

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  3. Satisfaction with Life Scale

    5-item instrument designed to measure global cognitive judgements of satisfaction with one's life. Scores can range from 5-35 with higher scores indicating higher levels of satisfaction with life.

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

Secondary outcomes (23)
  1. Patient-Reported Outcomes Measurement Information System - Sleep Related Impairment

    Assesses perceived functional impairments related to sleep problems in a self-report questionnaire. The minimum value is 16. The maximum value is 80. Higher scores mean more sleep related problems (worse outcome).

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  2. Positive and Negative Affect Scale

    Positive affect scores can range from 10-15, with higher scores representing higher levels of positive affect. Negative affect scores can range from 10-50, with lower scores representing lower levels of negative affect

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  3. WHODAS 2.0

    A measure of functional impairment

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  4. Cognitive Failures Questionnaire

    Used to assess the frequency with which people experienced cognitive failures. Scores range from 0-100, with higher scores indicating higher levels of cognitive failures.

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  5. Epworth Sleepiness Scale

    Used to assess daytime sleepiness. Scores can range from 0-24 with higher scores indicating higher levels of daytime sleepiness.

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  6. Memory for Treatment: Cumulative recall

    Recall on the Patient Treatment Recall Task

    Measured: Week 4 of treatment as well as Post Treatment, defined as two weeks after the final therapy session (i.e. 8-10 weeks after the initial intake interview) to 6-month follow-up to 12-month follow-up]

  7. Thoughts and Applications Task

    Measures how treatment points have generalized to the participant's thinking and functioning during every day life

    Measured: Week 4 of treatment as well as Post Treatment, defined as two weeks after the final therapy session (i.e. 8-10 weeks after the initial intake interview) to 6-month follow-up to 12-month follow-up]

  8. Adapted Utilization Scale

    19-item; 0-4 scale. Scores can range from 0 to 76 (Higher score means more utilization).

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  9. Composite Sleep Health Score

    Composite Sleep Health Score which is defined as the sum of scores on 6 sleep health dimensions: Regularity (Midpoint fluctuation), Satisfaction (Sleep quality question on PROMIS-SD), Alertness (Daytime sleepiness question on PROMIS-SRI), Timing (Mean midpoint), Efficiency (Sleep efficiency) and Duration (Total Sleep Time).

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  10. Mean sleep efficiency (Daily Sleep Diary)

    Daily Sleep Diary mean for sleep efficiency (total sleep time/time in bed X 100)

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  11. Mean total wake time (Daily Sleep Diary)

    Daily Sleep Diary mean for total wake time defined as sleep onset latency + wake after sleep onset + Early morning awakening

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  12. Mean for total sleep time (Daily Sleep Diary)

    Daily Sleep Diary mean for total sleep time

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up

  13. Mean for total wake time (Actigraphy)

    Actigraphy mean for total wake time defined as sleep onset latency + wake after sleep onset + early morning awakening

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment

  14. Mean for total sleep time (Actigraphy)

    Actigraphy mean for total sleep time

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment

  15. Mean for daytime activity (Actigraphy)

    Actigraphy mean for daytime activity

    Measured: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment

  16. Provider level: Acceptability of Intervention Measure

    Assess provider perceptions of the acceptability of the treatment intervention using a self-report questionnaire

    Measured: Through therapy completion, an average of 8 weeks following baseline

  17. Provider level: Appropriateness Intervention Measure

    Assesses provider perceptions of the appropriateness of the treatment intervention using a self-report questionnaire

    Measured: Through therapy completion, an average of 8 weeks following baseline

  18. Provider level: Feasibility of Intervention Measure

    Assesses provider perceptions of the feasibility of the intervention using a self-report questionnaire

    Measured: Through therapy completion, an average of 8 weeks following baseline

  19. Provider level: Provider-rated TranS-C Checklist

    A measure of the TranS-C elements that are delivered. This is completed by the therapist at the end of every treatment session

    Measured: Every treatment session which is 8 sessions, spaced one week apart for approximately 8-10 weeks

  20. Provider level: Memory Support Treatment Provider Checklist

    A measure of memory support delivered. This is completed by the therapist at the end of every treatment session

    Measured: Every treatment session which is 8 sessions, spaced one week apart for approximately 8-10 weeks

  21. Provider level: Patient adherence via the TARS

    A measure of patient treatment adherence completed by the therapist at the end of every treatment session

    Measured: Every treatment session which is 8 sessions, spaced one week apart for approximately 8-10 weeks

  22. Provider level: Memory Support Rating Scale, total amount

    Assesses the total amount of memory support used by a provider via coding of session tapes

    Measured: Randomly selected therapy tapes

  23. Provider level: Memory Support Rating Scale, number of types

    Assesses the number of types of memory support used by a provider via coding of session tapes

    Measured: Randomly selected therapy tapes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Aug 2023
  2. Study start4 Jan 2024
  3. Primary completion28 Feb 2028 (estimated)
  4. Study completion28 Jul 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomly allocated to TranS-C plus the MSI ("TranS-C+MSI") or TranS-C alone
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
178 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05986604
Sponsor's protocol ID
TranS-C+MSI vs. TranS-C Alone
Status last verified
Nov 2025
First submitted
2 Aug 2023
Last updated
24 Nov 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Milner AE, Hache RE, Oliver S, Sarfan LD, Spencer JM, Cogan A, Jiang Y, Agnew ER, Zieve GG, Martin JL, Zeidler MR, Dong L, Carpenter JK, Varghese J, Bol K, Bajwa Z, Tighe CA, Harvey AG. Integrating the Memory Support Intervention into the Transdiagnostic Intervention for Sleep and Circadian Dysfunction (TranS-C): can improving memory for treatment in midlife and older adults improve patient outcomes? Study protocol for a randomized controlled trial. Trials. 2024 Oct 3;25(1):650. doi: 10.1186/s13063-024-08468-0.

    PubMed 39363383

Questions about this trial

What is this clinical trial studying?

A study testing Memory Support Intervention and Transdiagnostic Intervention for Sleep and Circadian Dysfunction in people with Sleep Disorder and Circadian Dysregulation, run by University of California, Berkeley at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 24 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Allison Harvey, PhD (5106427138, aharvey@berkeley.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Patient-Reported Outcomes Measurement Information System - Sleep Disturbance (time frame: Change from baseline to post-treatment, which is 8-10 weeks after the beginning of treatment to 6-month follow-up to 12-month follow-up). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05986604, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Nov 2025.

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