{
  "schema_version": "chamgap-public-evidence-check-1.0",
  "public_id": "v2993-s0",
  "verdict_number": "2993",
  "title": "Long pre-bed bath × sleep-onset latency",
  "view_version": "1.0",
  "view_created_date": "2026-10-16",
  "criteria_version": "1.0",
  "criteria_date": "2026-10-06",
  "review_date": null,
  "legacy_evidence_date": "2026-09-07",
  "review_scope": {
    "materials_read": "Existing review summaries and stored records of methodological application",
    "clinical_papers_directly_read": false,
    "new_clinical_search": false,
    "limitation": "Existing stored summary and preserved methodology application records. External papers, abstracts, registration, protocols, SAPs, original result tables and support disclosures are unread, and review of existing content remains incomplete.",
    "date_meaning": "This is the date the stored materials were checked, not the date of a new search of the clinical literature."
  },
  "claim_context": {
    "population": "Core S01 Maeda 2023 is a home crossover trial with 23 adults. Exact ages, sex, insomnia diagnoses, eligibility, recruitment and condition-specific analysis/completion denominators are unverified. Older women with insomnia and nine participants in original S02 Dorsey 1996 bibliography are a separate supporting context; another nine-person mention is unlinked to bibliography. Participants/nights are not added together.",
    "intervention": "Original S01 distinguishes 40°C shower alone, shower plus about five minutes of bathing and shower plus about 16 minutes. Chest-level immersion, mean long-bath exposure of 16.1 minutes and ending 1.5–2 hours before bed identify study exposure. They are not bathing, sleep or treatment instructions.",
    "dose": "Temperature, immersion, bathing duration and pre-bed interval are preserved only as original study exposure. Mean long-bath exposure of 16.1 minutes and sleep onset of 16.1±13.9 minutes after the short bath are different values. Individual distributions, temperature maintenance, interval adherence and actual deviations are unverified; no new doses, total times or schedules are calculated.",
    "comparator": "An active control that already received a 40°C shower. Original categorization as no bath does not mean no heating or no intervention. There was no shower-alone versus no-heating comparison, so results are not transferred into shower efficacy.",
    "endpoint": "The selected outcome is actigraphic sleep-onset latency (SOL). Retain shower 20.3±14.3 minutes, short bath 16.1±13.9, long bath 12.3±10.1, long-bath versus shower P<.05, original simple mean difference −8.0 minutes and subclaim note of eight minutes. Exact within-person estimands, 95% CI, meaning of ±, prospective primary outcome and models are unverified. Null condition differences in sleep efficiency of 78.69%, 80.30% and 82.05%, and perceived sleep quality, are separate.",
    "duration": "The original records three conditions in randomized order over approximately three weeks, analyzing one qualifying night per condition. Distinguish single exposure, selected nights and the operational period; this is not extended into daily three-week treatment, long-term effects or insomnia treatment.",
    "excluded_extensions": [
      "Converting active shower control into no heating/no intervention or establishing shower-alone efficacy",
      "Mixing mean bath exposure of 16.1 minutes with short-bath sleep onset of 16.1 minutes, or arbitrarily classifying ± as SD, SE or CI",
      "Turning original simple −8.0 minutes into new arithmetic, crossover-adjusted effects or CIs, or SOL signals into SE, perceived quality or insomnia-treatment success",
      "Treating one selected night as all nights/complete analysis of all 23 people, or adding participants/nights",
      "Using supporting Dorsey nine-person and another unlinked nine-person mention as exact independent confirmation, new reports or participant totals",
      "Inheriting parent C46, axes or historical checks as subclaim scores/completed current review, or creating bathing, sleep, treatment or procedure instructions"
    ]
  },
  "requirements": [
    {
      "item_id": "N01",
      "question_type": "Evidence condition",
      "question": "What is the original grade for the selected sleep-onset question?",
      "needed": "Original subclaim, note, grade and parent context",
      "role": "Required",
      "role_reason": "This condition connects Original subclaim, note, grade and parent context with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original subclaim, note, grade and parent context must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: A separate subclaim score, status and assessment axes are absent from the source. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01",
        "S02"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The selected original claim is reduced sleep-onset latency after a long pre-bed bath, graded C, with a note that its simple mean was 8 minutes shorter than shower. The subclaim has no score, status or assessment axes; parent C46 is not substituted.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "A separate subclaim score, status and assessment axes are absent from the source.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "A separate subclaim score, status and assessment axes are absent from the source."
    },
    {
      "item_id": "N02",
      "question_type": "Evidence condition",
      "question": "Who entered the core crossover trial, and what are the denominators?",
      "needed": "S01 eligibility, baseline sleep and condition-specific analysis denominators",
      "role": "Required",
      "role_reason": "This condition connects S01 eligibility, baseline sleep and condition-specific analysis denominators with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for S01 eligibility, baseline sleep and condition-specific analysis denominators must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Exact age, sex, insomnia status, eligibility, recruitment and condition-specific analysis denominators are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "S01 Maeda2023 was a home crossover trial in 23 adults. This does not establish diagnosed insomnia, all ages or 23 nights per condition.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Exact age, sex, insomnia status, eligibility, recruitment and condition-specific analysis denominators are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Exact age, sex, insomnia status, eligibility, recruitment and condition-specific analysis denominators are unverified."
    },
    {
      "item_id": "N03",
      "question_type": "Evidence condition",
      "question": "What was the long-bath research exposure?",
      "needed": "Temperature, immersion, exposure duration and end time",
      "role": "Required",
      "role_reason": "This condition connects Temperature, immersion, exposure duration and end time with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Temperature, immersion, exposure duration and end time must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Individual exposure distributions, temperature maintenance, adherence to the bedtime interval and actual deviations are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The original S01 conditions were 40°C, chest-level immersion, mean long-bath duration 16.1 minutes and ending 1.5–2 hours before bed. These identify the research exposure and are not bathing or sleep instructions.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Individual exposure distributions, temperature maintenance, adherence to the bedtime interval and actual deviations are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Individual exposure distributions, temperature maintenance, adherence to the bedtime interval and actual deviations are unverified."
    },
    {
      "item_id": "N04",
      "question_type": "Evidence condition",
      "question": "Was the actual comparator an active shower condition?",
      "needed": "Distinguishing shower alone from shower followed by bath",
      "role": "Required",
      "role_reason": "This condition connects Distinguishing shower alone from shower followed by bath with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Distinguishing shower alone from shower followed by bath must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Quantitative information on shower exposure, contact and thermal differences between conditions is unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "S01 compared 40°C shower alone, shower followed by an approximately 5-minute bath and shower followed by an approximately 16-minute bath. The comparator already received a warm shower; it was not no heating or no intervention.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Quantitative information on shower exposure, contact and thermal differences between conditions is unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Quantitative information on shower exposure, contact and thermal differences between conditions is unverified."
    },
    {
      "item_id": "N05",
      "question_type": "Evidence condition",
      "question": "Are short/long exposure durations the same as sleep-onset latency?",
      "needed": "Units of actual condition-specific exposure and sleep-onset outcomes",
      "role": "Required",
      "role_reason": "This condition connects Units of actual condition-specific exposure and sleep-onset outcomes with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Units of actual condition-specific exposure and sleep-onset outcomes must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Exposure-duration distributions and an independent comparison of duration and thermal exposure are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Approximately 5 minutes for the short bath and 16 minutes for the long bath are exposure durations, distinct from sleep-onset latency of 16.1±13.9 and 12.3±10.1 minutes. Mean long-bath duration 16.1 minutes is also separate from mean sleep-onset latency 16.1 minutes after the short bath.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Exposure-duration distributions and an independent comparison of duration and thermal exposure are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Exposure-duration distributions and an independent comparison of duration and thermal exposure are unverified."
    },
    {
      "item_id": "N06",
      "question_type": "Evidence condition",
      "question": "Are randomized order, washout and period effects known?",
      "needed": "Condition sequence, period, carryover and within-person analysis",
      "role": "Required",
      "role_reason": "This condition connects Condition sequence, period, carryover and within-person analysis with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Condition sequence, period, carryover and within-person analysis must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Sequence generation, concealment, intervals between conditions and period/carryover models are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "S01 describes experiencing three conditions in randomized order over approximately 3 weeks. This is not converted into verified allocation concealment, sufficient washout or carryover control.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Sequence generation, concealment, intervals between conditions and period/carryover models are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Sequence generation, concealment, intervals between conditions and period/carryover models are unverified."
    },
    {
      "item_id": "N07",
      "question_type": "Evidence condition",
      "question": "How was the selected night chosen for analysis?",
      "needed": "Condition-specific night selection, missingness and prospective rules",
      "role": "Required",
      "role_reason": "This condition connects Condition-specific night selection, missingness and prospective rules with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Condition-specific night selection, missingness and prospective rules must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Night-selection criteria, prospective specification, candidate, selected and excluded nights per condition and reasons for missingness are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The stored account records actigraphy analysis of one qualifying night per condition. This is not expanded into an average of all nights over approximately 3 weeks or complete analysis of all 23 participants.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Night-selection criteria, prospective specification, candidate, selected and excluded nights per condition and reasons for missingness are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Night-selection criteria, prospective specification, candidate, selected and excluded nights per condition and reasons for missingness are unverified."
    },
    {
      "item_id": "N08",
      "question_type": "Evidence condition",
      "question": "How was actigraphic sleep-onset latency defined?",
      "needed": "SOL definition, device, algorithm and units",
      "role": "Required",
      "role_reason": "This condition connects SOL definition, device, algorithm and units with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for SOL definition, device, algorithm and units must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: The sleep-onset algorithm, device, bedtime reference, validation and measurement error are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The original S01 endpoints were actigraphic sleep-onset latency, sleep efficiency and perceived sleep quality. The selected outcome is sleep-onset latency (SOL), preserving original values in minutes.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "The sleep-onset algorithm, device, bedtime reference, validation and measurement error are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "The sleep-onset algorithm, device, bedtime reference, validation and measurement error are unverified."
    },
    {
      "item_id": "N09",
      "question_type": "Evidence condition",
      "question": "What were the original condition-specific SOL values and P value?",
      "needed": "Original SOL values, analysis scope and test",
      "role": "Required",
      "role_reason": "This condition connects Original SOL values, analysis scope and test with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original SOL values, analysis scope and test must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: The exact statistical definition of ±, condition-specific denominators, test model and exact P value are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Shower 20.3±14.3 minutes, short bath 16.1±13.9 minutes, long bath 12.3±10.1 minutes and long bath versus shower P<.05 are preserved. The ± values are not reclassified as SD, SE or CI without verification.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "The exact statistical definition of ±, condition-specific denominators, test model and exact P value are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "The exact statistical definition of ±, condition-specific denominators, test model and exact P value are unverified."
    },
    {
      "item_id": "N10",
      "question_type": "Evidence condition",
      "question": "Is the simple −8.0-minute difference separated from a comparative estimate?",
      "needed": "Original simple difference, adjusted within-person effect and CI",
      "role": "Required",
      "role_reason": "This condition connects Original simple difference, adjusted within-person effect and CI with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original simple difference, adjusted within-person effect and CI must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: The within-person estimate, baseline/period adjustment, 95% CI and correlation structure are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The stored account's simple mean difference of −8.0 minutes and the subclaim note of 8 minutes are preserved as historical wording. They are not newly calculated or converted into an adjusted within-person effect or exact comparative CI.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "The within-person estimate, baseline/period adjustment, 95% CI and correlation structure are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "The within-person estimate, baseline/period adjustment, 95% CI and correlation structure are unverified."
    },
    {
      "item_id": "N11",
      "question_type": "Evidence condition",
      "question": "Are the importance and persistence of shorter sleep onset known?",
      "needed": "Effect size, relevance threshold and repeated nights",
      "role": "Required",
      "role_reason": "This condition connects Effect size, relevance threshold and repeated nights with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Effect size, relevance threshold and repeated nights must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Relevance thresholds, individual distributions, measurement error and persistence over repeated nights are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The preserved account describes a small sleep-onset signal. A simple mean of 8 minutes or P<.05 alone does not establish individual benefit, insomnia treatment or a lasting effect.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Relevance thresholds, individual distributions, measurement error and persistence over repeated nights are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Relevance thresholds, individual distributions, measurement error and persistence over repeated nights are unverified."
    },
    {
      "item_id": "N12",
      "question_type": "Evidence condition",
      "question": "Is the null sleep-efficiency result preserved separately?",
      "needed": "Outcomes and units of SOL and objective SE",
      "role": "Required",
      "role_reason": "This condition connects Outcomes and units of SOL and objective SE with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Outcomes and units of SOL and objective SE must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: The exact SE definition, condition-specific denominators, comparative effect, CI and exact P value are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Sleep efficiency of 78.69%, 80.30% and 82.05% showed no between-condition difference. The sleep-onset signal is not transferred into improved objective sleep efficiency or overall restorative sleep.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "The exact SE definition, condition-specific denominators, comparative effect, CI and exact P value are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "The exact SE definition, condition-specific denominators, comparative effect, CI and exact P value are unverified."
    },
    {
      "item_id": "N13",
      "question_type": "Evidence condition",
      "question": "Is perceived sleep quality distinguished from SOL and SE?",
      "needed": "Subjective measure, masking and endpoint correspondence",
      "role": "Required",
      "role_reason": "This condition connects Subjective measure, masking and endpoint correspondence with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Subjective measure, masking and endpoint correspondence must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: The scale, denominator, exact effect, CI, prospective hierarchy and expectation effects are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The stored account records improved perceived sleep quality with the long bath but says it does not replace null objective SE. It is not repurposed as the objective effect size for the selected SOL outcome.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "The scale, denominator, exact effect, CI, prospective hierarchy and expectation effects are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "The scale, denominator, exact effect, CI, prospective hierarchy and expectation effects are unverified."
    },
    {
      "item_id": "N14",
      "question_type": "Evidence condition",
      "question": "Is masking of sleep-onset measurement and analysis known?",
      "needed": "Assessor/analyst masking and differences in expectations",
      "role": "Required",
      "role_reason": "This condition connects Assessor/analyst masking and differences in expectations with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Assessor/analyst masking and differences in expectations must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Condition awareness, assessor/analyst masking, expectation differences and analyst involvement are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "This was a crossover trial with different bathing conditions at home. Objective actigraphy alone does not verify analyst masking or control of expectation effects.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Condition awareness, assessor/analyst masking, expectation differences and analyst involvement are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Condition awareness, assessor/analyst masking, expectation differences and analyst involvement are unverified."
    },
    {
      "item_id": "N15",
      "question_type": "Evidence condition",
      "question": "Were concurrent bedtime, lifestyle and environmental conditions equivalent?",
      "needed": "Sleep schedule, environment, concurrent exposures and baseline differences",
      "role": "Required",
      "role_reason": "This condition connects Sleep schedule, environment, concurrent exposures and baseline differences with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Sleep schedule, environment, concurrent exposures and baseline differences must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Sleep schedule, environment, alcohol, caffeine, medication, other lifestyle conditions and changes across periods are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The stored account records an approximately 3-week home crossover and analysis of selected nights. It does not establish that all bedtime conditions other than bathing were identical.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Sleep schedule, environment, alcohol, caffeine, medication, other lifestyle conditions and changes across periods are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Sleep schedule, environment, alcohol, caffeine, medication, other lifestyle conditions and changes across periods are unverified."
    },
    {
      "item_id": "N16",
      "question_type": "Evidence condition",
      "question": "Are prospective endpoints, registration and SAP known?",
      "needed": "Prospective primary SOL, analysis plan and change history",
      "role": "Required",
      "role_reason": "This condition connects Prospective primary SOL, analysis plan and change history with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Prospective primary SOL, analysis plan and change history must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Registration, prospective SOL hierarchy, protocol, SAP, night selection and change history are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The stored account records an unverified prospective primary endpoint. The original evidence row has no registration key and the citation has no registration identifier. The parent endpoint grouping does not prove a prospective hierarchy.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Registration, prospective SOL hierarchy, protocol, SAP, night selection and change history are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Registration, prospective SOL hierarchy, protocol, SAP, night selection and change history are unverified."
    },
    {
      "item_id": "N17",
      "question_type": "Evidence condition",
      "question": "Are multiple comparisons across conditions and endpoints distinguished?",
      "needed": "Prospective testing plan for three conditions and multiple endpoints",
      "role": "Required",
      "role_reason": "This condition connects Prospective testing plan for three conditions and multiple endpoints with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Prospective testing plan for three conditions and multiple endpoints must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Test order, multiplicity adjustment, exact P values and prospective condition-specific contrasts are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Three conditions are considered for SOL, SE and perceived sleep quality. Long bath versus shower P<.05 is not used as a prospective first analysis or success on every endpoint.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Test order, multiplicity adjustment, exact P values and prospective condition-specific contrasts are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Test order, multiplicity adjustment, exact P values and prospective condition-specific contrasts are unverified."
    },
    {
      "item_id": "N18",
      "question_type": "Evidence condition",
      "question": "Are adherence, exclusions and analysis populations known?",
      "needed": "Planned/actual exposure, condition-specific attrition and ITT/PP",
      "role": "Required",
      "role_reason": "This condition connects Planned/actual exposure, condition-specific attrition and ITT/PP with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Planned/actual exposure, condition-specific attrition and ITT/PP must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Exposure adherence, analysis exclusions, missing conditions, ITT/PP, discontinuations and attrition reasons are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The 23 participants are the original account's participant count. Analysis of one selected night per condition is distinguished from adherence, exclusions and completion denominators; no new total number of nights is calculated.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Exposure adherence, analysis exclusions, missing conditions, ITT/PP, discontinuations and attrition reasons are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Exposure adherence, analysis exclusions, missing conditions, ITT/PP, discontinuations and attrition reasons are unverified."
    },
    {
      "item_id": "N19",
      "question_type": "Evidence condition",
      "question": "How direct is the supporting Dorsey citation?",
      "needed": "S02 population, exposure, timing, endpoint and denominator",
      "role": "Required",
      "role_reason": "This condition connects S02 population, exposure, timing, endpoint and denominator with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for S02 population, exposure, timing, endpoint and denominator must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: The exact intervention, timing, denominator, SOL effect, CI, analysis criteria and correspondence to the core conditions are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S02"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "S02 Dorsey1996 is a supporting bibliography item present only in the original citations, described as older women with insomnia, 9 participants and a historical abstract check. It is not a core evidence row and does not inherit an external abstract reading in this work.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "The exact intervention, timing, denominator, SOL effect, CI, analysis criteria and correspondence to the core conditions are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "The exact intervention, timing, denominator, SOL effect, CI, analysis criteria and correspondence to the core conditions are unverified."
    },
    {
      "item_id": "N20",
      "question_type": "Evidence condition",
      "question": "Which report corresponds to the other 9-person experiment in the text?",
      "needed": "Bibliography, trial family and population of the additional mention",
      "role": "Required",
      "role_reason": "This condition connects Bibliography, trial family and population of the additional mention with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Bibliography, trial family and population of the additional mention must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: The additional experiment's bibliography, population, exposure timing, denominator, quantitative values and family relationship are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01",
        "S02"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The original text mentions two older crossover experiments with 9 participants each and differences including older women with insomnia, healthy women and 30 minutes before bed. Only Dorsey is linked as a supporting citation; the other exact report and the mapping of those features remain unlinked. No new report is created.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "The additional experiment's bibliography, population, exposure timing, denominator, quantitative values and family relationship are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "The additional experiment's bibliography, population, exposure timing, denominator, quantitative values and family relationship are unverified."
    },
    {
      "item_id": "N21",
      "question_type": "Evidence condition",
      "question": "Are independent replication and condition heterogeneity distinguished?",
      "needed": "Separate evidence with the same population, exposure, timing and comparator",
      "role": "Required",
      "role_reason": "This condition connects Separate evidence with the same population, exposure, timing and comparator with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Separate evidence with the same population, exposure, timing and comparator must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Separate replication under the same exposure, comparator and population, and independence of actual trial families are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01",
        "S02"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The parent records favorable supporting directions but does not upgrade them to independent confirmation because populations and timing differ. The core 23, supporting 9 and unlinked 9 participants are not summed.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Separate replication under the same exposure, comparator and population, and independence of actual trial families are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Separate replication under the same exposure, comparator and population, and independence of actual trial families are unverified."
    },
    {
      "item_id": "N22",
      "question_type": "Evidence condition",
      "question": "Are a single exposure, approximately 3-week operations and long-term sleep the same?",
      "needed": "One analyzed night, operational period and long-term outcomes",
      "role": "Required",
      "role_reason": "This condition connects One analyzed night, operational period and long-term outcomes with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for One analyzed night, operational period and long-term outcomes must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: No linked material establishes repeated use, long-term sleep, treatment in diagnosed patients or persistence after stopping. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The parent's single pre-bed intervention classification is distinguished from three conditions over approximately 3 weeks and one analyzed night per condition. This is not converted into daily treatment for 3 weeks or a long-term effect.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "No linked material establishes repeated use, long-term sleep, treatment in diagnosed patients or persistence after stopping.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "No linked material establishes repeated use, long-term sleep, treatment in diagnosed patients or persistence after stopping."
    },
    {
      "item_id": "N23",
      "question_type": "Evidence condition",
      "question": "Can this be generalized to other populations or insomnia treatment?",
      "needed": "Direct eligibility, diagnosis and endpoint scope",
      "role": "Required",
      "role_reason": "This condition connects Direct eligibility, diagnosis and endpoint scope with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Direct eligibility, diagnosis and endpoint scope must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Material directly applicable to diagnosed insomnia, other ages, diseases and living environments is not linked. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01",
        "S02"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The core concerns sleep-onset outcomes in 23 selected adults; supporting older women with insomnia are a different context. The sleep-onset signal does not establish insomnia treatment or improved sleep for all populations.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Material directly applicable to diagnosed insomnia, other ages, diseases and living environments is not linked.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Material directly applicable to diagnosed insomnia, other ages, diseases and living environments is not linked."
    },
    {
      "item_id": "N24",
      "question_type": "Evidence condition",
      "question": "Were effects of shower alone and other heating also tested?",
      "needed": "Direct shower-versus-no-heating and other-exposure comparisons",
      "role": "Required",
      "role_reason": "This condition connects Direct shower-versus-no-heating and other-exposure comparisons with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Direct shower-versus-no-heating and other-exposure comparisons must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: No linked material establishes direct effects of shower alone versus no heating or other temperatures, durations and heating methods. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The stored account says shower alone cannot be evaluated because shower versus no heating was not compared. The additional effect of a long bath versus a warm shower is not converted into shower efficacy or effects of all passive heating.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "No linked material establishes direct effects of shower alone versus no heating or other temperatures, durations and heating methods.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "No linked material establishes direct effects of shower alone versus no heating or other temperatures, durations and heating methods."
    },
    {
      "item_id": "N25",
      "question_type": "Evidence condition",
      "question": "Are funding, employee authors, product support and COI distinguished?",
      "needed": "Separate source disclosures of support, employment and interests",
      "role": "Required",
      "role_reason": "This condition connects Separate source disclosures of support, employment and interests with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Separate source disclosures of support, employment and interests must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Funding roles, equipment/product support, research roles of employee authors, detailed COI and S02 support are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01",
        "S02"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The original S01 funding record states funding not applicable and 2 authors affiliated with Noritz research and development. Funding wording and employee involvement are not expanded into verified product support, COI or all interests.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Funding roles, equipment/product support, research roles of employee authors, detailed COI and S02 support are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Funding roles, equipment/product support, research roles of employee authors, detailed COI and S02 support are unverified."
    },
    {
      "item_id": "N26",
      "question_type": "Evidence condition",
      "question": "How far is bathing safety verified?",
      "needed": "Harm-event collection, exposures, denominators and discontinuation",
      "role": "Supplementary",
      "role_reason": "This condition connects Adverse-event collection, exposure, denominators and discontinuation with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Adverse-event collection, exposure, denominators and discontinuation must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Condition-specific event definitions, collection, denominators, discontinuation, vulnerable populations and long-term safety are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01",
        "S02"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The parent's original safety value is Unknown, with systematic adverse-event denominators and rates unverified. Burns, dizziness and falls are generalization-limit wording in the stored account, not observed event rates.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Condition-specific event definitions, collection, denominators, discontinuation, vulnerable populations and long-term safety are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Condition-specific event definitions, collection, denominators, discontinuation, vulnerable populations and long-term safety are unverified."
    },
    {
      "item_id": "N27",
      "question_type": "Evidence condition",
      "question": "Are parent values, subclaim grade and historical dates distinguished?",
      "needed": "Parent C46, subclaim C, axes and correction history",
      "role": "Required",
      "role_reason": "This condition connects Parent C46, subclaim C, axes and correction history with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Parent C46, subclaim C, axes and correction history must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: A subclaim score, status and axes, external details of historical checks and new corrections are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01",
        "S02"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Parent C46, B/S/R1/I1/EX/B2/CX, four false flags and an empty override are preserved alongside the subclaim C and note. Original Korean/English, 2026-09-07, an empty correction array, an empty deliberation string and historical original-table checks do not become current reading, completed content review or a subclaim score.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "A subclaim score, status and axes, external details of historical checks and new corrections are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "A subclaim score, status and axes, external details of historical checks and new corrections are unverified."
    },
    {
      "item_id": "N28",
      "question_type": "Evidence condition",
      "question": "What was actually read, and which materials are needed for updates?",
      "needed": "Stored summary, unread external materials and follow-up sources",
      "role": "Required",
      "role_reason": "This condition connects Stored summary, unread external materials and follow-up sources with sleep-onset latency after a long bath, active shower control, exposure versus outcome duration, crossover order, selected nights, sleep onset versus efficiency/subjective measures, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish mean bath exposure of 16.1 minutes from short-bath mean sleep onset of 16.1 minutes, active shower control from no heating, simple mean differences from within-person adjusted effects, one selected night from the operational period, sleep onset from efficiency/subjective quality, and the core report from supporting bibliography/unlinked mentions. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Stored summary, unread external materials and follow-up sources must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: External acquisition, reading, address verification, content review and needed original materials remain outstanding. Updates must preserve complete prior texts/materials, condition versions, separate application records and change history. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01",
        "S02"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Core results and supporting bibliography in the stored summary were used. The two original PubMed URLs are retained; abstracts, full texts, registration, protocols, SAPs, support and COI are unread and access was not attempted. A URL alone does not upgrade reading or verification status.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "External acquisition, reading, address verification, content review and needed original materials remain outstanding. Updates must preserve complete prior texts/materials, condition versions, separate application records and change history.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "External acquisition, reading, address verification, content review and needed original materials remain outstanding. Updates must preserve complete prior texts/materials, condition versions, separate application records and change history."
    }
  ],
  "reports": [
    {
      "report_id": "S01",
      "title": "Maeda T et al. 2023",
      "url": "https://pubmed.ncbi.nlm.nih.gov/37684642/",
      "report_type": "Randomized-order home crossover trial",
      "existence": "Bibliography is present in the original stored citation list. External public availability and access status are unverified in this work.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread without access attempts",
      "study_family": "RG2993-MAEDA-2023",
      "independent_replication": "The parent and two subclaim sheets share the same stored report context. Core 23 participants, supporting nine, another unlinked nine and selected nights are not counted as new unique trials, participants or independent replications. Confirmed totals are unrecorded and review of existing content remains incomplete.",
      "observed_result": "Long-bath SOL 12.3 versus shower 20.3 minutes, P<.05; sleep efficiency null",
      "result_level": "Preserved core results from 23 adults, approximately three weeks, three conditions and one selected night per condition. Distinguish active shower control, sleep-onset signals, null objective SE and perceived quality. Condition denominators, within-person estimands, exact CIs, meaning of ± and prior hierarchy are unverified.",
      "source_evidence_date": "2026-09-07",
      "materials": [
        {
          "material_type": "Stored existing review summary",
          "public_status": "Preserved copy of the complete parent-verdict stored summary",
          "access_status": "Stored summary",
          "acquired": true,
          "actually_read": "Summary read",
          "as_of": "2026-09-07",
          "qualification": "Original PubMed URL, PMID 37684642, PMCID PMC10486043 and DOI 10.1186/s40101-023-00337-0 are preserved. The original evidence row lacks a registration key and its citation lacks a registration number. Identifiers/URLs alone do not certify acquisition, reading, prior plans or condition fulfillment; new full-text/registration URLs are not inferred."
        },
        {
          "material_type": "External paper",
          "public_status": "Original bibliographic link or needed material; external public availability/access status unverified",
          "access_status": "Unread; access not attempted",
          "acquired": false,
          "actually_read": "Not read",
          "as_of": "2026-09-07",
          "qualification": "Original PubMed URL, PMID 37684642, PMCID PMC10486043 and DOI 10.1186/s40101-023-00337-0 are preserved. The original evidence row lacks a registration key and its citation lacks a registration number. Identifiers/URLs alone do not certify acquisition, reading, prior plans or condition fulfillment; new full-text/registration URLs are not inferred."
        },
        {
          "material_type": "Registration material",
          "public_status": "Original bibliographic link or needed material; external public availability/access status unverified",
          "access_status": "Unread; access not attempted",
          "acquired": false,
          "actually_read": "Not read",
          "as_of": "2026-09-07",
          "qualification": "Original PubMed URL, PMID 37684642, PMCID PMC10486043 and DOI 10.1186/s40101-023-00337-0 are preserved. The original evidence row lacks a registration key and its citation lacks a registration number. Identifiers/URLs alone do not certify acquisition, reading, prior plans or condition fulfillment; new full-text/registration URLs are not inferred."
        },
        {
          "material_type": "Protocol",
          "public_status": "Original bibliographic link or needed material; external public availability/access status unverified",
          "access_status": "Unread; access not attempted",
          "acquired": false,
          "actually_read": "Not read",
          "as_of": "2026-09-07",
          "qualification": "Original PubMed URL, PMID 37684642, PMCID PMC10486043 and DOI 10.1186/s40101-023-00337-0 are preserved. The original evidence row lacks a registration key and its citation lacks a registration number. Identifiers/URLs alone do not certify acquisition, reading, prior plans or condition fulfillment; new full-text/registration URLs are not inferred."
        },
        {
          "material_type": "Statistical analysis plan",
          "public_status": "Original bibliographic link or needed material; external public availability/access status unverified",
          "access_status": "Unread; access not attempted",
          "acquired": false,
          "actually_read": "Not read",
          "as_of": "2026-09-07",
          "qualification": "Original PubMed URL, PMID 37684642, PMCID PMC10486043 and DOI 10.1186/s40101-023-00337-0 are preserved. The original evidence row lacks a registration key and its citation lacks a registration number. Identifiers/URLs alone do not certify acquisition, reading, prior plans or condition fulfillment; new full-text/registration URLs are not inferred."
        },
        {
          "material_type": "Funding, product-support and COI material",
          "public_status": "Original bibliographic link or needed material; external public availability/access status unverified",
          "access_status": "Unread; access not attempted",
          "acquired": false,
          "actually_read": "Not read",
          "as_of": "2026-09-07",
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