{
  "schema_version": "chamgap-public-criteria-1.0",
  "title": "Warm bath × sleep efficiency—objective null result and evidence gaps",
  "language": "en",
  "translation_date": "2026-10-16",
  "criteria_version": "1.0",
  "criteria_date": "2026-10-06",
  "condition_origin": "Chamgap's own application conditions",
  "method_sources": [
    {
      "id": "M03",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-03",
      "section": "§3.1, §3.2.1–3.2.3, MECIR C5/C7/C13",
      "official_principle": "Clearly record the question, eligibility conditions and reasons for changes, and distinguish variations in interventions.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M04",
      "version": "Cochrane Handbook 6.5.1 (2025), chapter updated 2025-03",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-04",
      "section": "§4.5, §4.6.1–4.6.3, MECIR C42",
      "official_principle": "Distinguish studies from reports and link them; do not omit a study solely because results are unreported.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M08",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-08",
      "section": "§8.1–8.2.3, Table 8.2.a",
      "official_principle": "Define the outcome and effect of interest, then examine randomization, deviations, missing data, measurement and selective reporting.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M15",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-15",
      "section": "§15.2.4, §15.3.1–15.3.3",
      "official_principle": "Distinguish effect estimates, intervals, importance and applicability. Sample size alone does not determine precision.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    },
    {
      "id": "M19",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-19",
      "section": "§19.1.2, §19.2.1–19.2.4",
      "official_principle": "Harm questions may require different designs, populations and follow-up from efficacy questions. Case reports do not establish incidence rates.",
      "review_level": "Existing methodological links were reused for production. External originals were not reread and methodological content was not reassessed."
    }
  ],
  "status_dictionary": {
    "Partly verified": "Some information is present in the stored source, with detailed original materials still unverified; this does not mean review passed or clinical efficacy certified",
    "Unverified": "Detailed materials for the selected condition could not be established within the stored scope; this does not mean zero effect, zero studies or safety",
    "Review incomplete": "Awaiting user review",
    "Met": "Use only within the relevant condition's scope after user review; no automatic display in this preparation",
    "Not reported": "Distinguish only within materials actually read; do not turn unread external materials into unreported findings",
    "Inaccessible": "Not applied during this preparation because actual access was not tested",
    "Not applicable": "Use with a reason for non-applicability based on an explicit question boundary",
    "Conflicting data": "Judge after actual material comparison; review was not performed during this preparation",
    "Insufficient evidence for the conditions": "Do not use as a clinical grade encompassing currently unread materials"
  },
  "requirements": [
    {
      "item_id": "N01",
      "question_type": "Evidence condition",
      "question": "What are the original values for the selected sleep-efficiency claim?",
      "needed": "Original sleep-efficiency subclaim, grade and note",
      "role": "Required",
      "role_reason": "This condition connects Original sleep-efficiency subclaim, grade and note with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original sleep-efficiency subclaim, grade and note 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, and the exact SE definition, conditions, timing and denominators are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N02",
      "question_type": "Evidence condition",
      "question": "What are the core original SE values and comparative result?",
      "needed": "Original condition-specific objective SE values and comparison",
      "role": "Required",
      "role_reason": "This condition connects Original condition-specific objective SE values and comparison with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original condition-specific objective SE values and comparison 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: SE definition, denominators, model, exact P, comparative effects, CI and missingness are unverified. A null result does not certify an effect of 0 or equivalence. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N03",
      "question_type": "Evidence condition",
      "question": "Is the sleep-onset signal a sleep-efficiency effect?",
      "needed": "Distinguishing SOL, SE and the original simple mean difference",
      "role": "Required",
      "role_reason": "This condition connects Distinguishing SOL, SE and the original simple mean difference with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Distinguishing SOL, SE and the original simple mean difference 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: Original SE tables, exact comparative effects, CIs and tests are needed. No new effect is calculated from original numbers for another endpoint. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N04",
      "question_type": "Evidence condition",
      "question": "Does perceived sleep quality replace objective sleep efficiency?",
      "needed": "Separate subjective and actigraphic SE outcomes",
      "role": "Required",
      "role_reason": "This condition connects Separate subjective and actigraphic SE outcomes with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Separate subjective and actigraphic SE 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: The subjective scale, timing, effect, respective denominators, CI and prospective hierarchy, and SE definition/measurement are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N05",
      "question_type": "Evidence condition",
      "question": "Was the actual comparator a warm shower?",
      "needed": "Distinguishing active shower control from the no-bath label",
      "role": "Required",
      "role_reason": "This condition connects Distinguishing active shower control from the no-bath label with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Distinguishing active shower control from the no-bath label 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: Protocols, heating, exposure, timing and concurrent behaviors per condition are unverified. An untested shower-versus-no-heating comparison is not converted into shower efficacy. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N06",
      "question_type": "Evidence condition",
      "question": "What do temperature, bath duration and bedtime interval describe?",
      "needed": "Original research exposure and identification",
      "role": "Required",
      "role_reason": "This condition connects Original research exposure and identification with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original research exposure and identification 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 actual exposure, temperature maintenance, time definitions, sequence, interval adherence and intervention deviations are unverified. No new total exposure is calculated. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N07",
      "question_type": "Evidence condition",
      "question": "How was sleep efficiency actually measured?",
      "needed": "Actigraphic SE, definition, device and measurement rules",
      "role": "Required",
      "role_reason": "This condition connects Actigraphic SE, definition, device and measurement rules with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Actigraphic SE, definition, device and measurement 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: The device, algorithm, SE calculation definition, sleep records, measurement rules, valid nights and participant denominators are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N08",
      "question_type": "Evidence condition",
      "question": "What are the analysis denominators for the selected night?",
      "needed": "23 adults, operational period and condition-specific selected nights",
      "role": "Required",
      "role_reason": "This condition connects 23 adults, operational period and condition-specific selected nights with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for 23 adults, operational period and condition-specific selected 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: Eligibility, night selection/exclusion, valid participants/nights, prospective plans, missing-data handling and condition-specific analysis denominators are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N09",
      "question_type": "Evidence condition",
      "question": "Are crossover order and period effects known?",
      "needed": "Randomized order, washout, carryover and within-person analysis",
      "role": "Required",
      "role_reason": "This condition connects Randomized order, washout, carryover and within-person analysis with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Randomized order, washout, 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, period/carryover effects, within-person repeated-measures models and attrition are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N10",
      "question_type": "Evidence condition",
      "question": "Was SE a prospective primary endpoint?",
      "needed": "Prospective endpoint hierarchy and analysis plan",
      "role": "Required",
      "role_reason": "This condition connects Prospective endpoint hierarchy and analysis plan with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Prospective endpoint hierarchy and analysis plan 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: Dated registration, protocol, SAP, SE hierarchy, night selection, multiple testing and change history are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N11",
      "question_type": "Evidence condition",
      "question": "Are exact comparative SE effects and confidence intervals available?",
      "needed": "SE estimates, variance, denominators and testing",
      "role": "Required",
      "role_reason": "This condition connects SE estimates, variance, denominators and testing with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for SE estimates, variance, denominators and testing 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: Original comparative SE statistical tables, models, denominators, CIs, multiple testing and relevance thresholds are needed. No hypothetical examples or new effect/CI calculations are made. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N12",
      "question_type": "Evidence condition",
      "question": "Does the supporting Dorsey report provide the same SE outcome?",
      "needed": "Citation-only support in older women with insomnia",
      "role": "Required",
      "role_reason": "This condition connects Citation-only support in older women with insomnia with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Citation-only support in older women with insomnia 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 SE, SOL, conditions, timing, denominators, effects, CIs and study relationships are unverified. The external abstract/full text were unread in this work. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N13",
      "question_type": "Evidence condition",
      "question": "Are both older experiments linked to bibliography?",
      "needed": "Supporting-trial mentions and population/timing/bibliographic correspondence",
      "role": "Required",
      "role_reason": "This condition connects Supporting-trial mentions and population/timing/bibliographic correspondence with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Supporting-trial mentions and population/timing/bibliographic 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: Exact bibliography, population, timing, outcomes and direct SE relevance of each supporting experiment are unverified. All features are not assigned to Dorsey and no new report is created. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N14",
      "question_type": "Evidence condition",
      "question": "Are the core adult and older insomnia samples equivalent?",
      "needed": "Selected populations, baseline sleep and generalization",
      "role": "Required",
      "role_reason": "This condition connects Selected populations, baseline sleep and generalization with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Selected populations, baseline sleep and generalization 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: Population, age, sex, baseline sleep/disease, medication, screening, exclusions and condition-specific denominators per report are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N15",
      "question_type": "Evidence condition",
      "question": "Do single conditions over approximately 3 weeks establish sustained treatment effects?",
      "needed": "Single exposure, operational period and long-term SE",
      "role": "Required",
      "role_reason": "This condition connects Single exposure, operational period and long-term SE with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Single exposure, operational period and long-term 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: Direct evidence for repeated use, post-intervention SE, long-term clinical sleep outcomes, exposure, denominators and comparators is not linked. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N16",
      "question_type": "Evidence condition",
      "question": "What is the interpretation boundary of the null SE result?",
      "needed": "Null result, effect of 0, equivalence and other sleep effects",
      "role": "Required",
      "role_reason": "This condition connects Null result, effect of 0, equivalence and other sleep effects with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Null result, effect of 0, equivalence and other sleep effects 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: SE relevance thresholds, exact effects/CIs and direct evidence for other sleep endpoints/times are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N17",
      "question_type": "Evidence condition",
      "question": "Are shared reports distinguished from independent replication?",
      "needed": "Parent, two subclaim sheets, reports and population relationships",
      "role": "Required",
      "role_reason": "This condition connects Parent, two subclaim sheets, reports and population relationships with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Parent, two subclaim sheets, reports and population relationships 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: Report-specific cohorts, periods, analysis populations, shared relationships and exact independent SE replication are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N18",
      "question_type": "Evidence condition",
      "question": "What was actually read?",
      "needed": "Complete stored summary and unread external material",
      "role": "Required",
      "role_reason": "This condition connects Complete stored summary and unread external material with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Complete stored summary and unread external material 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 originals, supplements, registration, plans, actual reading records and content review remain outstanding. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N19",
      "question_type": "Evidence condition",
      "question": "Were original Korean/English and historical verification narratives preserved?",
      "needed": "Original languages, subclaim note and historical verification scope",
      "role": "Required",
      "role_reason": "This condition connects Original languages, subclaim note and historical verification scope with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original languages, subclaim note and historical verification 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: Details of the original external checks and current content, translation and claim-boundary review remain incomplete. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N20",
      "question_type": "Evidence condition",
      "question": "Are subclaim D and parent score/axes distinguished?",
      "needed": "Original subclaim values, parent C46, axes and safety",
      "role": "Required",
      "role_reason": "This condition connects Original subclaim values, parent C46, axes and safety with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original subclaim values, parent C46, axes and safety 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 axes are absent from the source. No new score, grade, axes, efficacy or independence certification is created. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N21",
      "question_type": "Evidence condition",
      "question": "Are evidence cut-off, corrections and production dates distinguished?",
      "needed": "Original date and empty correction/deliberation records",
      "role": "Required",
      "role_reason": "This condition connects Original date and empty correction/deliberation records with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original date and empty correction/deliberation records 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: Latest corrections, follow-up materials, complete prior history and current content review remain outstanding. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N22",
      "question_type": "Evidence condition",
      "question": "Are bibliographic/registration identities different from actual access?",
      "needed": "Original PMID, DOI, PMCID and registration presence/absence",
      "role": "Required",
      "role_reason": "This condition connects Original PMID, DOI, PMCID and registration presence/absence with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original PMID, DOI, PMCID and registration presence/absence 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: Identifiers/URLs do not establish reading, prospective status or accessibility. No new full-text/registration URLs are inferred. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N23",
      "question_type": "Evidence condition",
      "question": "Are funding, employee authors, product support and analysis/reporting involvement distinguished?",
      "needed": "Report-specific funding, support, affiliation and roles",
      "role": "Required",
      "role_reason": "This condition connects Report-specific funding, support, affiliation and roles with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Report-specific funding, support, affiliation and roles 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: Original funding roles, COI, product/equipment support, employee affiliations and analysis/publication roles per report are unread. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N24",
      "question_type": "Evidence condition",
      "question": "Are details of allocation, measurement and selective reporting available?",
      "needed": "Randomized crossover, masking, denominators and plans",
      "role": "Required",
      "role_reason": "This condition connects Randomized crossover, masking, denominators and plans with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Randomized crossover, masking, denominators and plans 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: Allocation concealment, assessor/analyst masking, devices, algorithms, missingness, prospective plans and change history are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N25",
      "question_type": "Evidence condition",
      "question": "Are actual exposure, adherence and concurrent conditions known?",
      "needed": "Original research exposure, cointerventions and deviations",
      "role": "Required",
      "role_reason": "This condition connects Original research exposure, cointerventions and deviations with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original research exposure, cointerventions and deviations 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: Report-specific exposure, adherence, deviations, sleep schedules, environment, caffeine, alcohol, medication, concurrent care and denominators are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N26",
      "question_type": "Evidence condition",
      "question": "Are original safety wording and actual adverse-event rates distinguished?",
      "needed": "Adverse-event collection, exposure, comparator and denominators",
      "role": "Supplementary",
      "role_reason": "This condition connects Adverse-event collection, exposure, comparator and denominators with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. 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, comparator and 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: Report-specific event definitions, collection, exposure, denominators, deviations, comparators, severity and links to original reports are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N27",
      "question_type": "Evidence condition",
      "question": "Can this extend to long-term/rare harms and clinical outcomes?",
      "needed": "Selected adults, short observation and long-term/rare harms",
      "role": "Supplementary",
      "role_reason": "This condition connects Selected adults, short observation and long-term/rare harms with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Selected adults, short observation and long-term/rare harms 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: Long-term follow-up, population, exposure, harm surveillance, endpoint-specific denominators, CIs and clinical sleep outcomes are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N28",
      "question_type": "Evidence condition",
      "question": "Which materials would trigger an update?",
      "needed": "Original material, conditions, observations and change events",
      "role": "Required",
      "role_reason": "This condition connects Original material, conditions, observations and change events with objective sleep efficiency, active shower control, original condition-specific values and the null result, sleep-onset/subjective outcomes, crossover order, selected nights, denominators and harms.",
      "application_exception": "Preserve original numbers, ±, P values and study exposure only. Distinguish null between-condition SE from SOL/subjective outcomes, active shower control from no heating, one selected night from the operational period, mean exposure of 16.1 minutes from short-bath mean SOL of 16.1 minutes, and the core report from supporting bibliography/unlinked mentions. A null result does not certify an effect of 0, equivalence or absence of all sleep effects. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, bathing/sleep methods, treatment or procedure instructions are created.",
      "criterion": "Material for Original material, conditions, observations and change events 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: Complete prior texts/materials, condition versions, separate application records and change history must be retained. No new research, calculations, grades, independence certification or bathing/sleep instructions were executed. This records needed materials; no new research was executed."
    }
  ]
}