@BenBolker,
Thank you so much for your quick and helpful response! I wanted to follow up with some more detail that didn’t fit in the comments.
I’m hoping to obtain stable estimates of cluster-specific effects, even when the model is knowingly misspecified (in this case, due to the absence of a true random effect for MT).
I understand that the singular fit warning indicates issues with the model specification, particularly when the random effect variance is estimated at or near zero, but I wonder if I can still trust the cluster-specific coefficients (I am not directly interested in the parameter of random effects correlation).
To be even more specific, aside from the point estimates of each clinic (i.e., cluster), I am trying to run an informal significance test on each cluster to test whether its coefficient is statistically different from zero (evaluating Type I errors). This is why I was trying to retrieve the confidence intervals. Thank you for pointing out that these are actually the quantiles of the conditional distributions.
Do you think it is reasonable to use the quantiles of the conditional distributions as indicators of “significance” (i.e., whether they include 0)?
Thank you again for your insights, I truly appreciate your advice!
Udi