Supporting Cognitive Control Training With tDCS

September 27, 2019 updated by: Christian Plewnia, MD, University Hospital Tuebingen

Lasting Amelioration of Deficient Cognitive Control by Transcranial Direct Current Stimulation (tDCS)-Enhanced Training

Cognitive control (CC) is an important prerequisite for goal-directed behaviour and often associated with dysfunctional prefrontal activity within the cortex. This can be ameliorated by non-invasive brain stimulation. In this randomised single-blind study we compare effects of transcranial direct current stimulation (tDCS) on CC in healthy subjects. The study includes 162 subjects who undergo a two-week (six sessions) training of cognitive control (adaptive paced auditory serial addition task, PASAT) supported by tDCS. Subjects are randomised to receive either concurrent anodal, cathodal, or sham tDCS with an intensity of 1 mA or 2 mA of their left (F3) or right (F4) PFC, resulting in eight stimulation groups. Stimulation effects on performance changes are compared to a sham control group.Changes in Affective state are measured by the positive and negative affect schedule (PANAS), possible transfer effects are assessed by the Eriksen Flanker task. Stability of effects is measured up to three months after the last intervention.

Study Overview

Study Type

Interventional

Enrollment (Actual)

173

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Tübingen, Germany, 72074
        • University of Tübingen, Department of Psychiatry and Psychotherapy

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 40 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Healthy subjects
  • Right-handed (assessed by Edinburgh Handedness Inventory)
  • No other concurrent brain stimulation during participation
  • Proficient in German (min. CEFR level B)
  • Ability to strictly adhere to study timeline

Exclusion Criteria:

  • Diagnosed neurological illnesses
  • Diagnosed psychiatric disorders
  • Achromatopsia
  • Metallic implants / tattoos on or near electrode sites
  • Consumption of tobacco to an equivalent of ten or more cigarettes per day
  • Prior participation in experiments involving the PASAT

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Basic Science
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Sham Comparator: Sham
Sham tDCS (ramp up and ramp down of electrical current before as well as after task performance to elicit physical sensations similar to verum tDCS)
Added verum or sham tDCS while working on a cognitive control task.
Active Comparator: L1A

Active tDCS

  • laterality: left PFC (F3; second electrode placed on deltoid muscle of the opposing arm)
  • intensity: of 1 mA
  • polarity: anodal
Added verum or sham tDCS while working on a cognitive control task.
Active Comparator: R1A

Active tDCS

  • laterality: right PFC (F4; second electrode placed on deltoid muscle of the opposing arm)
  • intensity: of 1 mA
  • polarity: anodal
Added verum or sham tDCS while working on a cognitive control task.
Active Comparator: L2A

Active tDCS

  • laterality: left PFC (F3; second electrode placed on deltoid muscle of the opposing arm)
  • intensity: of 2 mA
  • polarity: anodal
Added verum or sham tDCS while working on a cognitive control task.
Active Comparator: R2A

Active tDCS

  • laterality: right PFC (F4; second electrode placed on deltoid muscle of the opposing arm)
  • intensity: of 2 mA
  • polarity: anodal
Added verum or sham tDCS while working on a cognitive control task.
Active Comparator: L1C

Active tDCS

  • laterality: left PFC (F3; second electrode placed on deltoid muscle of the opposing arm)
  • intensity: of 1 mA
  • polarity: cathodal
Added verum or sham tDCS while working on a cognitive control task.
Active Comparator: R1C

Active tDCS

  • laterality: right PFC (F4; second electrode placed on deltoid muscle of the opposing arm)
  • intensity: of 1 mA
  • polarity: cathodal
Added verum or sham tDCS while working on a cognitive control task.
Active Comparator: L2C

Active tDCS

  • laterality: left PFC (F3; second electrode placed on deltoid muscle of the opposing arm)
  • intensity: of 2 mA
  • polarity: cathodal
Added verum or sham tDCS while working on a cognitive control task.
Active Comparator: R2C

Active tDCS

  • laterality: right PFC (F4; second electrode placed on deltoid muscle of the opposing arm)
  • intensity: of 2 mA
  • polarity: cathodal
Added verum or sham tDCS while working on a cognitive control task.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Cognitive performance
Time Frame: 2 to 14 weeks
Changes in performance in the PASAT (as assessed by number of correct trials within each PASAT session) due to the various tDCS interventions. All eight interventions will be compared to the sham group. Cognitive performance is modified by tDCS, which is applied through a multi-channel stimulator (DC-Stimulator MC, NeuroConn GmbH, Ilmenau, Germany; software version 1.3.8; two rectangular rubber electrodes (5 x 7 cm)).
2 to 14 weeks

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Affective state
Time Frame: 2 weeks
Changes in affective state over the course of the experiment (assessed by the positive and negative affect schedule (PANAS) questionnaire). Scores are calculated for negative and positive affect separately, by summing up the respective answers.
2 weeks
Transfer effect
Time Frame: 3 weeks
Transfer effects in the Eriksen Flanker task (assessed through mean reaction times). Means are calculated for congruent, incongruent, and neutral trials respectively.
3 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Christian Plewnia, MD, University of Tübingen, Department of Psychiatry and Psychotherapy

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 15, 2016

Primary Completion (Actual)

March 26, 2018

Study Completion (Actual)

March 26, 2018

Study Registration Dates

First Submitted

September 17, 2019

First Submitted That Met QC Criteria

September 27, 2019

First Posted (Actual)

September 30, 2019

Study Record Updates

Last Update Posted (Actual)

September 30, 2019

Last Update Submitted That Met QC Criteria

September 27, 2019

Last Verified

September 1, 2019

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Undecided

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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