Transcranial Direct Current Stimulation on Inhibitory Control in Addictions.
1 other identifier
interventional
200
1 country
1
Brief Summary
The research in neuroscience of the last 20 years is defined, in addition to continuing to advance in the field of behavioral and pharmacological therapy, by the birth and development of a new therapeutic category, called neuromodulation. Neuromodulation offers the possibility of producing changes in the Nervous System (SN) and therefore, in behavior, in addition to lasting over time. One of the most used non-invasive neuromodulation techniques is transcranial direct current stimulation (tDCS). The benefits of tDCS are promising and varied, so it is a potential neurorehabilitation tool, which has also shown its greatest effectiveness when accompanied by complementary rehabilitation treatment. The present study focuses on the effect of tDCS on addiction. Specifically, there is a great problem with the high rates of relapse presented by those individuals who try to abandon addictive behavior. Therefore, the maintenance of the abstinence period is the central theme of addiction research and the main challenge of rehabilitation at present. For that aim, the intervention will be carried out in a sample in the intermediate phase (internal) in the NOESSO (No EstáS Sólo) therapeutic community (Almería, Spain), between day 15 after arrival and the first day to leave on leave (day 45-60). The research will be made up of a previous period of selection and collection of data related to addiction, together with two phases or moments of correlative intervention and evaluation. Users will receive a bilateral (F3/F4) and repeated stimulation of 2 mA intensity for 20 min each, that is, every 24h for 5 consecutive days in each phase. Through this procedure, the aim is to seek to increase adherence to treatment in the early intervention phase and decrease the dropout rate due to the enhancement of inhibitory control. On the other hand, in the second phase, advanced intervention is sought to reduce craving, through an improvement in inhibitory and emotional control at the time of returning to the context of real consumption. In order to increase the knowledge about intra-individual differences in the effect of tDCS, researchers will compare the early intervention (Phase 1, at the begging of the rehabilitation process) with the advanced intervention (Phase 2, right before the first leave).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2021
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 5, 2021
CompletedFirst Submitted
Initial submission to the registry
March 14, 2022
CompletedFirst Posted
Study publicly available on registry
April 27, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 15, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2022
CompletedApril 27, 2022
April 1, 2022
1.3 years
March 14, 2022
April 26, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Dropouts phase 1: participants that abandon the treatment phase
Number of participants that abandon the treatment phase before the first free weekend outside the center
45-60 days
Dropouts phase 2: participants that abandon the treatment after the first free weekend outside the center
Number of participants that abandon the treatment after the first free weekend outside the center
47-62 days
Relapses:
Number of relapses on drug comsuption during the first free weekend outside the center
41-62 days
Secondary Outcomes (9)
VAS - Craving
Daily during the total ten days of intervention
VAS - Fatigue
For each interventional phase: first and fifth day
STAI-E/R
For each interventional phase: first and fifth day
WHOQOL-BREF
For each interventional phase: first and fifth day
Beck BDI-BECK
For each interventional phase: first and fifth day
- +4 more secondary outcomes
Study Arms (4)
Active-Active
EXPERIMENTALParticipants will receive active-tDCS stimulation (anode F4 / cathode F3) at 2 mA during 20 min in Phase 1 (5 sessions, intersession time-24h) and in Phase 2 (5 sessions, intersession time-24h).
Active-Sham
EXPERIMENTALParticipants will receive active-tDCS stimulation (anode F4 / cathode F3) at 2 mA during 20 min in Phase 1 (5 sessions, intersession time-24h), and sham-tDCS at 2 mA (active-stimulation lasting for 1 min) in Phase 2 (5 sessions, intersession time-24h).
Sham-Active
EXPERIMENTALParticipants will receive sham-tDCS stimulation (anode F4 / cathode F3) at 2 mA (active-stimulation lasting for 1 min) in Phase 1 (5 sessions, intersession time-24h), and active-tDCS at 2 mA during 20 min in Phase 2 (5 sessions, intersession time-24h).
Sham-Sham
SHAM COMPARATORParticipants will receive sham-tDCS stimulation (anode F4 / cathode F3) at 2 mA (active-stimulation lasting for 1 min) in Phase 1 (5 sessions, intersession time-24h), and sham-tDCS at 2 mA (active-stimulation lasting for 1 min) in Phase 2 (5 sessions, intersession time-24h).
Interventions
Eligibility Criteria
You may qualify if:
- Substance abuse
- Under clinical treatment at the Noesso Addiction Rehabilitation Center La Quinta, Laujar de Andarax, Spain
- Participation approved by the clinical team
- Participation approved by the experimental team by means of the Göttingen screening questionnaire
- Signed informed consent
- At least 26 points in the Montreal Cognitive Assessment (MOCA) evaluation
You may not qualify if:
- Epilepsy or history of epilepsy (convulsions due compsumtion not included)
- Cardiopathy or cardiac electronic devices
- Skin reaction or high sensitivity to tDCS
- Head metallic implant
- Serious mental disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Universidad de Almerialead
- Junta de Andaluciacollaborator
Study Sites (1)
Psychobiology Lab
Almería, 04120, Spain
Related Publications (66)
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MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Fernando Sánchez-Santed, PhD
Universidad de Almeria
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Masking Details
- Care providers communicate to the PI for participants' availability each week. PI assigns an anonymization code that serves to activate the stimulation device in active or sham-mode, blinded to investigators or participants.
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
March 14, 2022
First Posted
April 27, 2022
Study Start
April 5, 2021
Primary Completion
July 15, 2022
Study Completion
December 31, 2022
Last Updated
April 27, 2022
Record last verified: 2022-04
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, CSR
- Time Frame
- Data will be available between six and twelve months after each potential publication
- Access Criteria
- No restrictions will be applied
All collected Individual Participants Data (IPD) will be shared in .csv files together with readme.txt files describing data processing