Examining the synergistic effects of a cognitive control video game and a home-based, self-administered non-invasive brain stimulation on alleviating depression: the DiSCoVeR trial protocol.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_0ABAF4651D0B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Examining the synergistic effects of a cognitive control video game and a home-based, self-administered non-invasive brain stimulation on alleviating depression: the DiSCoVeR trial protocol.
Journal
European archives of psychiatry and clinical neuroscience
Author(s)
Dechantsreiter E., Padberg F., Morash A., Kumpf U., Nguyen A., Menestrina Z., Windel F., Burkhardt G., Goerigk S., Morishita T., Soldini A., Ahissar S., Cohen T., Pasqualotto A., Rubene L., Konosonoka L., Keeser D., Zill P., Assi R., Gardier R., Viñals R., Thiran J.P., Segman R., Benjamini Y., Bonne O., Hummel F.C., Bavelier D., Rancans E., Nahum M.
ISSN
1433-8491 (Electronic)
ISSN-L
0940-1334
Publication state
Published
Issued date
02/2023
Peer-reviewed
Oui
Volume
273
Number
1
Pages
85-98
Language
english
Notes
Publication types: Clinical Trial Protocol ; Journal Article
Publication Status: ppublish
Abstract
Enhanced behavioral interventions are gaining increasing interest as innovative treatment strategies for major depressive disorder (MDD). In this study protocol, we propose to examine the synergistic effects of a self-administered home-treatment, encompassing transcranial direct current stimulation (tDCS) along with a video game based training of attentional control. The study is designed as a two-arm, double-blind, randomized and placebo-controlled multi-center trial (ClinicalTrials.gov: NCT04953208). At three study sites (Israel, Latvia, and Germany), 114 patients with a primary diagnosis of MDD undergo 6 weeks of intervention (30 × 30 min sessions). Patients assigned to the intervention group receive active tDCS (anode F3 and cathode F4; 2 mA intensity) and an action-like video game, while those assigned to the control group receive sham tDCS along with a control video game. An electrode-positioning algorithm is used to standardize tDCS electrode positioning. Participants perform their designated treatment at the clinical center (sessions 1-5) and continue treatment at home under remote supervision (sessions 6-30). The endpoints are feasibility (primary) and safety, treatment efficacy (secondary, i.e., change of Montgomery-Åsberg Depression Rating Scale (MADRS) scores at week six from baseline, clinical response and remission, measures of social, occupational, and psychological functioning, quality of life, and cognitive control (tertiary). Demonstrating the feasibility, safety, and efficacy of this novel combined intervention could expand the range of available treatments for MDD to neuromodulation enhanced interventions providing cost-effective, easily accessible, and low-risk treatment options.ClinicalTrials.gov: NCT04953208.
Keywords
Humans, Depressive Disorder, Major/therapy, Transcranial Direct Current Stimulation/methods, Depression/therapy, Quality of Life, Treatment Outcome, Double-Blind Method, Cognition, Brain, Randomized Controlled Trials as Topic, Multicenter Studies as Topic, Cognitive control, Feasibility, Home-treatment, Major depressive disorder, Transcranial direct current stimulation (tDCS), Video game
Pubmed
Web of science
Open Access
Yes
Create date
02/11/2022 8:51
Last modification date
23/01/2024 7:20
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