Trial Outcomes & Findings for Computer Training and Transcranial Direct Current Stimulation for Cognition in HIV (NCT NCT03440840)

NCT ID: NCT03440840

Last Updated: 2023-09-18

Results Overview

Ability of the participant to attend to and use complex stimuli while making a motor response. The Coding subtest of the Wechsler Adult Intelligence Scale, 4th ed. (WAIS-IV) asks that the person assessed insert small geometric drawings with pencil on paper according to a key at the top of the page. One figure corresponds to the numeral 1, another to 2, and so on. The persons is asked to work as quickly as they can, and given a specific period in which to complete the task. Raw scores are the number of boxes correctly filled in during the time allowed and can range from 0 to 155, with higher scores indicating a better performance.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

46 participants

Primary outcome timeframe

3 weeks

Results posted on

2023-09-18

Participant Flow

Participant milestones

Participant milestones
Measure
Computer Training With Active tDCS
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with active transcranial direct current stimulation (tDCS). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With Sham tDCS
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with sham transcranial direct current stimulation (tDCS). Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With or Without tDCS
Participants in this arm will watch educational videos as a comparator to computer training with the car racing game (watching educational videos). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Watching Educational Videos: Watching educational videos and answering questions about them
Overall Study
STARTED
16
15
15
Overall Study
COMPLETED
15
14
15
Overall Study
NOT COMPLETED
1
1
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Computer Training and Transcranial Direct Current Stimulation for Cognition in HIV

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Computer Training With Active tDCS
n=16 Participants
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with active transcranial direct current stimulation (tDCS). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With Sham tDCS
n=15 Participants
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with sham transcranial direct current stimulation (tDCS). Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With or Without tDCS
n=15 Participants
Participants in this arm will watch educational videos as a comparator to computer training with the car racing game (watching educational videos). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Watching Educational Videos: Watching educational videos and answering questions about them
Total
n=46 Participants
Total of all reporting groups
Age, Continuous
57.06 years
STANDARD_DEVIATION 4.99 • n=5 Participants
58.80 years
STANDARD_DEVIATION 4.13 • n=7 Participants
61.07 years
STANDARD_DEVIATION 6.29 • n=5 Participants
58.93 years
STANDARD_DEVIATION 5.35 • n=4 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
2 Participants
n=7 Participants
4 Participants
n=5 Participants
9 Participants
n=4 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
13 Participants
n=7 Participants
11 Participants
n=5 Participants
37 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
6 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=5 Participants
12 Participants
n=7 Participants
15 Participants
n=5 Participants
40 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
11 Participants
n=5 Participants
8 Participants
n=7 Participants
10 Participants
n=5 Participants
29 Participants
n=4 Participants
Race (NIH/OMB)
White
5 Participants
n=5 Participants
7 Participants
n=7 Participants
5 Participants
n=5 Participants
17 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
16 participants
n=5 Participants
15 participants
n=7 Participants
15 participants
n=5 Participants
46 participants
n=4 Participants
Psychomotor Speed
48.94 units on a scale
STANDARD_DEVIATION 9.28 • n=5 Participants
51.67 units on a scale
STANDARD_DEVIATION 13.70 • n=7 Participants
46.07 units on a scale
STANDARD_DEVIATION 15.52 • n=5 Participants
48.89 units on a scale
STANDARD_DEVIATION 12.93 • n=4 Participants
Functional Status
79.75 units on a scale
STANDARD_DEVIATION 10.71 • n=5 Participants
80.20 units on a scale
STANDARD_DEVIATION 19.39 • n=7 Participants
76.73 units on a scale
STANDARD_DEVIATION 13.72 • n=5 Participants
78.91 units on a scale
STANDARD_DEVIATION 13.52 • n=4 Participants
Participant Assessment of Own Functioning (PAOF)
8.18 units on a scale
STANDARD_DEVIATION 2.34 • n=5 Participants
7.65 units on a scale
STANDARD_DEVIATION 4.46 • n=7 Participants
8.55 units on a scale
STANDARD_DEVIATION 2.49 • n=5 Participants
8.13 units on a scale
STANDARD_DEVIATION 2.40 • n=4 Participants
Center for Epidemiological Studies Depression Scale (CES-D)
14.00 units on a scale
STANDARD_DEVIATION 7.55 • n=5 Participants
15.27 units on a scale
STANDARD_DEVIATION 9.24 • n=7 Participants
15.13 units on a scale
STANDARD_DEVIATION 7.19 • n=5 Participants
14.78 units on a scale
STANDARD_DEVIATION 7.87 • n=4 Participants

PRIMARY outcome

Timeframe: 3 weeks

Ability of the participant to attend to and use complex stimuli while making a motor response. The Coding subtest of the Wechsler Adult Intelligence Scale, 4th ed. (WAIS-IV) asks that the person assessed insert small geometric drawings with pencil on paper according to a key at the top of the page. One figure corresponds to the numeral 1, another to 2, and so on. The persons is asked to work as quickly as they can, and given a specific period in which to complete the task. Raw scores are the number of boxes correctly filled in during the time allowed and can range from 0 to 155, with higher scores indicating a better performance.

Outcome measures

Outcome measures
Measure
Computer Training With Active tDCS
n=15 Participants
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with active transcranial direct current stimulation (tDCS). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With Sham tDCS
n=14 Participants
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with sham transcranial direct current stimulation (tDCS). Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With or Without tDCS
n=15 Participants
Participants in this arm will watch educational videos as a comparator to computer training with the car racing game (watching educational videos). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Watching Educational Videos: Watching educational videos and answering questions about them
Psychomotor Speed
54.2 score on a scale
Interval 43.2 to 65.2
60.4 score on a scale
Interval 49.4 to 71.4
53.4 score on a scale
Interval 42.6 to 64.2

SECONDARY outcome

Timeframe: 3 weeks

Participant performance on observed tasks of daily living. Participants completed the University of California--San Diego Performance Based Skills Assessment, version B. The person assessed is asked to complete several functional tasks, including pretending to make a call on a telephone to change a medical appointment and paying an electric bill by filling out a check. Scores on the first task range form 0 to 9, and from 0 to 11 on the second. These raw scores are then converted to create a final combined score that ranges from 0 to 100, with higher scores indicating a better performance.

Outcome measures

Outcome measures
Measure
Computer Training With Active tDCS
n=15 Participants
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with active transcranial direct current stimulation (tDCS). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With Sham tDCS
n=14 Participants
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with sham transcranial direct current stimulation (tDCS). Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With or Without tDCS
n=15 Participants
Participants in this arm will watch educational videos as a comparator to computer training with the car racing game (watching educational videos). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Watching Educational Videos: Watching educational videos and answering questions about them
Functional Status
84.6 score on a scale
Interval 74.8 to 94.5
82.8 score on a scale
Interval 72.9 to 92.6
84.4 score on a scale
Interval 74.8 to 94.0

SECONDARY outcome

Timeframe: 3 weeks

Participant self-report of problems related to cognitive and sensory functioning on the Participant Assessment of Own Functioning (PAOF). This is a self-report measure of the frequency with which a person experiences difficulties with various mental and sensory tasks, such as remembering what is said to them, understanding or expressing themselves in language, and thinking about complex problems. The PAOF includes 33 items ranged from 0 to 5, allowing a total score from 0 to 165. A higher score on this measure means that the person is reporting greater frequency with some mental activities.

Outcome measures

Outcome measures
Measure
Computer Training With Active tDCS
n=15 Participants
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with active transcranial direct current stimulation (tDCS). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With Sham tDCS
n=14 Participants
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with sham transcranial direct current stimulation (tDCS). Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With or Without tDCS
n=15 Participants
Participants in this arm will watch educational videos as a comparator to computer training with the car racing game (watching educational videos). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Watching Educational Videos: Watching educational videos and answering questions about them
Participant Assessment of Own Functioning (PAOF)
7.98 score on a scale
Interval 6.27 to 9.69
7.73 score on a scale
Interval 6.01 to 9.44
7.86 score on a scale
Interval 6.19 to 9.52

SECONDARY outcome

Timeframe: 3 weeks

Participant self-report of mood. The Center for Epidemiological Studies Depression scale (CES-D) is a self-report measure of symptoms of and related to depressed mood. It includes 20 items that are scored from 0 to 3 and summed for an overall score ranging from 0 to 60. Higher scores on this measure indicate that the person assessed is reporting a greater frequency or severity of depressive symptoms.

Outcome measures

Outcome measures
Measure
Computer Training With Active tDCS
n=15 Participants
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with active transcranial direct current stimulation (tDCS). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With Sham tDCS
n=14 Participants
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with sham transcranial direct current stimulation (tDCS). Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With or Without tDCS
n=15 Participants
Participants in this arm will watch educational videos as a comparator to computer training with the car racing game (watching educational videos). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Watching Educational Videos: Watching educational videos and answering questions about them
Center for Epidemiological Studies Depression Scale (CES-D)
16.5 score on a scale
Interval 9.53 to 23.5
16.6 score on a scale
Interval 9.59 to 23.7
16.3 score on a scale
Interval 9.54 to 23.1

Adverse Events

Computer Training With Active tDCS

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Computer Training With Sham tDCS

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Computer Training With or Without tDCS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Computer Training With Active tDCS
n=16 participants at risk
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with active transcranial direct current stimulation (tDCS). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With Sham tDCS
n=15 participants at risk
Participants randomized to this arm will receive computer-based cognitive training using a car racing game with sham transcranial direct current stimulation (tDCS). Computer-based Cognitive Training: Use of computer-delivered games or exercises with the goal of improving cognitive performance.
Computer Training With or Without tDCS
n=15 participants at risk
Participants in this arm will watch educational videos as a comparator to computer training with the car racing game (watching educational videos). Transcranial Direct Current Stimulation (tDCS): Application of a small electrical current (1-2 mA) across the head. Watching Educational Videos: Watching educational videos and answering questions about them
Nervous system disorders
Dizziness
0.00%
0/16 • 7 weeks
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
6.7%
1/15 • Number of events 1 • 7 weeks
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
0.00%
0/15 • 7 weeks
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
Nervous system disorders
Reactivation of traumatic memories
6.2%
1/16 • Number of events 1 • 7 weeks
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
0.00%
0/15 • 7 weeks
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.
0.00%
0/15 • 7 weeks
Any untoward or unfavorable medical occurrence in a participant, including any abnormal sign (for example, abnormal physical exam or laboratory finding), symptom, or disease, temporally associated with the participant's participation in the research, whether or not considered related to the participant's participation in the research.

Additional Information

Raymond L Ownby, MD, PhD

Nova Southeastern University

Phone: 954-262-1481

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place