Trial Outcomes & Findings for Home-based tDCS and Mindfulness-based Meditation for Self-management of Clinical Pain and Symptoms (NCT NCT04375072)

NCT ID: NCT04375072

Last Updated: 2025-11-12

Results Overview

The Numeric Rating Scale (NRS) is a subjective measure of pain intensity. The NRS total score ranges from 0 (no pain) to 100 (most intense pain imaginable). Change in NRS = Week 2 (post-intervention) NRS - Baseline (pre-intervention) NRS. A decrease in NRS score indicates improvement.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

208 participants

Primary outcome timeframe

baseline, week 2 (after 10 tDCS sessions)

Results posted on

2025-11-12

Participant Flow

A total of 208 participants consented to participate in the study. However, 8 participants withdrew due to being unable to attend the remaining sessions and assessments.

Participant milestones

Participant milestones
Measure
active tDCS paired with active MBM
A 2mA current and mindfulness-based meditation are applied for 20 minutes
sham tDCS paired with active MBM
A 2mA current is applied for 30 seconds, and mindfulness-based meditation is conducted for 20 minutes.
active tDCS paired with sham MBM
A 2mA current is applied for 20 minutes, and mindfulness-based meditation without the specific instructions is conducted for 20 minutes.
sham tDCS paired with sham MBM
A 2mA current is applied for 30 seconds, and mindfulness-based meditation without the specific instructions is conducted for 20 minutes.
Overall Study
STARTED
53
53
50
52
Overall Study
COMPLETED
50
50
50
50
Overall Study
NOT COMPLETED
3
3
0
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Home-based tDCS and Mindfulness-based Meditation for Self-management of Clinical Pain and Symptoms

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active tDCS Paired With Active MBM,
n=53 Participants
A transcranial direct current stimulation (tDCS) of 2mA is applied for 20 minutes, where a constant current of 2mA is delivered to the scalp through electrodes to modulate neural activity. Alongside this, mindfulness-based meditation is conducted for 20 minutes, focusing on cultivating awareness and concentration through practices such as breath observation and mindful awareness of thoughts and sensations. Both interventions are applied simultaneously, aiming to investigate their combined effects on brain function and mental state.
Sham tDCS Paired With Active MBM
n=53 Participants
A 2mA transcranial direct current stimulation (tDCS) is applied for 30 seconds. Simultaneously, mindfulness-based meditation is conducted for 20 minutes, involving practices aimed at enhancing awareness and focus, such as observing the breath and maintaining attention to present-moment experiences.
Active tDCS Paired With Sham MBM
n=50 Participants
A 2mA transcranial direct current stimulation (tDCS) is applied for 20 minutes, with a constant current of 2mA delivered through electrodes placed on the scalp to modulate neural activity in targeted brain regions. Simultaneously, mindfulness-based meditation without specific instructions is conducted for 20 minutes. In this meditation practice, participants are encouraged to focus on their breath and cultivate general awareness of their thoughts and sensations, without any particular guidance on how to direct their attention.
Sham tDCS Paired With Sham MBM
n=52 Participants
A 2mA transcranial direct current stimulation (tDCS) is applied for 30 seconds. Simultaneously, mindfulness-based meditation without specific instructions is conducted for 20 minutes. In this practice, participants are encouraged to cultivate awareness and attention to their thoughts, feelings, and bodily sensations without any particular guidance or structured focus, allowing for an open-ended, self-directed meditation experience.
Total
n=208 Participants
Total of all reporting groups
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
0 Participants
n=44 Participants
Age, Continuous
66.49 years
STANDARD_DEVIATION 7.74 • n=10 Participants
67.19 years
STANDARD_DEVIATION 7.89 • n=10 Participants
68.06 years
STANDARD_DEVIATION 7.42 • n=20 Participants
68.88 years
STANDARD_DEVIATION 6.92 • n=45 Participants
67.6 years
STANDARD_DEVIATION 7.5 • n=44 Participants
Sex: Female, Male
Female
34 Participants
n=10 Participants
40 Participants
n=10 Participants
34 Participants
n=20 Participants
34 Participants
n=45 Participants
142 Participants
n=44 Participants
Sex: Female, Male
Male
19 Participants
n=10 Participants
13 Participants
n=10 Participants
16 Participants
n=20 Participants
18 Participants
n=45 Participants
66 Participants
n=44 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants
n=10 Participants
3 Participants
n=10 Participants
4 Participants
n=20 Participants
2 Participants
n=45 Participants
11 Participants
n=44 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
51 Participants
n=10 Participants
50 Participants
n=10 Participants
46 Participants
n=20 Participants
50 Participants
n=45 Participants
197 Participants
n=44 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
0 Participants
n=44 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
0 Participants
n=44 Participants
Race (NIH/OMB)
Asian
0 Participants
n=10 Participants
5 Participants
n=10 Participants
0 Participants
n=20 Participants
1 Participants
n=45 Participants
6 Participants
n=44 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=10 Participants
4 Participants
n=10 Participants
3 Participants
n=20 Participants
6 Participants
n=45 Participants
20 Participants
n=44 Participants
Race (NIH/OMB)
White
44 Participants
n=10 Participants
41 Participants
n=10 Participants
43 Participants
n=20 Participants
43 Participants
n=45 Participants
171 Participants
n=44 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=10 Participants
0 Participants
n=10 Participants
0 Participants
n=20 Participants
0 Participants
n=45 Participants
0 Participants
n=44 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=10 Participants
3 Participants
n=10 Participants
4 Participants
n=20 Participants
2 Participants
n=45 Participants
11 Participants
n=44 Participants

PRIMARY outcome

Timeframe: baseline, week 2 (after 10 tDCS sessions)

The Numeric Rating Scale (NRS) is a subjective measure of pain intensity. The NRS total score ranges from 0 (no pain) to 100 (most intense pain imaginable). Change in NRS = Week 2 (post-intervention) NRS - Baseline (pre-intervention) NRS. A decrease in NRS score indicates improvement.

Outcome measures

Outcome measures
Measure
active tDCS paired with sham MBM
n=50 Participants
A 2mA current is applied for 20 minutes, and mindfulness-based meditation without the specific instructions is conducted for 20 minutes.
sham tDCS paired with sham MBM
n=52 Participants
A 2mA current is applied for 30 seconds, and mindfulness-based meditation without the specific instructions is conducted for 20 minutes.
active tDCS paired with active MBM
n=53 Participants
A 2mA current and mindfulness-based meditation are applied for 20 minutes
sham tDCS paired with active MBM
n=53 Participants
A 2mA current is applied for 30 seconds, and mindfulness-based meditation is conducted for 20 minutes.
Change in Numeric Rating Score (NRS) of Pain
-16.78 units on a scale
Standard Deviation 17.90
-6.20 units on a scale
Standard Deviation 17.99
-19.41 units on a scale
Standard Deviation 19.76
-7.16 units on a scale
Standard Deviation 22.24

SECONDARY outcome

Timeframe: baseline, week 2 (after 10 tDCS sessions)

Population: Comparison of WOMAC score changes between four groups at 2 weeks from baseline.

Change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC): 26 question index to assess knee OA pain (0-20 scale), function (0-68 scale), and stiffness (0-8 scale). The total WOAMC score is the sum of the 3 sub scales for a total score range from 0-96. Change in total WOMAC score = Week 2 total WOMAC score - Baseline (pre-intervention) total WOMAC score. The lower change scores represents improvement in pain, movement, and stiffness.

Outcome measures

Outcome measures
Measure
active tDCS paired with sham MBM
n=50 Participants
A 2mA current is applied for 20 minutes, and mindfulness-based meditation without the specific instructions is conducted for 20 minutes.
sham tDCS paired with sham MBM
n=52 Participants
A 2mA current is applied for 30 seconds, and mindfulness-based meditation without the specific instructions is conducted for 20 minutes.
active tDCS paired with active MBM
n=53 Participants
A 2mA current and mindfulness-based meditation are applied for 20 minutes
sham tDCS paired with active MBM
n=53 Participants
A 2mA current is applied for 30 seconds, and mindfulness-based meditation is conducted for 20 minutes.
Change in Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).
-8.08 units on a scale
Standard Deviation 13.39
-4.50 units on a scale
Standard Deviation 11.33
-6.98 units on a scale
Standard Deviation 13.27
-7.90 units on a scale
Standard Deviation 14.20

Adverse Events

active tDCS paired with active MBM,

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

sham tDCS paired with active MBM

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

active tDCS paired with sham MBM

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

sham tDCS paired with sham MBM

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Hyochol Brian Ahn

The University of Arizona

Phone: 520.626.1769

Results disclosure agreements

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