Prevention of Alzheimer's Disease With CR Plus tDCS in Mild Cognitive Impairment and Depression (PACt-MD)

NAActive, not recruitingINTERVENTIONAL
Enrollment

375

Participants

Timeline

Start Date

January 31, 2015

Primary Completion Date

December 31, 2022

Study Completion Date

December 31, 2024

Conditions
Mild Cognitive ImpairmentMajor Depressive Disorder, Recurrent, In RemissionMajor Depressive Disorder, Single Episode, in Full Remission
Interventions
OTHER

tDCS + CR

"First, the intervention sessions will be administered 5 days/week for 8 weeks (induction phase). Then, for 5 days once every 6 months (consolidation phase).~tDCS session: anode over Fz \& cathode over Iz; direct current: 2 mA (current density=0.57A/m2) for 30 min. at the beginning of each group session.~Cognitive Remediation (CR) will also be administered. Sessions last 2 hours each day in a group supervised by trained interventionists. Participants will also complete CR exercises online at home. CR will consist of computer-based exercises relevant to attention, processing speed, executive function, and verbal and working memory with titrated difficulty levels. Performance feedback will reinforce progress. Strategic monitoring and bridging discussions will promote transfer of cognitive gains to everyday tasks.~During COVID-19, booster sessions can be provided either in-person or virtually (except for tDCS that cannot be done remotely)."

OTHER

sham tDCS + sham CR

"First, the intervention sessions will be administered 5 days/week for 8 weeks (induction phase). Then, for 5 days once every 6 months (consolidation phase).~tDCS session: anode over Fz \& cathode over Iz; direct current: 2 mA (current density=0.57A/m2) for 1 minute, then the current will be 0 mA for 29 minutes at the beginning of each group session.~Cognitive Remediation (CR) will also be administered. Sessions last 2 hours each day in a group supervised by trained interventionists. Participants will also complete CR exercises online at home. CR will consist of computer-based exercises relevant to attention, processing speed, executive function, and verbal and working memory without titrated difficulty levels.~During COVID-19, booster sessions can be provided either in-person or virtually (except for sham tDCS that cannot be done remotely)."

Trial Locations (5)

Unknown

Baycrest Centre for Geriatric Care, Toronto

Centre for Addiction and Mental Health, Toronto

St. Michael's Hospital, Toronto

Sunnybrook Heath Sciences Centre, Toronto

University Health Network, Toronto

Sponsors
All Listed Sponsors
collaborator

Brain Canada

OTHER

collaborator

Applied Health Research Centre

OTHER

collaborator

Queen's University

OTHER

collaborator

Baycrest Centre for Geriatric Care

OTHER

collaborator

Unity Health Toronto

OTHER

collaborator

Sunnybrook Health Sciences Centre

OTHER

collaborator

University Health Network, Toronto

OTHER

lead

Centre for Addiction and Mental Health

OTHER