Status:
RECRUITING
Feasibility of Home-based tES for Older Adults at Risk of Falling
Lead Sponsor:
Hebrew SeniorLife
Conditions:
Aging
Accidental Falls
Eligibility:
All Genders
60+ years
Phase:
NA
Brief Summary
In this project, the investigators propose to demonstrate the feasibility of remotely-monitored, caregiver (or spouse)-administered, home-based tES (transcranial electrical stimulation) intervention t...
Detailed Description
In older adults, falls are costly, consequential and correlated with both physical and cognitive decline. Most falls occur when standing or walking, especially when completing these tasks in complex e...
Eligibility Criteria
Inclusion
- Inclusion criteria will be the same for PF/PA pairs in both Phase 1 and Phase 2 of the study. All participant pairs who complete either Phase 1 or 2 will be eligible to complete Phase 3. All participant teams who complete Phase 3 in its entirety will be eligible to complete Phase 4
- PF group:
- Aged 60+
- Self-report of one or more falls within the past year, and/or concern of falling in the future, and/or self-report of Parkinson's disease.
- Able to read, write, and communicate in English
- Able to identify an eligible PA to participate with them in the study
- PA group:
- At least 21 years of age
- Able to read, write, and communicate in English
- Self-reported computer proficiency and willingness to learn how to use tDCS
- Stated availability during weekdays throughout the study period to administer tDCS to the PF
Exclusion
- Exclusion criteria will be the same for PF/PA pairs in both Phase 1 and Phase 2 of the study.
- PF group:
- Evidence of cognitive impairment that would likely interfere with one's ability to understand the study protocol, risks/benefits, and testing procedures. This will be defined as self-reported diagnosis of Alzheimer's disease or dementia, a score of ≤19 on the Telephone Interview for Cognitive Status (TICS) at the time of telephone screening, a score of 18 or less on the Montreal Cognitive Assessment (MoCA) during the in-person screen, or an inability to understand study procedures following review of the Informed Consent form.
- Inability to stand or ambulate unassisted for at least 25 feet.
- Contraindications to tDCS, including a reported seizure within the past two years, use of neuro-active drugs, the risk of metal objects in the brain, skull, or head, self-reported presence of specific implanted medical devices (e.g., deep brain stimulator, medication infusion pump, cochlear implant), or the presence of any active, uncontrolled dermatological condition, such as eczema, on the scalp.
- PA group:
- Mild cognitive impairment defined by a TICS score ≤34 during the phone screen, a MoCA score ≤24 during the in-person screen, or insufficient understanding of study procedures following review of the Informed Consent form.
- Poor eyesight, severe arthritis in the hands, pain, deformity or other condition that interferes with successful administration of tDCS.
Key Trial Info
Start Date :
January 25 2021
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
January 30 2026
Estimated Enrollment :
72 Patients enrolled
Trial Details
Trial ID
NCT04732533
Start Date
January 25 2021
End Date
January 30 2026
Last Update
March 13 2025
Active Locations (1)
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1
Hebrew Rehabilitation Center
Roslindale, Massachusetts, United States, 02131