tDCS using a home-based device can help improve attention in adults with ADHD who are not taking stimulants, new research suggests.
A noninvasive technique that is easy to use and relatively inexpensive, tDCS involves applying a low-intensity current over the scalp to modulate cortical excitability and induce neuroplasticity. Home-use tDCS devices, which avoid the need for daily office visits for stimulation sessions, have been validated in previous clinical samples.
After learning to use the device, participants underwent 30-minute daily sessions of tDCS for 4 weeks for a total of 28 sessions. Nine patients discontinued treatment, two in the sham group and seven in the active group. However, patients who finished the trial completed a mean 25 of 28 sessions.The mean inattention score on CASRS-I at week 4, the primary outcome, was 18.88 in the active tDCS group vs 23.63 in the sham tDCS group. There was a statistically significant treatment by time interaction for CASRS-I , showing decreased inattention symptoms in the active vs sham groups.was 1.
Using a home-based tDCS device allows for considerably more sessions, with 28 being the highest number so far applied to patients with ADHD. This, the researchers note, is important because evidence suggests increased efficacy of tDCS with extended periods of treatment. Patients received training in using the device, but there was no remote monitoring of sessions. In addition, the study population, which was relatively homogeneous with participants having no moderate to severe symptoms of depression or anxiety, differed from the usual patients with ADHD who are treated in clinical centers, the researchers point out.
"Home treatment is cheaper and easier for patients and allows many people to get treatment who would not be able to make it to the clinic daily for treatment," he added.
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