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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT03197181
Other study ID # FPC-17-AGING-01
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 16, 2018
Est. completion date June 30, 2020

Study information

Verified date April 2021
Source University of Zurich
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Motivation represents a core aspect of goal-directed behavior as it determines how much effort individuals are willing to invest to reach their goals. While research on effort-based decision-making focuses mainly on effort preferences in younger adults, loss of motivation might be a key component of the apathetic tendencies frequently seen in older adults. However, an open question refers to which brain mechanisms underlie motivational processes in older adults. The investigators have recently shown that the frontopolar cortex plays a crucial in motivating the exertion of rewarded effort in younger adults. The goal of the current study is to determine whether frontopolar cortex plays a crucial role for motivation also in older adults and may thus be a promising target for improving the motivation deficits in healthy aging. Participants perform computer-based experimental tasks measuring the propensity to exert cognitive or physical effort for monetary rewards. During task performance, participants receive anodal or sham transcranial direct current stimulation (tDCS) over their frontopolar cortex. The study tests whether tDCS over frontopolar cortex allows modulating participants' motivation to engage in rewarded effort.


Description:

Motivation represents a core aspect of goal-directed behavior as it determines how much effort individuals are willing to invest to reach their goals. While research on effort-based decision-making focuses mainly on effort preferences in younger adults, loss of motivation might be a key component of the apathetic tendencies frequently seen in older adults. However, an open question refers to which brain mechanisms underlie motivational processes in older adults. The investigators have recently shown that the frontopolar cortex plays a crucial in motivating the exertion of rewarded effort in younger adults (Soutschek et al., 2018, Biological Psychiatry). The goal of the current study is to determine whether frontopolar cortex plays a crucial role for motivation also in older adults and may thus be a promising target for improving the motivation deficits in healthy aging. 30 older participants (65-80 years) perform computer-based experimental tasks measuring the propensity to exert cognitive or physical effort for monetary rewards. During task performance, participants receive 1 mA anodal or sham transcranial direct current stimulation (tDCS) over their frontopolar cortex. The study tests whether tDCS over frontopolar cortex allows modulating participants' motivation to engage in rewarded effort.


Recruitment information / eligibility

Status Completed
Enrollment 26
Est. completion date June 30, 2020
Est. primary completion date June 30, 2020
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 65 Years to 80 Years
Eligibility Inclusion Criteria: - Age 65-80 years - Informed consent as documented by signature - Normal or corrected-to-normal vision - Cognitive and language ability to understand study content and procedure - Normal cognitive functioning (assessed by MMST) - BDI-II score < 20 Exclusion Criteria: - Negative response to TMS/tDCS in past - History of seizure - History of stroke or heart attack - History of head injury - Psychiatric or neurological disorder - Metal in body/head - Implanted medical products like pacemaker, medical pumps, heart catheter - Headache - Tinnitus - Currently taking medication affecting the central nervous system - Insufficient sleep in preceding night - Excessive consumption of alcohol within last 24 hours

Study Design


Related Conditions & MeSH terms

  • Motivation in Healthy Older Adults

Intervention

Device:
transcranial direct current stimulation
Participants receive anodal or sham transcranial direct current stimulation while performing effort-based decision tasks.

Locations

Country Name City State
Switzerland University of Zurich Zürich

Sponsors (1)

Lead Sponsor Collaborator
University of Zurich

Country where clinical trial is conducted

Switzerland, 

Outcome

Type Measure Description Time frame Safety issue
Primary participants' decisions to exert cognitive or physical effort for monetary rewards The project seeks to test the causal role of FPC in discounting of cognitive and physical effort in healthy older adults. For that purpose, participants perform a task on a computer which requires the participants to decide whether the participants are willing to exert cognitive or physical effort for a monetary reward. Participants perform this task both under anodal and under sham stimulation. It is tested whether anodal, relative to sham, stimulation increases participants' willingness to engage in rewarded cognitive or physical effort. All participants perform this decision-making task in both experimental sessions (i.e., both the anodal and the sham stimulation session) for 20 min while receiving anodal or sham stimulation.