About this trial
The goal of this project is to address the urgent need for effective, scalable adult literacy interventions by integrating breakthroughs in two separate fields: 1.) the brain network science of resilience to reading disorders and 2.) high-definition non-invasive brain network stimulation. This study will first establish the efficacy of a novel, noninvasive stimulation protocol on reading behavior and brain metrics; then will determine how stimulation-induced effects interact with baseline reading comprehension ability; and lastly, will identify whether stimulation-induced effects are more clinically-beneficial than canonical behavioral interventions. Results may change the foundation for how we treat low adult literacy, and have the potential for wider reaching impacts on non-invasive stimulation protocols for other clinical disorders.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
None
Disqualifiers
previous diagnosis of Intellectual Disability;
known uncorrectable visual impairment;
documented hearing impairment greater than or equal to a 25 dB loss;
medical contraindication to MRI procedures (e.g., metal devices);
Trial design
Parallel
Treatments tested in this trial
Sham intervention
DeviceUse of the non-invasive brain stimulation device to simulate peripheral experience of stimulation without actually stimulating the brain.
RLN real non-invasive brain stimulation intervention
DeviceReal non-invasive brain stimulation to the left angular gyrus using transcranial alternating current stimulation (tACS).
RLN and CCN real non-invasive brain stimulation intervention
DeviceReal non-invasive brain stimulation to the left dorsolateral prefrontal cortex and left angular gyrus using transcranial alternating current stimulation (tACS).
Treatment groups
Trial outcomes
Primary outcomes
Change in reading comprehension ability on standardized test measure
Stimulation induced change in reading comprehension ability measured by Gates MacGinitie Reading Test: * Reading Comprehension Subtest (Adult Reader; AR): Participants have 35 minutes to read passages and answer 48 comprehension questions about what they read. * Percentile Ranks based on the scores of entering community college students * Primary outcome measure is the change in percentile ranks
Performance in reading comprehension ability on test measure during stimulation session
Stimulation induced performance in reading comprehension ability measured by free recall of information learned while reading during stimulation session. * Subject asks to recall content from 100 total sentences * Primary outcome measure is the number correct out of total (# recalled / total) compared across groups (real stimulation subgroups and sham).
Secondary outcomes
Change in brain activations during reading
Stimulation induced change in brain activations during reading as measured by a joint analysis of functional magnetic resonance imaging and electroencephalography. * Measures of co-activation in brain areas are obtained for certain timepoints during sentence reading. * Typical brain patterns over time are obtained from readers without reading difficulties. * The primary outcome measure is a weighting value that reflects how strongly a subject's brain signals align with expected brain signals for typical reading processes.
Sponsors and contacts
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Vanderbilt University
Lead sponsor
National Institutes of Health (NIH)
Collaborator