nctId: NCT06306053 id: 2022/ST/217 briefTitle: A New Treatment for Chronic Pain Combining Neuromodulation, Computer Assisted Training and Telemonitoring acronym: TechNoPain overallStatus: NOT_YET_RECRUITING date: 2024-04-01 date: 2026-01-31 date: 2026-04-30 date: 2024-03-12 date: 2024-03-12 name: ASST Santi Paolo e Carlo class: OTHER name: University of Milan name: Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico name: Istituto Europeo di Oncologia briefSummary: Chronic pain (CP) is a leading cause of medical disability, healthcare expenditure, and reduced psychological well-being. Given the limited mobility, travel burden, and cost, access to care can be problematic for patients suffering from this disease, driving the recent shift toward care through telehealth programs. Given the complex interrelationship of physical and psychosocial aspects related to chronic pain, in this project the investigators propose to validate and investigate the effectiveness of new integrated health interventions by combining the technique of transcranial direct current stimulation (tDCS), complementary therapies and telemonitoring. The investigators hypothesize that this novel combined approach will provide a more effective strategy to overcome the classic barriers of pharmacological treatments and access to healthcare due to lack of mobility. To do this, the investigators will rely on a previously developed integrated platform that enables effective delivery of non-pharmacological interventions and outcome assessment. Many patients do not benefit from pharmacological and invasive treatments, leading to the development of alternative therapeutic options such as non-invasive brain stimulation (e.g. tDCS) and complementary interventions to improve physical and psychological well-being. These complementary interventions reduced pain intensity and psychological distress by improving individuals' ability to manage and cope with their pain. However, due to the multiple co-occurring factors associated with chronic pain, a multidisciplinary and integrated treatment approach is challenging. Technology ecosystems can be a reliable tool to achieve such a diverse personalized approach and evaluate their results. In a previous project, the investigators developed PainRE-Life, a dynamic and integrated technology ecosystem to enable continuity of care for CP patients, including personalized applications, training tools and telemonitoring tools for outcome assessment. conditions: Pain studyType: INTERVENTIONAL phases: NA allocation: RANDOMIZED interventionModel: PARALLEL primaryPurpose: TREATMENT masking: NONE count: 126 type: ESTIMATED name: tDCS+EuleriaLab name: tDCS name: EuleriaLab measure: Visual Analogue Scale (VAS) measure: 12-item Short Form Survey (SF12) measure: Hospital Anxiety and Depression scale (HADS) measure: Brief Pain Inventory (BPI) measure: Pain Catastrophizing Scale (PCS) measure: Shared Decision-Making Questionnaire 9-Item (SDM-Q-9) sex: ALL minimumAge: 18 Years stdAges: ADULT stdAges: OLDER_ADULT facility: ASST-Santi Paolo e Carlo Hospital city: Milan country: Italy name: Alberto Priori, PhD role: CONTACT lat: 45.46427 lon: 9.18951 facility: Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico city: Milan country: Italy name: Fabiana Ruggiero, PsYD role: CONTACT lat: 45.46427 lon: 9.18951 facility: Istituto Europeo di Oncologia city: Milan country: Italy name: Gabriella Pravettoni, PhD role: CONTACT lat: 45.46427 lon: 9.18951 hasResults: False