Table 1 Steps, challenges, and solutions for daily remotely supervised tDCS (RS-tDCS) sessions. Modified from Riggs et al. with authors’ permission [33]
Step | Challenge | Solution |
|---|---|---|
1. Having all supplies available and ready | Losing or misplacing Supplies | Bountiful supply of pads with proper package of the tool box |
2. Connecting to the internet | A stable internet connection | The Wi-Fi password readily available and troubleshooting any problems being faced |
3. Starting video conference with remote control | Providing the study personnel with the required password | Phone call beforehand for the required password for remote connection |
4. Attaching electrodes | Improper attachment without alignment | Each step clearly illustrated in the patient instructional video with remote supervising |
5. Proper placement of head strap | Improper location | |
6. Preparing the device | Not clear identification of each keypad button with each step | |
7. Checking contact quality | Understanding contact quality grade | Lay language words, correcting any issues with study personnel for improving contact quality |
8. Starting the stimulation | Using the correct start code provided by study personnel | Lay language terms and instructional video on how to start stimulation |
9. Computer-based cognitive training | Understanding and learning each game | Lay Language and positive reinforcement for each game played |
10. Ending the stimulation | Hearing the beeping sound | Informing patient the session is over |
11. Clean up of the electrodes | Proper cleaning of electrodes to avoid corrosion | Teaching the patient on how and where to clean the saline solution |
12. Charging battery | Charging battery as needed | Step by step manner in instructional videos on how to charge the device |