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Completed

NCT Number: NCT06644690

Creative Dance-Supported CO-OP Approach in Older Adults With Mild Cognitive Impairment

The goal of this clinical trial is to evaluate if the CO-OP (Cognitive Orientation to daily Occupational Performance) approach, supported by creative dance, can improve cognitive functions in older adults with mild cognitive impairment (MCI). The study focuses on the effects of this intervention on executive functions, attention, memory, and dual-task performance.

The main questions this study aims to answer are:

Does the CO-OP approach with creative dance improve executive functions, attention, and memory more than CO-OP alone? How effective is this intervention in enhancing dual-task performance compared to the standard CO-OP approach?

Participants will:

Engage in either the CO-OP intervention alone or the CO-OP approach combined with creative dance for 8 weeks.

Complete cognitive tasks, participate in creative dance activities, and perform daily tasks during the sessions.

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Key information

Conditions

Mild Cognitive Impairment (MCI) Cognition Disorders Cognitive Dysfunction Mental Disorders Neurocognitive Disorders

Age range

65 year–85 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Çankırı Karatekin University, Faculty of Health Sciences, Çankırı, Not Applicable For Türkiye, Turkey (Türkiye)

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About this study

This clinical trial aims to assess the effectiveness of a Cognitive Orientation to daily Occupational Performance (CO-OP) approach, enhanced with creative dance, in older adults with mild cognitive impairment (MCI). The CO-OP method is a cognitive rehabilitation strategy that helps individuals improve occupational performance through goal-setting, problem-solving, and the use of metacognitive strategies. In this study, the CO-OP approach will be integrated with creative dance movements, a form of physical and artistic expression known to stimulate both cognitive and motor functions.

The study will enroll 24 participants between the ages of 65 and 85, diagnosed with MCI according to DSM-5 criteria. Participants will be randomly assigned to two groups:

CO-OP with Creative Dance Group: This group will receive the CO-OP intervention along with creative dance sessions. The creative dance component will consist of simple movements designed to improve motor coordination, memory, and attention, all while fostering social interaction and emotional expression.

CO-OP Only Group: This group will undergo the CO-OP approach alone without any creative dance involvement.

The intervention will last for 8 weeks, with three 60-minute sessions each week. During the sessions, participants in the CO-OP with creative dance group will alternate between cognitive tasks and dance-based activities. The sessions are designed to progressively challenge cognitive and motor skills while ensuring safety and comfort for older adults.

The primary outcome measures include improvements in executive functions, attention, memory, and dual-task performance. Cognitive function will be assessed using standardized neuropsychological tests such as the Trail Making Test Part B (for executive function), Stroop Test (for attention), Rey-Osterrieth Complex Figure Test (for memory), and dual-task assessments combining walking with cognitive tasks. Participants' quality of life will be measured using the SF-36 Health Survey, and depression and social isolation will be evaluated through the Geriatric Depression Scale (GDS) and UCLA Loneliness Scale, respectively.

Secondary measures will focus on the potential emotional and social benefits of integrating creative dance into the CO-OP approach. These will include participant feedback on enjoyment and perceived improvements in social interaction and emotional well-being. The trial will also explore whether the addition of creative dance enhances motivation, engagement, and adherence to the intervention.

Data will be collected at baseline, at the end of the 8-week intervention, and again at 3 and 6 months post-intervention to evaluate both short-term and long-term effects. Statistical analysis will be conducted using repeated measures ANOVA to assess changes over time between groups.

This study is expected to provide insights into how integrating creative dance with the CO-OP approach can potentially offer a more holistic and effective intervention for older adults with MCI, addressing both cognitive and physical domains while also promoting social interaction and emotional health.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age between 65 and 85 years old
  • Diagnosis of mild cognitive impairment (MCI) according to DSM-5 criteria
  • Ability to participate in physical activities, including creative dance movements
  • Willingness to attend all study sessions and follow-up assessments
  • Able to give informed consent

Exclusion criteria

  • Diagnosis of a major neurocognitive disorder (e.g., Alzheimer's disease)
  • Presence of severe physical impairments that prevent participation in physical activity
  • Current use of medications that significantly affect cognitive function
  • Participation in another clinical trial within the past 3 months
  • History of significant psychiatric disorders (e.g., major depression, schizophrenia)

Treatment and study plan

CO-OP with Creative Dance

Behavioral

The CO-OP with Creative Dance intervention integrates the Cognitive Orientation to daily Occupational Performance (CO-OP) approach with structured creative dance sessions. The CO-OP approach focuses on improving cognitive and functional performance through goal-setting, problem-solving, and the use of metacognitive strategies. Creative dance sessions involve simple, rhythmic movements aimed at enhancing motor coordination, memory, and attention. This intervention is administered three times per week for 60 minutes over 8 weeks. The sessions alternate between CO-OP activities and creative dance exercises.

CO-OP Only

Behavioral

The CO-OP Only intervention involves the Cognitive Orientation to daily Occupational Performance (CO-OP) approach, which is designed to improve cognitive and functional performance through structured goal-setting, problem-solving, and metacognitive strategies. Participants engage in activities focused on improving their ability to perform daily tasks by using cognitive tools to develop and execute solutions. The intervention is administered three times per week for 60 minutes over an 8-week period. No additional physical or dance activities are included in this arm.

Primary outcomes

  1. Change in Executive Function as Measured by the Trail Making Test Part B

    Time frame: Baseline, immediately after the 8-week intervention, and at 3 and 6 months post-intervention

    The primary outcome is the change in executive function, assessed using the Trail Making Test Part B, from baseline to the end of the 8-week intervention. The test evaluates the participant's ability to switch between tasks, a key component of executive function. Improvements in test scores indicate enhanced cognitive flexibility and task-switching abilities. This outcome is critical for evaluating the impact of the CO-OP approach (with or without creative dance) on executive function in participants with mild cognitive impairment. If you have additional primary measures, they can be included, but typically this would be the focus.

Secondary outcomes

  1. Change in Attention as Measured by the Stroop Test

    Time frame: Baseline, immediately after the 8-week intervention, and at 3 and 6 months post-intervention

    This secondary outcome evaluates changes in attention and cognitive control, assessed using the Stroop Test. The test measures participants' ability to inhibit cognitive interference and focus on relevant stimuli. Improvement in scores from baseline to post-intervention and follow-up points will indicate enhanced attention and cognitive control

  2. Change in Memory Performance as Measured by the Rey-Osterrieth Complex Figure Test

    Time frame: Baseline, immediately after the 8-week intervention, and at 3 and 6 months post-intervention

    This secondary outcome assesses changes in visual memory and organizational skills, using the Rey-Osterrieth Complex Figure Test. Participants' ability to recall and reproduce complex figures will be measured at baseline, post-intervention, and during follow-up assessments at 3 and 6 months. Improvements in scores will indicate enhanced memory function.

  3. Change in Dual-Task Performance as Measured by Walking While Performing a Cognitive Task"

    Time frame: Baseline, immediately after the 8-week intervention, and at 3 and 6 months post-intervention

    This secondary outcome evaluates the participants' ability to perform a motor task (walking) while simultaneously engaging in a cognitive task (such as recalling numbers or words). The assessment will measure the impact of the intervention on dual-task performance, with data collected at baseline, post-intervention, and at 3 and 6 months follow-up. Improvement in dual-task performance will indicate better cognitive-motor integration and executive function.

Sponsors and collaborators

Lead sponsor

Çankırı Karatekin University

Other

Registry information

Official study title

The Effect of a Creative Dance-Supported CO-OP Approach on Executive Functions, Attention, Memory, and Dual-Task Performance in Older Adults With Mild Cognitive Impairment: A Randomized Controlled Trial

Acronym: COOP-DANCE

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Oct 16, 2024
Registry last updated
Dec 19, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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