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

NCT06644690 | Completed

• 1 other identifier: 3ca15029ac154211
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 2

Brief Summary

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.

Conditions

Mild Cognitive Impairment (MCI)

Keywords

Cognitive Rehabilitation; Mild Cognitive Impairment; Executive Function; Creative Dance; Dual-Task Performance; Older Adults; CO-OP Approach

Outcome Measures

Primary Outcomes (1)

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

  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.

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

Secondary Outcomes (3)

• Change in Attention as Measured by the Stroop Test

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

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

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

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

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

Study Arms (2)

1- CO-OP with Creative Dance

EXPERIMENTAL

Participants in this experimental group will receive the CO-OP (Cognitive Orientation to daily Occupational Performance) approach combined with creative dance interventions. The creative dance component will involve simple, structured movements designed to enhance cognitive and motor functions such as attention, memory, and coordination. The intervention will be administered three times per week for 60-minute sessions over an 8-week period. This group will alternate between CO-OP activities and creative dance exercises, integrating both to improve daily functional performance and cognitive abilities.

Behavioral: CO-OP with Creative Dance

CO-OP Only

ACTIVE COMPARATOR

Participants in this active comparator group will receive the CO-OP (Cognitive Orientation to daily Occupational Performance) approach without any additional creative dance interventions. The CO-OP approach will focus on cognitive and metacognitive strategies to improve daily occupational performance. Sessions will take place three times per week for 60 minutes over an 8-week period. This group will engage in problem-solving and goal-setting activities to enhance functional and cognitive outcomes without the integration of dance or physical movement activities.

Behavioral: CO-OP Only

Interventions

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.

1- CO-OP with Creative Dance

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.

CO-OP Only

Eligibility Criteria

• Age: 65 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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)

Sponsors & Collaborators

• Çankırı Karatekin University: lead

Study Sites (2)

Çankırı Karatekin University, Faculty of Health Sciences

Çankırı, Not Applicable For Türkiye, 18100, Turkey (Türkiye)

Location

Ceyhun Türkmen

Çankırı, Turkey (Türkiye)

Location

Related Publications (21)

• Zhu Y, Gao Y, Guo C, Qi M, Xiao M, Wu H, Ma J, Zhong Q, Ding H, Zhou Q, Ali N, Zhou L, Zhang Q, Wu T, Wang W, Sun C, Thabane L, Zhang L, Wang T. Effect of 3-Month Aerobic Dance on Hippocampal Volume and Cognition in Elderly People With Amnestic Mild Cognitive Impairment: A Randomized Controlled Trial. Front Aging Neurosci. 2022 Mar 10;14:771413. doi: 10.3389/fnagi.2022.771413. eCollection 2022.

  PMID: 35360212 RESULT

• Yang HL, Chu H, Kao CC, Miao NF, Chang PC, Tseng P, O'Brien AP, Chou KR. Construction and evaluation of multidomain attention training to improve alertness attention, sustained attention, and visual-spatial attention in older adults with mild cognitive impairment: A randomized controlled trial. Int J Geriatr Psychiatry. 2020 May;35(5):537-546. doi: 10.1002/gps.5269. Epub 2020 Feb 14.

  PMID: 31994767 RESULT

• Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83.

  PMID: 1593914 RESULT

• Tricco AC, Soobiah C, Berliner S, Ho JM, Ng CH, Ashoor HM, Chen MH, Hemmelgarn B, Straus SE. Efficacy and safety of cognitive enhancers for patients with mild cognitive impairment: a systematic review and meta-analysis. CMAJ. 2013 Nov 5;185(16):1393-401. doi: 10.1503/cmaj.130451. Epub 2013 Sep 16.

  PMID: 24043661 RESULT

• Puente AN, Terry DP, Faraco CC, Brown CL, Miller LS. Functional impairment in mild cognitive impairment evidenced using performance-based measurement. J Geriatr Psychiatry Neurol. 2014 Dec;27(4):253-8. doi: 10.1177/0891988714532016. Epub 2014 Apr 24.

  PMID: 24763070 RESULT

• Pikouli FA, Moraitou D, Papantoniou G, Sofologi M, Papaliagkas V, Kougioumtzis G, Poptsi E, Tsolaki M. Metacognitive Strategy Training Improves Decision-Making Abilities in Amnestic Mild Cognitive Impairment. J Intell. 2023 Sep 11;11(9):182. doi: 10.3390/jintelligence11090182.

  PMID: 37754911 RESULT

• Missiuna C, Mandich AD, Polatajko HJ, Malloy-Miller T. Cognitive orientation to daily occupational performance (CO-OP): part I--theoretical foundations. Phys Occup Ther Pediatr. 2001;20(2-3):69-81.

  PMID: 11345513 RESULT

• Lazarou I, Parastatidis T, Tsolaki A, Gkioka M, Karakostas A, Douka S, Tsolaki M. International Ballroom Dancing Against Neurodegeneration: A Randomized Controlled Trial in Greek Community-Dwelling Elders With Mild Cognitive impairment. Am J Alzheimers Dis Other Demen. 2017 Dec;32(8):489-499. doi: 10.1177/1533317517725813. Epub 2017 Aug 25.

  PMID: 28840742 RESULT

• Kattenstroth JC, Kalisch T, Holt S, Tegenthoff M, Dinse HR. Six months of dance intervention enhances postural, sensorimotor, and cognitive performance in elderly without affecting cardio-respiratory functions. Front Aging Neurosci. 2013 Feb 26;5:5. doi: 10.3389/fnagi.2013.00005. eCollection 2013.

  PMID: 23447455 RESULT

• Frith E, Ryu S, Kang M, Loprinzi PD. Systematic Review of the Proposed Associations between Physical Exercise and Creative Thinking. Eur J Psychol. 2019 Dec 19;15(4):858-877. doi: 10.5964/ejop.v15i4.1773. eCollection 2019 Dec.

  PMID: 33680164 RESULT

• Davydow DS, Hough CL, Levine DA, Langa KM, Iwashyna TJ. Functional disability, cognitive impairment, and depression after hospitalization for pneumonia. Am J Med. 2013 Jul;126(7):615-24.e5. doi: 10.1016/j.amjmed.2012.12.006. Epub 2013 Mar 14.

  PMID: 23499326 RESULT

• Davies SJ, Gullo HL, Doig E. Efficacy and Feasibility of the CO-OP Approach in Parkinson's Disease: RCT Study Protocol. Can J Occup Ther. 2023 Dec;90(4):363-373. doi: 10.1177/00084174231156287. Epub 2023 Feb 13.

  PMID: 36785891 RESULT

• Coelho P, Marmeleira J, Cruz-Ferreira A, Laranjo L, Pereira C, Bravo J. Creative dance associated with traditional Portuguese singing as a strategy for active aging: a comparative cross-sectional study. BMC Public Health. 2022 Mar 29;21(Suppl 2):2334. doi: 10.1186/s12889-022-12978-4.

  PMID: 35351064 RESULT

• Cicerone KD, Goldin Y, Ganci K, Rosenbaum A, Wethe JV, Langenbahn DM, Malec JF, Bergquist TF, Kingsley K, Nagele D, Trexler L, Fraas M, Bogdanova Y, Harley JP. Evidence-Based Cognitive Rehabilitation: Systematic Review of the Literature From 2009 Through 2014. Arch Phys Med Rehabil. 2019 Aug;100(8):1515-1533. doi: 10.1016/j.apmr.2019.02.011. Epub 2019 Mar 26.

  PMID: 30926291 RESULT

• Castellote-Caballero Y, Carcelen Fraile MDC, Aibar-Almazan A, Afanador-Restrepo DF, Gonzalez-Martin AM. Effect of combined physical-cognitive training on the functional and cognitive capacity of older people with mild cognitive impairment: a randomized controlled trial. BMC Med. 2024 Jul 8;22(1):281. doi: 10.1186/s12916-024-03469-x.

  PMID: 38972988 RESULT

• Casagrande M, Marselli G, Agostini F, Forte G, Favieri F, Guarino A. The complex burden of determining prevalence rates of mild cognitive impairment: A systematic review. Front Psychiatry. 2022 Sep 23;13:960648. doi: 10.3389/fpsyt.2022.960648. eCollection 2022.

  PMID: 36213927 RESULT

• Burzynska AZ, Jiao Y, Knecht AM, Fanning J, Awick EA, Chen T, Gothe N, Voss MW, McAuley E, Kramer AF. White Matter Integrity Declined Over 6-Months, but Dance Intervention Improved Integrity of the Fornix of Older Adults. Front Aging Neurosci. 2017 Mar 16;9:59. doi: 10.3389/fnagi.2017.00059. eCollection 2017.

  PMID: 28360853 RESULT

• Britten L, Pina I, Nykjaer C, Astill S. Dance on: a mixed-method study into the feasibility and effectiveness of a dance programme to increase physical activity levels and wellbeing in adults and older adults. BMC Geriatr. 2023 Jan 26;23(1):48. doi: 10.1186/s12877-022-03646-8.

  PMID: 36703116 RESULT

• Balbim GM, Aguinaga S, Ajilore OA, Bustamante EE, Erickson KI, Lamar M, Marquez DX. The Effects of the BAILAMOSTM Dance Program on Physical Activity Levels and Cognition of Older Latino Adults: A Pilot Study. J Aging Health. 2022 Jan;34(1):25-40. doi: 10.1177/08982643211020996. Epub 2021 May 22.

  PMID: 34027686 RESULT

• Appleton E, Maeir T, Kaufman Y, Karni S, Gilboa Y. Cognitive Orientation to daily Occupational Performance (CO-OP) for Older Adults After a Hip Fracture: A Pilot Study. Am J Occup Ther. 2023 Jan 1;77(1):7701205130. doi: 10.5014/ajot.2023.050073.

  PMID: 36779978 RESULT

• Altuntas O, Degerli MNO, Temizkan E, Ekici G. Psychometric properties of the Canadian occupational performance measure in older individuals. Turk J Med Sci. 2023 Nov 28;54(1):338-347. doi: 10.55730/1300-0144.5796. eCollection 2024.

  PMID: 38812638 RESULT

MeSH Terms

Conditions

Cognitive Dysfunction

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders

Study Officials

• Ceyhun Türkmen, PhD

  Çankırı Karatekin University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Only the outcomes assessor is blinded to the group assignments to ensure objective evaluation of the study outcomes. Participants, care providers, and investigators are not blinded.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof. Dr.

Model Details: In this parallel-group randomized controlled trial, participants will be assigned to one of two groups. The first group will receive the CO-OP approach combined with creative dance, while the second group will receive only the CO-OP intervention. Both groups will participate in 8-week intervention programs, with sessions held three times a week. The outcomes of interest, such as improvements in executive functions, attention, memory, and dual-task performance, will be compared between the two groups at baseline, post-intervention, and follow-up assessments at 3 and 6 months.

Study Record Dates

• First Submitted: October 13, 2024
• First Posted: October 16, 2024
• Study Start: November 15, 2024
• Primary Completion: December 10, 2025
• Study Completion: December 12, 2025
• Last Updated: December 19, 2025

Record last verified: 2025-12

Locations

TU (2)