NCT07781787

Brief Summary

The goal of this study was to compare three psychoeducational programs designed to support cognitive flexibility in university students. The study compared a Life Kinetik-based program, a cognitive-behavioral program, an integrated program combining Life Kinetik-based and cognitive-behavioral activities, and a no-intervention control condition. Eighty university students were assigned in equal numbers to one of the four conditions. The Life Kinetik-based program consisted of 12 weekly 60-minute sessions, while the cognitive-behavioral and integrated programs each consisted of 10 weekly 60-minute sessions. Participants in the no-intervention control condition did not receive a psychoeducational program during the study period. Cognitive flexibility was assessed at baseline, immediately after the intervention period, and six weeks later using the Cognitive Flexibility Scale. The main question was whether participants in each active intervention condition would report higher cognitive flexibility immediately after the intervention than participants in the no-intervention control condition. A secondary question was whether intervention-control differences would still be observed six weeks later. Comparisons among the three active intervention programs were exploratory.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
80

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 26, 2026

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 15, 2026

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 26, 2026

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

August 19, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 24, 2026

Completed
Last Updated

August 24, 2026

Status Verified

August 1, 2026

Enrollment Period

3 months

First QC Date

August 19, 2026

Last Update Submit

August 19, 2026

Conditions

Keywords

Cognitive FlexibilityLife KinetikCognitive Behavioral TherapyPsychoeducationMotor-Cognitive TrainingUniversity Students

Outcome Measures

Primary Outcomes (1)

  • Mean Cognitive Flexibility Scale Total Score at Immediate Posttest

    Self-reported cognitive flexibility was assessed using the 12-item Turkish-language Cognitive Flexibility Scale developed by Martin and Rubin. Items are rated on a 6-point Likert-type scale. After reverse scoring negatively worded items, item scores are summed to obtain a total score ranging from 12 to 72. Higher scores indicate greater self-reported cognitive flexibility.

    Immediate posttest, approximately 9 to 11 weeks after baseline, depending on study arm

Secondary Outcomes (1)

  • Mean Cognitive Flexibility Scale Total Score at Six-Week Follow-Up

    Six weeks after the immediate posttest

Study Arms (4)

Life Kinetik-Based Psychoeducation

EXPERIMENTAL

Participants assigned to this arm received a Life Kinetik-based cognitive-flexibility psychoeducation program consisting of 12 weekly 60-minute sessions. The program used variable motor-cognitive activities involving changing rules, bilateral and cross-lateral coordination, attention shifting, response inhibition, rapid decision making, problem solving, and adaptation to changing task demands.

Behavioral: Life Kinetik-Based Cognitive-Flexibility Psychoeducation

Cognitive-Behavioral Psychoeducation

EXPERIMENTAL

Participants assigned to this arm received a cognitive-behavioral cognitive-flexibility psychoeducation program consisting of 10 weekly 60-minute sessions. The program included psychoeducation, written exercises, group discussion, role-play, cognitive restructuring, identification of automatic thoughts and cognitive distortions, emotion regulation, flexible goal setting, and structured problem solving.

Behavioral: Cognitive-Behavioral Cognitive-Flexibility Psychoeducation

Integrated Psychoeducation

EXPERIMENTAL

Participants assigned to this arm received an integrated cognitive-flexibility psychoeducation program consisting of 10 weekly 60-minute sessions. Each session combined cognitive-behavioral learning with Life Kinetik-based motor-cognitive activities organized around cognitive-flexibility objectives, including alternative thinking, cognitive restructuring, emotion regulation, problem solving, rule shifting, and rapid adaptation.

Behavioral: Integrated Life Kinetik and Cognitive-Behavioral Psychoeducation

No-Intervention Control

NO INTERVENTION

Participants assigned to this arm completed the same cognitive-flexibility assessments at baseline, immediate posttest, and six-week follow-up but received no psychoeducational intervention during the intervention or follow-up periods. After completion of all follow-up assessments, they were offered the opportunity to attend one of the psychoeducational programs.

Interventions

A 12-session psychoeducational program delivered once weekly for 60 minutes. The intervention used variable motor-cognitive activities requiring participants to respond to changing or contradictory instructions, coordinate bilateral and cross-lateral movements, shift between rules, manage concurrent tasks, and generate rapid solutions. Activities targeted attention shifting, response inhibition, rapid decision making, problem solving, alternative-response generation, and flexible adaptation.

Life Kinetik-Based Psychoeducation

A 10-session psychoeducational program delivered once weekly for 60 minutes. The intervention used psychoeducation, written exercises, case examples, role-play, group discussion, cognitive restructuring, and structured problem-solving activities. Participants practiced identifying automatic thoughts and cognitive distortions, examining evidence, generating alternative interpretations, regulating emotions, setting flexible goals, and adapting to change.

Cognitive-Behavioral Psychoeducation

A 10-session integrated psychoeducational program delivered once weekly for 60 minutes. Each session combined explicit cognitive-behavioral learning with Life Kinetik-based motor-cognitive practice addressing the same cognitive-flexibility objective. Cognitive restructuring, alternative thinking, emotion regulation, and problem solving were combined with activities involving changing rules, response inhibition, coordination, rapid decision making, and strategy modification.

Integrated Psychoeducation

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • University student at Karamanoğlu Mehmetbey University.
  • Cognitive Flexibility Scale screening score between 44 and 59, inclusive.
  • Willingness to participate voluntarily in a group-based psychoeducational program.
  • Availability to attend the intervention on the predetermined day and at the predetermined time.
  • Provision of informed consent.

You may not qualify if:

  • Self-reported current psychiatric diagnosis or ongoing psychological treatment.
  • Self-reported physical health problem, current injury, orthopedic condition, balance problem, or other condition that would prevent safe participation in the motor-cognitive activities.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Karamanoğlu Mehmetbey University

Karaman, 70100, Turkey (Türkiye)

Location

Study Officials

  • Mustafa Kılıç, Lecturer Dr.

    Karamanoğlu Mehmetbey University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Model Details: Four-arm parallel-group randomized design with 1:1:1:1 allocation to Life Kinetik-based psychoeducation, cognitive-behavioral psychoeducation, integrated Life Kinetik and cognitive-behavioral psychoeducation, or a no-intervention control condition. Randomization was stratified by sex.
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Lecturer Dr.

Study Record Dates

First Submitted

August 19, 2026

First Posted

August 24, 2026

Study Start

February 26, 2026

Primary Completion

May 15, 2026

Study Completion

June 26, 2026

Last Updated

August 24, 2026

Record last verified: 2026-08

Data Sharing

IPD Sharing
Will share

De-identified individual participant data underlying the results reported in the related publication, together with a data dictionary, will be available upon reasonable request. Direct personal identifiers will not be shared.

Time Frame
Beginning 3 months after publication of the study results and available for 5 years thereafter.
Access Criteria
Qualified researchers may request access for scientifically appropriate research purposes. Requests should include a brief research proposal and planned analyses and should be submitted to the corresponding author. Requests will be reviewed by the study investigator. Data will be provided in de-identified form and subject to applicable ethical, institutional, and data-protection requirements.

Locations