Mild Cognitive Impairment (MCI)COOP-DANCENCT06644690
Creative Dance-Supported CO-OP Approach in Older Adults With Mild Cognitive Impairment
A study testing CO-OP with Creative Dance and CO-OP Only in people with Mild Cognitive Impairment (MCI), run by Çankırı Karatekin University at 2 sites in Turkey (Türkiye).
Trial 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). Read more about this study
- Who is it for?
- Ages 65 to 85 years
- Conditions the study is for
- Mild Cognitive Impairment (MCI)
- What is being tested?
- CO-OP with Creative Dance and CO-OP Only
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 26 participants
- Where
- 2 sitesTurkey (Türkiye)
- Study dates
- 15 Nov 2024to 12 Dec 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 to 85 years
- All sexes
- No healthy volunteers
- Older adult
Who may be able to join
- 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
Who cannot join
- 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)
Trial locations and contacts
2 sites in 1 country.
Turkey (Türkiye)2 sites
Çankırı Karatekin University, Faculty of Health Sciences
Çankırı, Not Applicable For Türkiye, 18100
Ceyhun Türkmen
Çankırı
About this study
Official 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
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:
Read more
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.
Read the detailed description
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.
- Conditions
- Mild Cognitive Impairment (MCI)
- Being tested
- CO-OP with Creative Dance, CO-OP Only
- Keywords
- Cognitive Rehabilitation, Mild Cognitive Impairment, Executive Function, Creative Dance, Dual-Task Performance, Older Adults, CO-OP Approach
- Medical subject headings
- Cognitive Dysfunction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CO-OP with Creative DanceBehavioural
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 OnlyBehavioural
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.
| Study group | Role | What they receive |
|---|---|---|
| 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. Receives: 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. Receives: Behavioral: CO-OP Only |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 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
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
Measured: 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
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.
Measured: 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"
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.
Measured: Baseline, immediately after the 8-week intervention, and at 3 and 6 months post-intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Oct 2024
- Study start15 Nov 2024
- Primary completion10 Dec 2025
- Study completion12 Dec 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (22)Papers the sponsor has linked to this study.
- Other trials for Mild Cognitive Impairment (MCI)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- 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.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 26 participants (actual)
Sponsor and investigators
- Lead sponsor
- Çankırı Karatekin University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ceyhun Türkmen, Çankırı Karatekin University
- Investigators
- Ceyhun Türkmen, PhD, Principal investigator, Çankırı Karatekin University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06644690
- Sponsor's protocol ID
- 3ca15029ac154211
- Acronym
- COOP-DANCE
- Status last verified
- Dec 2025
- First submitted
- 13 Oct 2024
- Last updated
- 19 Dec 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
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.
PubMed 35360212Yang 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.
PubMed 31994767Ware 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.
PubMed 1593914Tricco 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.
PubMed 24043661Puente 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.
PubMed 24763070Pikouli 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.
PubMed 37754911Missiuna 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.
PubMed 11345513Lazarou 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.
PubMed 28840742Kattenstroth 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.
PubMed 23447455Frith 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.
PubMed 33680164Davydow 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.
PubMed 23499326Davies 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.
PubMed 36785891Coelho 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.
PubMed 35351064Cicerone 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.
PubMed 30926291Castellote-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.
PubMed 38972988
Study at a glance
From the registry record, last updated by the sponsor on 19 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official 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
- ClinicalTrials.gov ID
- NCT06644690
- Acronym / sponsor ID
- COOP-DANCE / 3ca15029ac154211
- Conditions
- Mild Cognitive Impairment (MCI)
- Keywords
- Cognitive Rehabilitation, Mild Cognitive Impairment, Executive Function, Creative Dance, Dual-Task Performance, Older Adults, CO-OP Approach
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 26 participants (actual)
- Lead sponsor
- Çankırı Karatekin UniversityUniversity, hospital or other
- Study start
- 15 Nov 2024 (actual)
- Primary completion
- 10 Dec 2025 (actual)
- Study completion
- 12 Dec 2025 (actual)
- First posted
- 16 Oct 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- 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.
| Arm | Type | Receives |
|---|---|---|
| 1- CO-OP with Creative Dance | Experimental | Behavioral: CO-OP with Creative DanceParticipants 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. |
| CO-OP Only | Active comparator | Behavioral: CO-OP OnlyParticipants 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. |
Who may qualify
- Ages
- 65 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Older adult
Key inclusion criteria (5 listed)
- 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
Key exclusion criteria (5 listed)
- 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)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CO-OP with Creative DanceThe 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. | Behavioural | 1- CO-OP with Creative Dance |
| CO-OP OnlyThe 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. | Behavioural | CO-OP Only |
Primary outcome
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.
3 secondary outcomes
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
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
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
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Dec 2025.
- Results publication: PubMed 35360212Zhu 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.
- Results publication: PubMed 31994767Yang 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.
- Results publication: PubMed 1593914Ware 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.
- Results publication: PubMed 24043661Tricco 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.
- Results publication: PubMed 24763070Puente 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.
- Results publication: PubMed 37754911Pikouli 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.
- Results publication: PubMed 11345513Missiuna 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.
- Results publication: PubMed 28840742Lazarou 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.
- Results publication: PubMed 23447455Kattenstroth 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.
- Results publication: PubMed 33680164Frith 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.
- Results publication: PubMed 23499326Davydow 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.
- Results publication: PubMed 36785891Davies 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.
- Individual participant dataSharing planned: Undecided
Related trials for Mild Cognitive Impairment (MCI)
RecruitingPhase 1
PET Imaging of Phosphodiesterase-4 (PDE4) in Volunteers With Alzheimer Disease (AD) or Mild Cognitive Impairment (MCI)
Alzheimer s Disease, Mild Cognitive Impairment
RecruitingObservational study
Community-based Screening for Alzheimer's Disease
Alzheimer's Disease(AD), Mild Cognitive Impairment (MCI)
RecruitingObservational study
InRAD Observational Study
Alzheimer's Disease(AD), Mild Cognitive Impairment (MCI)
Recruiting
Treating Insomnia in Mild Cognitive Impairment
Mild Cognitive Impairment (MCI), Insomnia
Recruiting
Telehealth-Adapted Compensatory Training and Intervention for Cognition
MCI, Mild Cognitive Impairment
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ceyhun Türkmen, PhD principal investigator
Çankırı Karatekin University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing CO-OP with Creative Dance and CO-OP Only in people with Mild Cognitive Impairment (MCI), run by Çankırı Karatekin University at 2 sites in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
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). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06644690, which also lists 22 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Dec 2025.