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The effect of cognitive-functional intervention with and without motivational feedback on balance confidence and daily functioning in older adults with Parkinson's disease and fear of falling

The effect of Cognitive Orientation to daily Occupational Performance (CO-OP) interventions with and without motivational feedback on balance confidence, anxiety, occupational function, activities of daily living, and functional balance and mobility in older adults with Parkinson's disease with fear of falling

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
IRCT
Registry ID
IRCT20140304016830N14
Enrollment
75
Registered
2025-07-11
Start date
2025-08-01
Completion date
Unknown
Last updated
2025-07-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Parkinson's disease. Parkinson's disease

Interventions

Intervention 1: Intervention group 1: Participants in this group will undergo a 12-session combined intervention program (60 minutes per session, twice weekly for 6 weeks). Each session begins with 20

Sponsors

Iran University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
65 Years to No maximum

Inclusion criteria

Inclusion criteria: Being at the age of 65 years or older Idiopathic Parkinson’s disease confirmed by a neurologist with a disease severity of 1–3 on the Hoehn & Yahr scale Adequate cognitive function, with a score of =24 on the Montreal Cognitive Assessment Presence of fear of falling, confirmed by a single-item question (Yes/No)

Exclusion criteria

Exclusion criteria: Comorbid neurological/orthopedic conditions affecting mobility, per physician report Substance abuse History of diabetes mellitus

Design outcomes

Primary

MeasureTime frame
Satisfaction of performance. Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: The score of satisfaction with performance will be measured using the Canadian Occupational Performance Measure (COPM). This score reflects the participants' level of satisfaction with their performance in daily activities, rated on a 10-point scale, where higher scores indicate greater satisfaction.;Performance. Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: The performance score will be measured using the Canadian Occupational Performance Measure (COPM). This score reflects the participants' level of performance in daily activities and is recorded on a 10-point scale, where higher scores indicate better performance.

Secondary

MeasureTime frame
Functional mobility. Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: Timed Up and Go (TUG) Test.;Self-reported confidence in maintaining balance during daily activities. Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: Activities-specific Balance Confidence (ABC).;Assesses the individual's ability to maintain static and dynamic balance through 14 different tasks (e.g., standing unsupported, turning, picking up objects). Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: Berg Balance Scale (BBS).;Adaptability of gait during complex walking tasks. Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: Dynamic Gait Index - DGI.;Activities of Daily Living (ADL) independence. Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: Barthel Index - BI.;Intrinsic motivation. Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: Intrinsic Motivation Inventory - IMI.;Quality of life. Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: Parkinson's Disease Questionnaire (PDQ-39).;Frequency and perceived meaningfulness of 28 daily activities. Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: Meaningful Activity Participation.;Disability in daily activities specific to PD. Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: UPDRS-ADL.;Concern about falling during daily activities. Timepoint: Baseline, post-intervention (week 12), and follow-up (week 18). Method of measurement: Falls Efficacy Scale-International.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactGhorban Taghizadeh

Iran University of Medical Sciences

taghizadeh.gh@iums.ac.ir+98 21 2222 7124

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Feb 4, 2026