Multi-domain Online Therapeutic Investigation Of Neurocognition (MOTION)

NCT ID: NCT05217849

Last Updated: 2025-12-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-02-15

Study Completion Date

2026-06-30

Brief Summary

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The purpose of this study is to compare the effects of three on-line wellness interventions for improving physical and cognitive function and brain connectivity in adults who are at least 55 years old and are experiencing symptoms of memory and/or cognitive difficulties.

Detailed Description

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The proposed study will perform a randomized, controlled trial (RCT) to compare the effects of three on-line wellness interventions for adults (age 55 years and older) who are experiencing memory and/or cognitive decline. Study participants will be randomly assigned to one of three on-line wellness interventions: (a) Tai Chi, (b) mindful movement course, or (c) health and wellness education course. All interventions will be one hour long, held on-line twice a week for 12 weeks. The co-primary outcomes are 3-month change in cognitive function (Alzheimer's Disease Assessment Scale - cognitive subscale, ADAS-cog) and functional brain connectivity within the default mode network (DMN). Secondary behavioral outcomes will include measures of specific cognitive processes (e.g., auditory memory, executive function, processing speed), physical function (e.g., mobility), anxiety, depression, fatigue, pain, sleep quality, social activities/social isolation, and quality of life. Secondary neuroimaging outcomes will include measures of functional connectivity in other intrinsic brain networks (e.g., salience, central executive, language), cerebral perfusion, and structural white matter integrity. The behavioral and imaging outcomes will be assessed at baseline and upon completion of the 12-week interventions. To assess durability of the behavioral effects of the interventions, the cognitive and behavioral outcomes will be assessed again 6 months after the completion of the interventions.

Conditions

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Mild Cognitive Impairment Subjective Memory Decline

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participants will be randomly assigned to an on-line Tai Chi class, an on-line mindful movement class, or to an on-line Health and Wellness Education classes. All classes will meet twice a week for one hour for 12-weeks. The randomization sequence will be generated in advance by Dr. Chao's research team using a random number generator and will be maintained in a secure location. Individuals who collect and analyze outcome data will be blinded to group assignment.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The randomization sequence will be generated in advance by Dr. Chao's research team using a random number generator and will be maintained in a secure location. Individuals who collect or analyze outcome data will be blinded to group assignment.

Study Groups

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Tai Chi

Participants will engage in 60-minute Tai Chi classes twice a week for 12 weeks. The classes will be live-streamed over the internet. Tai Chi is an ancient Chinese system of gentle physical exercise and stretching. It involves a series of movements performed in a slow, focused manner and accompanied by deep breathing.

Group Type EXPERIMENTAL

Tai Chi

Intervention Type BEHAVIORAL

Tai Chi is an ancient Chinese form of exercise/martial art that involves a series of movements performed in a slow, focused manner and accompanied by deep breathing.

Gentle, Mindful Movement

Participants will engage in a gentle, mindful movement class twice a week for 12 weeks. The classes will be one hour long and will be live-streamed over the internet. The mindful movement classes will combine elements from a wide range of Eastern and Western exercise modalities, including occupational therapy, physical therapy, yoga, tai chi, Feldenkrais, Rosen Method, dance movement therapy and mindfulness meditation.

Group Type EXPERIMENTAL

Preventing Loss of Independence through Exercise (PLIE)

Intervention Type BEHAVIORAL

PLIE is a gentle, mindful movement exercise program that integrates elements of Eastern and Western exercise modalities to develop mindful body awareness and enhance social connection.

Health and Wellness Education

Participants will engage in bi-weekly 60 minute sessions of Health and Wellness Education classes. The classes will be held on-line for 12 weeks.

Group Type ACTIVE_COMPARATOR

Health and Wellness Education

Intervention Type BEHAVIORAL

This on-line class will consist of hour-long lectures/talks about various topics related to healthy aging and wellness.

Interventions

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Tai Chi

Tai Chi is an ancient Chinese form of exercise/martial art that involves a series of movements performed in a slow, focused manner and accompanied by deep breathing.

Intervention Type BEHAVIORAL

Preventing Loss of Independence through Exercise (PLIE)

PLIE is a gentle, mindful movement exercise program that integrates elements of Eastern and Western exercise modalities to develop mindful body awareness and enhance social connection.

Intervention Type BEHAVIORAL

Health and Wellness Education

This on-line class will consist of hour-long lectures/talks about various topics related to healthy aging and wellness.

Intervention Type BEHAVIORAL

Other Intervention Names

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Tai-Chi-Chih (TCC) gentle, mindful movement class

Eligibility Criteria

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Inclusion Criteria

* age ≥ 55 years
* subjective cognitive complaints, defined as self-experienced persistent decline in cognitive capacity in comparison with a previously normal status and unrelated to an acute event
* Montreal Cognitive Assessment (MoCA) score suggestive of Mild Cognitive Impairment (MCI) status (i.e., \< 26)
* English language fluency
* Wireless internet connection at home
* Willingness to travel to the San Francisco VA in northern California or UCLA in southern California for in-person assessments at baseline, after the 12-week interventions, and at the 36-week follow-up
* Capacity to provide informed consent or legally authorized representative consent and participant assent.

Exclusion Criteria

* current or past Axis I psychiatric disorders, or recent unstable medical or neurological disorders
* disabilities that prevent participation in on-line movement classes (e.g., primarily use wheel-chair, severe visual impairment that would limit ability to observe instructor's movement on screen or severe hearing impairment that would limit ability to hear instructor's directions)
* insufficient English proficiency
* limited life expectancy (i.e., enrolled in hospice, metastatic cancer)
* plan to travel for \> 1 week during 12-week intervention period
* diagnosis of dementia per the DSM-5
* MoCA score suggestive of dementia (i.e., \<17)
* started dementia medication (cholinesterase inhibitor or memantine) in past 3 months or plans to start dementia medication during study period
* planning to start/change any psychoactive medication during study period
* current participation in another research study
* contraindications to magnetic resonance imaging (MRI), including claustrophobia severe enough to prevent MRI examination, presence of ferrometallic objects in the body that would interfere with MRI examination and/or cause a safety risk (e.g., pacemakers, implanted stimulators, pumps)
* prior or current training in with Tai Chi, PLIE, or other mind-body practices
Minimum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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San Francisco VA Health Care System

FED

Sponsor Role collaborator

University of California, Los Angeles

OTHER

Sponsor Role collaborator

United States Department of Defense

FED

Sponsor Role collaborator

CDMRP

UNKNOWN

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Linda L Chao, PhD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco & SFVAHCS

Locations

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VA Health Care System

San Francisco, California, United States

Site Status

Countries

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United States

References

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Chao LL, Barnes DE, Chesney MA, Mehling WE, Lee JA, Benjamin C, Lavretsky H, Ercoli L, Siddarth P, Narr KL. Multi-domain Online Therapeutic Investigation Of Neurocognition (MOTION) - A randomized comparative-effectiveness study of two remotely delivered mind-body interventions for older adults with cognitive decline. Contemp Clin Trials. 2025 Feb;149:107811. doi: 10.1016/j.cct.2025.107811. Epub 2025 Jan 12.

Reference Type DERIVED
PMID: 39809343 (View on PubMed)

Other Identifiers

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CDMRP - AZ160019

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

21-33507

Identifier Type: -

Identifier Source: org_study_id