ClinicalTrials.gg
RecruitingNCT07824128APPROACHUpdated Nov 13, 2026

Adaptango Performance PRocess for Older Adults Community reHabilitation

An interventional study of Adaptango Performance Process (APP) program in Parkinson Disease, Mild Cognitive Impairment and Old Age; Dementia, sponsored by Emory University. Recruiting at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-11-13.

Sponsored by Emory University · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Aug 2026; still recruiting 3 months later.
Updated Nov 13, 2026Now RecruitingSite recruiting status changed+1 moreGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 1,649 studies in Parkinson Disease with a site in United States — 304 open to participants now, 387 under way, 7 of them phase 3. Parkinson Disease · United States.

Planned enrollment
231st of 1,256
120 · median 36
Started
2026
with 82 others
No phase
585 of 1,649
146 open now
Primary completion
2029-09
later than 330 of 384 live
Registered
1,639th of 1,649
by date

Among the 1,649 studies in Parkinson Disease with a site in United States, this one is the 231st largest by planned enrollment of the 1,256 interventional ones that give a count, is one of 83 that started in 2026, is one of 585 with no phase, reaches primary completion later than 330 of the 384 other live ones, and was the 1,639th registered.

Parkinson Disease

4,576 studies on the registry are indexed under Parkinson Disease; 1,087 are open to participants now.

Browse Parkinson Disease studies →

Open to participants now

304 of the 1,649 studies in Parkinson Disease with a site in United States are open now. Recruiting first, the newest first:

298 more — sign in →

All 304 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 749 Parkinson Disease studies recruiting now, 311 (42%) set no upper age limit and 127 (17%) stop at 75 or younger; 64 take children under 18; 189 take healthy volunteers.

This study: 18 Years and older · all sexes · healthy volunteers too.

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02

Study summary

This study is being done to answer the question: How do people with Parkinson's disease, people with Mild Cognitive Impairment, and younger people process difficult topics in conversation? It will also explore themes related to dance, such as community building and justice, as perceived by persons with Parkinson's disease or Mild Cognitive Impairment, and younger individuals before and after the Adaptango performance process.

Read the detailed description

This is a pilot study designed to assess the impact of the mediator/instructor role between dyads of older and younger adults as they engage in art and dance activities that address challenging topics.

The study aims to evaluate the effects of the Adaptango Performance Process (APP) on creativity, justice, and quality of life among persons with Parkinson's disease (PWP), people living with dementia (PLWD), and young adult participants. Validated measures of creativity, justice, and quality of life will be administered before and after the intervention.

The findings from this pilot phase will be used to inform the design and power calculations of future larger clinical trials intended to more definitively evaluate the effects of the APP program on creativity, engagement with challenging topics of societal importance, and psychosocial health across generations.

Findings from the arts-based method evaluation will also be considered when interpreting and reporting study results.

03

Conditions studied

  • Parkinson Disease
  • Mild Cognitive Impairment
  • Old Age; Dementia

Keywords

  • Dance
  • Music
  • Rehabilitation
  • Parkinson's
  • Motor-cognitive integration
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Individuals (PWP, younger adults, PLwD) from the greater Atlanta area. Those in the PWP group must be diagnosed by a neurologist specialized in Parkinson's disease.
  • Score of at least 18 on the (MoCA). Those who are in the PLwD group must score between 18 and 25 on the MoCA.

Exclusion criteria

Exclusion Criteria:

  • Acute medical illness requiring hospitalization
  • Uncontrolled congestive heart failure
  • History of stroke in the past three years
  • Inability to perform study procedures
  • Medical or physical conditions that would preclude participation (e.g., severe arthritis or mobility problems, uncontrolled hypertension or diabetes, renal failure, history of angina with activity)
  • Taking medications that could adversely affect cognition, e.g., antipsychotics, opioids, stimulants, chemotherapy, neurologic prescriptions to treat Multiple sclerosis. When applicable, enrollment will be delayed until dosages are stable on, e.g., Aricept, Namenda, anticholinesterase inhibitors, for at least 3 months
  • Psychotic disorders
  • Confounding neurologic conditions [e.g., active central nervous system (CNS) opportunistic infections, seizure disorders, head injury with loss of consciousness >30 minutes, intracranial neoplasms, stroke with neurological or neuropsychiatric sequelae]
  • Substance Use Disorder, Major Depressive Disorder, and Generalized Anxiety Disorders within six months of evaluation
  • Unable to provide
  • Cognitively impaired individuals or individuals with impaired decision-making, individuals who are not yet adults, pregnant women, prisoners
  • Not able to clearly understand English
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Healthy adults over 18 and less than 31 years

    Healthy adults over 18 and less than 31 years

    Other: Adaptango Performance Process (APP) program

  • Experimental
    Adults with Parkinson's disease (PD) age 50 years and over

    Adults with Parkinson's disease aged 50 years and over

    Other: Adaptango Performance Process (APP) program

  • Experimental
    Adults with mild cognitive impairment (MCI) age 50 years and over

    Adults with MCI aged 50 years and over

    Other: Adaptango Performance Process (APP) program

Interventions

  • OtherAdaptango Performance Process (APP) program

    Participants will take a three-month, biweekly choreographic process, ending in a weekend performance workshop at Emory University. Tango instructors undergo 13 hours of American Council on Exercise-certified training on Adaptango methods, age-specific functional impairments, and fall detection and prevention. Adaptango modifications were made to the frame and several steps of Argentine tango.

06

What researchers measure

Primary outcomes

  1. Participants' Satisfaction of the intervention (Acceptability)

    Satisfaction will be assessed post-intervention only with an Exit Questionnaire balanced for gender and race. Participants will rate (extremely easy/very easy) and their overall satisfaction with the intervention. A higher score indicates better satisfaction.

    Time frame: Post-intervention at 8 months

  2. Alternate Uses Task (AUT)

    The Alternate Uses Task (AUT) will be used to assess the patient's creativity by asking them to come up with as many alternate uses for an everyday object as possible in two minutes. Results are measured across four subscales: fluency- the number of alternative uses thought of originality - how unusual the uses given are; flexibility - the range of ideas in different categories; and elaboration-the level of detail given to an idea. Higher values in each subscale indicate higher levels of creativity.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

Secondary outcomes

  1. Parkinson's Disease Questionnaire Summary Index (PDQ-39 SI)

    The PDQ-39 is a patient-reported, disease-specific questionnaire used to assess health status and quality of life in Parkinson's disease over the preceding month. It consists of 39 items grouped into 8 distinct dimensions: mobility (10 items), activities of daily living (6 items), emotional well-being (6 items), stigma (4 items), social support (3 items), cognition (4 items), communication (3 items), and bodily discomfort (3 items). Each item is scored on a 5-point Likert scale indicating frequency: 0 (never), 1 (occasionally), 2 (sometimes), 3 (often), and 4 (always or cannot do at all). The PDQ-39 Summary Index (PDQ-39 SI) is derived by calculating the mean of the 8 dimension scores. Total index scores range from 0 to 100. Lower scores reflect a better health status/quality of life, while higher scores indicate a greater frequency and severity of health-related difficulties.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

  2. The Movement Disorder Society-Sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS)

    The Movement Disorder Society-Sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS) is a comprehensive 50-question clinical tool used to evaluate both motor and non-motor symptoms, severity, and progression of Parkinson's disease. Each item is scored from 0 (normal) to 4 (severe), with higher summed subscale scores indicating greater disability.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

  3. 30-second chair stand test

    The number of sit-to-stand maneuvers completed in 30 seconds is used to measure leg strength and endurance. A higher score is better.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

  4. Timed Up and Go Simple and Dual tasks (TUG, TUG Cognitive and TUG Manual)

    Measures the time it takes to rise from a chair, walk 3 meters, turn around, and return to the chair in the simple condition. In the Cognitive condition, one is required to simultaneously count backward by 3s from a number between 20 and 100; in the Manual condition, one is required to simultaneously pick up a cup of water and carry it while completing the task. A lower score is a better outcome.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

  5. 360 turn test (Time)

    The time it takes the participants to turn around in a complete circle. Lower times are better.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

  6. 360 turn test (steps)

    The number of steps the participant takes to turn around in a complete circle. Lower number of steps is better.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

  7. Static Postural Balance Assessment via Tandem Stance Test

    Participants are instructed to stand with one foot directly in front of the other, heel-to-toe, with eyes open and arms at their sides or crossed over the chest. The examiner assists the participant into position and begins timing with a stopwatch once the examiner releases their hand support. Timing is recorded in seconds and ceases if the participant moves their feet, reaches for support, opens their eyes (if an eyes-closed variant), or reaches the ceiling threshold

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

  8. Mini-Balance Evaluation Systems Test (Mini-BESTest)

    Mini-BESTest (Mini-Balance Evaluation Systems Test) is a validated, performance-based assessment used to evaluate balance, functional mobility, and fall risk. It includes 14 items across four domains, with each item scored from 0 to 2: 2 = Normal: Completes the task safely, quickly, and independently. 1 = Mild impairment: Completes the task with hesitation, slower movement, uneven weight shifts, or use of an assistive device. 0 = Severe impairment/Unable: Requires physical assistance or cannot complete the task safely. Total Score Interpretation (0-28): 27-28: Normal balance; no significant deficits. 22-26: Mild balance impairment; monitoring or preventive exercise may be beneficial. \<22: Significant balance impairment, indicating increased balance dysfunction and fall risk.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

  9. The Dynamic Gait Index (DGI)

    DGI is an 8-item clinical assessment used to evaluate gait adaptability and balance during functional walking tasks. Each item is scored on a 4-point scale (0-3): 3 = normal performance; 2 = mild impairment; 1 = moderate impairment; 0 = severe impairment or inability to perform independently. Total scores range from 0 to 24, with higher scores indicating better dynamic balance and mobility. Scores of 22-24 indicate normal balance and safe ambulation; 19-21 indicate mild instability; scores \<19 are associated with increased fall risk in older adults and individuals with neurological conditions.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

  10. Gait speed test

    Gait speed testing (Forward/Backwards/Fast): How quickly a person can walk a specific distance forward and Backwards using a stopwatch. Faster speeds (m/s) are better.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

  11. Four-square step test

    The Four Square Step Test (FSST) is a quick clinical tool used to measure dynamic balance, agility, and the risk of falls by having a person rapidly step over low obstacles-traditionally four canes arranged in a plus-sign configuration on the floor. Because the Four Square Step Test (FSST) is a timed test, it does not use a point-based scale. Instead, performance is measured solely by the number of seconds it takes to complete the pattern. Normal values for the Four Square Step Test (FSST) generally range from under 10 to 15 seconds for healthy adults. A completion time of under 15 seconds indicates a low risk for falls in older adults, while a time of 15 seconds or longer suggests an increased risk for multiple falls.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

  12. The Multidimensional Scale of Perceived Social Support (MSPSS) Score

    The MSPSS has 12 items that assess how social support factors are perceived by individuals. This scale has three subscales to evaluate support by family, friends, and significant others. Respondents rate statements on a scale of 1 (very strongly disagree) to 7 (very strongly agree). Total scores range from 12 to 84, with higher scores being better and indicating an increased perception of social support.

    Time frame: Baseline, 3 months (during APP ), and 8 months (after the APP program)

  13. The Short Form 12-Quality of Life (SF12)

    The SF12 evaluates the level of activity and perceived physical and mental quality of life. The SF-12 uses a standardized system with scores ranging from 0 to 100, where the general population's average is 50, with higher scores indicating better health. Because it measures relative deviation, the numbers represent the following health levels: Above 50: Better than average health. Exactly 50: Average health status. 40 to 50: Below average health (mild disability or impairment). 30 to 40: Moderate disability or impairment. Below 40: Severe impairment or disability.

    Time frame: Baseline, 3 months (during APP ), and 8 months (after the APP program)

  14. The Impact on Participation and Autonomy Questionnaire (IPAQ).

    The Impact on Participation and Autonomy (IPA) instrument will be used to assess the patient's self-perceived freedom and social involvement. Individual items are graded on a 0-4 scale. Subscale scores will be calculated for Autonomy Indoors (0-28), Autonomy Outdoors (0-20), Family Role (0-28), Social Relations (0-28), and Work/Education (0-24). Higher subscale totals directly reflect an increase in perceived limitations and restrictions of participation. A reduction in subscale values indicates a positive clinical response to treatment.

    Time frame: Baseline, 3 months (during intervention), and 8 months (post-intervention)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2026 (actual). Primary completion is estimated for Sep 2029, 37 months after the start.

Of 1,293 non-industry interventional studies with no phase under Parkinson Disease, half reached primary completion within 24 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 44. This study's planned 37 months is above that.

Counting every sponsor, half of 1,369 studies reached it within 25 months; a quarter within 12 and three quarters within 44.

Start moved once since we started tracking on Sep 25, 2026: Oct 2026 → Aug 2026, on Nov 13, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Sep 11, 2026
First posted
Sep 17, 2026
StartActual
Aug 6, 2026was Oct 2026
Primary completionEst.
Sep 2029
CompletionEst.
Sep 2029
Last update
Nov 13, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Recruiting
changed Nov 13, 2026
Sites
Emory University, Executive Park, Wesley Woods is now Recruiting
Nov 13, 2026
Start date
Oct 2026→Aug 6, 2026 (actual)
Nov 13, 2026
Secondary outcomes
1 description edited
What changed in the outcomes
  • DescriptionThe Movement Disorder Society-Sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS): how it is measured was reworded
Nov 13, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Emory University, Executive Park, Wesley Woods · Atlanta, United StatesContact added m•••@emory.edu
Nov 13, 2026
Show all 1 update
  1. Nov 13, 2026
    Not yet recruiting→Recruiting
    Emory University, Executive Park, Wesley Woods is now Recruiting
    Start date Oct 2026→Aug 6, 2026 (now actual)
    Secondary outcomes 1 description edited
    What changed in the outcomes
    • DescriptionThe Movement Disorder Society-Sponsored Unified Parkinson's Disease Rating Scale (MDS-UPDRS): how it is measured was reworded
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Emory University, Executive Park, Wesley Woods · Atlanta, United StatesContact added m•••@emory.edu
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07824128
Lead sponsor
Emory University
Collaborators
National Endowment for the Arts, United States
Responsible party
Madeleine Eve Hackney (Associate Professor, Emory University) — Principal investigator
First posted
Sep 17, 2026
Start date
Aug 6, 2026
Primary completion
Sep 2029 (estimated)
Completion
Sep 2029 (estimated)
Last update
Nov 13, 2026

Study contacts

Madeleine E. Hackney, PhD
Contact
mehackn@emory.edu
314-412-4852
Madeleine E. Hackney, PhD
principal investigator · Emory University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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