Effects of the Color Narrative Preventive Intervention Using Occupational Storytelling: A Randomized Controlled Trial

The Color Narrative program enhanced purpose and prevented cognitive decline, highlighting the significance of occupational therapy in preventive care. Plain-Language Summary: This study investigated the impact of the Color Narrative program on improving cognitive health and a sense of purpose in life among older adults. The program included group-based storytelling using 100 color cards as visual prompts, personalized goal setting, and independent engagement in meaningful occupations over 3 mo, followed by a group reflection session. Compared with individuals who participated in a standard community-based health education and recreation program, the participants in this program maintained cognitive function and reported an increased sense of purpose. The findings revealed the significance of maintaining cognitive function and purpose in life in improving older adults' overall well-being. These findings highlight the unique role of occupational therapy, especially the Color Narrative program, in promoting preventive care and supporting healthy aging within communities.