The impact of Tai Chi exercise on coronary heart disease: A systematic review

Tai Chi is an effective exercise option for individuals with coronary heart disease or its associated risk factors. An accurate and systematic assessment of a Mandarin-speaking adults’ self-efficacy in maintaining Tai Chi exercise is lacking. Mandarin Chinese has the most speakers worldwide. This study aimed to translate the Tai Chi Exercise Self-Efficacy scale and examine its psychometric properties. The 14-item Tai Chi Exercise Self-Efficacy scale was translated from English into Mandarin Chinese using a forward-translation, back-translation, committee approach, and pre-test procedure. Participants with coronary heart disease or risk factors (n = 140) enrolled in a cross-sectional study for scale validation. Confirmatory factor analysis indicated a good fit of the two-factor structure (Tai Chi exercise self-efficacy barriers and performance) to this sample. The translated scale demonstrated high internal consistency, with a Cronbach’s α value of 0.97, and good test-retest reliability, with an intra-class correlation coefficient of 0.86 (p < 0.01). Participants with prior Tai Chi experience reported significantly higher scores than those without (p < 0.001), supporting known-group validity. A significant correlation was observed between the translated scale and total exercise per week (r = 0.37, p < 0.01), providing evidence of concurrent validity. The Mandarin Chinese version of the Tai Chi Exercise Self-Efficacy scale is a valid and reliable scale for Chinese adults with coronary heart disease or risk factors.

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Measurement Properties of Tai Chi Exercise Self-Efficacy among Ethnic Chinese with Coronary Heart Disease Risk Factors: A Pilot Study

European Journal of Cardiovascular Nursing ◽

10.1016/j.ejcnurse.2004.09.001 ◽

2004 ◽

Vol 3 (4) ◽

pp. 287-294 ◽

Cited By ~ 18

Author(s):

Ruth E. Taylor-Piliae ◽

Erika Sivarajan Froelicher

Keyword(s):

Risk Factors ◽

Coronary Heart Disease ◽

Heart Disease ◽

Tai Chi ◽

Disease Risk ◽

Measurement Properties ◽

Ethnic Chinese ◽

Heart Disease Risk Factors ◽

Tai Chi Exercise ◽

Heart Disease Risk

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Systematic Review and Meta-Analysis of the Impact of Depression on Subsequent Smoking Cessation in Patients With Coronary Heart Disease

Psychosomatic Medicine ◽

10.1097/psy.0000000000000020 ◽

2014 ◽

Vol 76 (1) ◽

pp. 44-57 ◽

Cited By ~ 42

Author(s):

Frank Doyle ◽

Daniela Rohde ◽

Aleksandra Rutkowska ◽

Karen Morgan ◽

Grainne Cousins ◽

...

Keyword(s):

Systematic Review ◽

Coronary Heart Disease ◽

Smoking Cessation ◽

Heart Disease ◽

Meta Analysis ◽

The Impact

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A systematic review of the effect of mobile health on cardiac rehabilitation among coronary heart disease patients

Frontiers of Nursing ◽

10.1515/fon-2018-0029 ◽

2018 ◽

Vol 5 (3) ◽

pp. 217-226 ◽

Cited By ~ 3

Author(s):

Hui Liu ◽

Xiao Xiao ◽

Chun-Mei Lu ◽

Dong-Lan Ling ◽

Rui-Hong Wei

Keyword(s):

Systematic Review ◽

Coronary Heart Disease ◽

Heart Disease ◽

Cardiac Rehabilitation ◽

Mobile Health ◽

Cochrane Library ◽

Rehabilitation Outcomes ◽

Rehabilitation Programs ◽

Inadequate Sample Size ◽

The Impact

Abstract Objective Mobile health (mHealth) provides an innovative and effective approach to promote prevention and management of coronary heart disease. However, the magnitude of its effects is unclear. The aim of this systematic review was to examine the impact of mHealth-based cardiac rehabilitation outcomes among coronary heart disease patients. Methods Medline, CINAHL, Embase, PubMed, Google Scholar, NICE, and Cochrane library were searched for randomized controlled trials published between January 2002 and March 2017 which compared mHealth with conventional cardiac rehabilitation programs among coronary heart disease patients. Results Eight articles were included in this review. The impact of mHealth interventions on physical activity, medicine adherence, smoking cessation, level of anxiety, and quality of life was inconsistent among the articles. Conclusions Further research is needed to conclusively determine the impact of mHealth interventions on cardiac rehabilitation outcomes. The limitations of the included studies (e.g., inadequate sample size, failure to address the core components of cardiac rehabilitation programs, and lack of theory-based design) should be taken into account when designing future studies.

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