太极拳应用程序和 Facebook 健康教育计划对大流行时代乳腺癌幸存者压力和生活质量的影响。
Effects of Tai Chi App and Facebook health education programs on breast cancer survivors' stress and quality of life in the Era of pandemic.
机构信息
University of Minnesota Twin Cities, Minneapolis, MN, USA.
University of Minnesota Twin Cities, Minneapolis, MN, USA.
出版信息
Complement Ther Clin Pract. 2022 Aug;48:101621. doi: 10.1016/j.ctcp.2022.101621. Epub 2022 Jun 16.
PURPOSE
This study investigated the effects of a mobile Tai Chi app and Facebook (FB) program on stress and quality of life (QoL) among breast cancer survivors (BCS).
METHODS
This study was a remote, 12-week 2-arm parallel randomized controlled trial (RCT). BCS were randomly assigned into either the Tai Chi intervention condition (using an app to practice Tai Chi three times a day, at least five days/week and receiving FB health tips) or the comparison condition (receiving FB health tips only). The final sample comprised 35 female BCS (M = 56.17). The Perceived Stress Scale was utilized to measure stress and the Patient Reported Outcome Measurement Information System was adopted to assess QoL - mental health (anxiety and depression) and physical health.
RESULTS
No significant time × group interaction effects emerged for stress and mental health (Wilk's lambda = 0.96, F (2, 32) = 0.74, p = 0.48, η = 0.04) and physical health (Wilk's lambda = 1.00, F (1,33) = 0.14, p = 0.71, η = 0.00). Yet, a significant time effect was observed for mental health, F (1,33) = 5.51, p = 0.02, η = 0.14; and physical health, F (1,33) = 5.59, p < 0.05, η = 0.14; but not for stress, F (1,33) = 1.70, p = 0.20, η = 0.05. Specifically, participants' physical health (1.57 vs. 1.41) and mental health (1.80 vs. 1.62) significantly improved over time across both groups. Also, a group effect for mental health approached the significant level, F (1,33) = 4.06, p = 0.05, η = 0.11. In detail, the Tai Chi participants had significantly better mental health at follow-up test (1.43 vs. 1.90) compared to the comparison participants (p < 0.05, 95%CI: 0.91 to -0.40).
CONCLUSION
The study findings suggested that the implementation of the Tai Chi app combined FB health tips program had positive effects on BCS's mental health. Also, offering a health education program could be beneficial to BCS's physical health as well.
目的
本研究旨在探讨移动太极应用程序和 Facebook（FB）计划对乳腺癌幸存者（BCS）的压力和生活质量（QoL）的影响。
方法
这是一项远程、12 周的 2 臂平行随机对照试验（RCT）。BCS 被随机分配到太极干预组（每天使用应用程序练习太极三次，每周至少五天）或对照组（仅接受 FB 健康提示）。最终样本包括 35 名女性 BCS（M=56.17）。使用感知压力量表测量压力，采用患者报告的结果测量信息系统评估 QoL-心理健康（焦虑和抑郁）和身体健康。
结果
压力和心理健康（Wilk's lambda=0.96，F（2，32）=0.74，p=0.48，η=0.04）和身体健康（Wilk's lambda=1.00，F（1，33）=0.14，p=0.71，η=0.00）方面没有出现显著的时间×组交互作用。然而，心理健康方面出现了显著的时间效应，F（1，33）=5.51，p=0.02，η=0.14；以及身体健康，F（1，33）=5.59，p<0.05，η=0.14；但压力没有，F（1，33）=1.70，p=0.20，η=0.05。具体来说，两组参与者的身体健康（1.57 对 1.41）和心理健康（1.80 对 1.62）在整个研究期间都有显著改善。此外，心理健康方面的组间效应接近显著水平，F（1，33）=4.06，p=0.05，η=0.11。具体来说，与对照组相比，太极组参与者在随访测试时的心理健康状况明显更好（1.43 对 1.90）（p<0.05，95%CI：0.91 至-0.40）。
结论
研究结果表明，太极应用程序结合 FB 健康提示计划对 BCS 的心理健康有积极影响。此外，提供健康教育计划也可能有益于 BCS 的身体健康。
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