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 age = 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 2 = 0.04) and physical health (Wilk's lambda = 1.00, F (1,33) = 0.14, p = 0.71, η 2 = 0.00). Yet, a significant time effect was observed for mental health, F (1,33) = 5.51, p = 0.02, η 2 = 0.14; and physical health, F (1,33) = 5.59, p < 0.05, η 2 = 0.14; but not for stress, F (1,33) = 1.70, p = 0.20, η 2 = 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 2 = 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.
Bibliographical noteFunding Information:
Source of funding: This study was funded by Hourglass Integrative Therapies Cancer Research Award from the Masonic Cancer Center at University of Minnesota . NCI Trial Identifier: NCI-2022-00105.
© 2022 Elsevier Ltd
- Mental health
- Physical health
- Social media
- Cancer Survivors
- Social Media
- Tai Ji/psychology
- Middle Aged
- Quality of Life/psychology
- Randomized Controlled Trials as Topic
- Breast Neoplasms/psychology
- Mobile Applications
- Health Education
PubMed: MeSH publication types
- Journal Article