Effects of Tai Chi App and Facebook health education programs on breast cancer survivors’ stress and quality of life in the Era of pandemic

Zan Gao, Suryeon Ryu, Yingying Chen

Research output: Contribution to journalReview articlepeer-review

7 Scopus citations


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.

Original languageEnglish (US)
Article number101621
JournalComplementary Therapies in Clinical Practice
StatePublished - Aug 2022

Bibliographical note

Publisher Copyright:
© 2022 Elsevier Ltd


  • Anxiety
  • Depression
  • Mental health
  • Physical health
  • Social media
  • Cancer Survivors
  • Pandemics
  • Social Media
  • Tai Ji/psychology
  • Humans
  • Middle Aged
  • Quality of Life/psychology
  • Randomized Controlled Trials as Topic
  • Breast Neoplasms/psychology
  • Mobile Applications
  • Female
  • Health Education

PubMed: MeSH publication types

  • Review
  • Journal Article


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