Evidence map›Paper›PMID 40460318›Full record

Trial reportJournal of medical Internet research2025

Effectiveness of a WeChat Mini Program-Based Intervention on Promoting Multiple Health Behavior Changes Among Chinese Patients With Cardiovascular Diseases in Home-Based Rehabilitation: Randomized Controlled Trial.

Yanping Duan, Wei Liang, Lan Guo, Huimin Zhan, Chunli Xia, Huan Ma, Borui Shang, Yanping Wang, Min Yang, Shishi Cheng

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yanping DuanDepartment of Sports and Health Sciences, Hong Kong Baptist University, Hong Kong, China (Hong Kong).ORCID http://orcid.org/0000-0002-6432-7542
Wei LiangSchool of Physical Education, Shenzhen University, SYB 326, 3688 Nanhai Road, Nanshan District, Shenzhen, 518060, China, 86 15217940540.ORCID http://orcid.org/0000-0002-8120-7905
Lan GuoCardiac Rehabilitation Center, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Guangzhou, China.ORCID http://orcid.org/0000-0002-9073-0888
Huimin ZhanCardiac Rehabilitation Center, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Guangzhou, China.ORCID http://orcid.org/0009-0004-3070-3505
Chunli XiaCardiac Intensive Care Department, Cardiovascular Disease Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0002-0198-5687
Huan MaCardiac Rehabilitation Center, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Guangzhou, China.ORCID http://orcid.org/0000-0003-4150-9201
Borui ShangDepartment of Social Sciences, Hebei Sport University, Shijiazhuang, China.ORCID http://orcid.org/0000-0003-3009-950X
Yanping WangDepartment of Sports and Health Sciences, Hong Kong Baptist University, Hong Kong, China (Hong Kong).ORCID http://orcid.org/0000-0001-6979-3625
Min YangDepartment of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, China (Hong Kong).ORCID http://orcid.org/0000-0002-8251-7630
Shishi ChengDepartment of Sports and Health Sciences, Hong Kong Baptist University, Hong Kong, China (Hong Kong).ORCID http://orcid.org/0000-0002-3616-5654

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: WeChat mini program-based interventions grounded in behavior change theories show promise in promoting and maintaining healthy lifestyles among patients with cardiovascular diseases (CVDs) after hospital discharge. However, limited randomized controlled trials have evaluated the effectiveness of such interventions among Chinese patients with CVDs in a home-based rehabilitation context. Objective: This study aimed to assess the effectiveness of a 10-week WeChat mini program-based intervention on multiple health behaviors, including moderate to vigorous physical activity (MVPA), fruit and vegetable consumption (FVC), integrated lifestyle indicator (ie, meeting both MVPA and FVC recommendations), psychosocial resources (intrinsic and extrinsic) of behavior change, and health-related outcomes (ie, depressive symptoms and perceived quality of life) among Chinese patients with CVDs. Methods: This study recruited 166 outpatients from a cardiac rehabilitation center in China. After screening for eligibility and randomization, 124 participants (mean age 41.60, SD 13.48 years; 61.3% female) were allocated to either (1) the intervention group, which received a 10-week health program based on the Health Action Process Approach, or (2) a waitlist control group, which received no intervention and maintained their usual lifestyle. Both groups completed assessments at baseline, postintervention (10 weeks), and 3 months postintervention. Data were analyzed using generalized linear mixed models in IBM SPSS 28.0. Results: Significant time-by-group interaction effects were observed for MVPA (F2, 122=6.68; P=.002), FVC (F2, 122=18.68; P<.001), integrated lifestyle indicator (F2, 122=13.83; P<.001), intrinsic (F2, 122=11.49; P<.001) and extrinsic psychosocial resources (F2,1 22=5.35; P=.006) for MVPA, intrinsic resources for FVC (F2, 122=12.66; P<.001), and perceived quality of life (F2, 122=6.99; P=.001). The intervention group showed significant improvements in these outcomes compared to the control group, with medium-to-large effect sizes for behavior-related outcomes (d=0.57-0.88), and small-to-medium effect sizes for psychosocial and health-related outcomes (d=0.28-0.52). However, no significant effects were found for extrinsic resource for FVC (F2, 122=1.37; P=.26) or depressive symptoms (F2, 122=0.44; P=.64). Sensitivity analyses confirmed the robustness of the primary findings. Conclusions: The 10-week Healthy Action Process Approach-based WeChat mini program intervention effectively improved MVPA, FVC, integrated lifestyle indicator, psychosocial resources of behavior change, and health-related outcomes among Chinese patients with CVDs. This intervention provides a valuable addition to rehabilitation strategies aimed at promoting long-term health and activity in cardiac patients following hospital discharge.

Indexed as

Cardiac RehabilitationCardiovascular DiseasesHealth BehaviorHealth PromotionHome Care ServicesAdultChinaEast Asian PeopleExerciseFemaleHumansMaleMiddle AgedQuality of Lifebehavioral theoriescardiac rehabilitationcardiovascularcardiovascular diseaseChinaCVDdigital healthdomiciliary rehabilitationHAPAHealth Action Process Approachhealth behaviorhealth behavior changehealthy lifestylehome-based rehabilitationinterventionmultiple health behavior changenutritionphysical activityrandomized controlled trialWeChat

Identifiers

PMID40460318
PMCPMC12151454

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.