Evidence map›Paper›PMID 41758872›Full record

Trial reportPloS one2026

Comparison of the 24-Style Tai Chi intervention based on various promotion approaches on college students' mental health: A randomized controlled trial.

Kai Xu, Zetong Sun, Defeng Dong, Zhiyuan Tan, Jundi Chen, Carlo Castagna, Peter Krustrup, Jun Xu, Shuang Wei

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

9 authors.

Kai XuSchool of Sport and Art, Shandong Sport University, Jinan, China.ORCID https://orcid.org/0009-0007-4632-3699
Zetong SunThe School of Human Science, The University of Western Australia, Perth, Australia.ORCID https://orcid.org/0009-0009-8823-5253
Defeng DongSchool of Graduate Education, Shandong Sport University, Jinan, China.
Zhiyuan TanFaculty of Sport and Physical Education, University of Belgrade, Belgrade, Serbia.
Jundi ChenGuangdong Lingnan Institute of Technology, Guangzhou, China.
Carlo CastagnaDepartment of Education and Sport Sciences, Pegaso Telematic University, Naples, Italy.
Peter KrustrupDepartment of Sports Science and Clinical Biomechanics, SDU Sport and Health Sciences Cluster (SHSC), University of Southern Denmark, Odense, Denmark.
Jun XuSchool of Sport and Art, Shandong Sport University, Jinan, China.
Shuang WeiSchool of Sport and Art, Shandong Sport University, Jinan, China.ORCID https://orcid.org/0009-0002-3691-5045

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe escalating pace of academic pressures and social life have intensified mental health challenges among college students, including widespread anxiety and depression. Non-pharmacological interventions, such as exercise therapy, have gained prominence, with 24-Style Tai Chi emerging as a promising mind-body exercise due to its simplicity and potential mental health benefits. However, its effectiveness across various promotion approaches in higher education settings remains underexplored.

objectiveThis study aimed to evaluate the impact of different 24-Style Tai Chi promotion methods (on-site, online, mixed, and independent practice) on college students' mental health, assess intervention efficacy, and identify an optimal promotion strategy.

methodsA randomized controlled trial (RCT) involving 250 college students from Shandong Sport University was conducted over 8 weeks. Participants were allocated to On-Site Promotion Group (Offline-PG), Online Promotion Group (Offline-PG), Mixed Promotion Group (MPG), Independent Practice Group (IPG), or Control Group (CG). Mental health was assessed using the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and General Self-Efficacy Scale (GSES) at baseline, 4 and 8 weeks, and follow-up. Data were analyzed using one-way ANOVA, repeated measures ANOVA (RM-ANOVA), and regression analysis to evaluate intervention effects and participation impacts.

resultsOffline-PG (90% attendance) and MPG (84% attendance) showed significant reductions in anxiety (SAS: Offline-PG 34.8 ± 6.3, MPG 36.2 ± 7.0, P < 0.01) and depression (SDS: Offline-PG 33.7 ± 6.9, MPG 34.9 ± 7.2, P < 0.05) by week 8. Online-PG (72% attendance) and MPG demonstrated significant self-efficacy improvements (GSES: Online-PG 36.1 ± 5.2, MPG 35.5 ± 5.6, P < 0.01). IPG (60% attendance) showed no significant changes. ANOVA revealed inter-group differences (SAS F = 6.45, P = 0.004; SDS F = 5.32, P = 0.009; GSES F = 6.74, P = 0.003), with RM-ANOVA confirming time effects. Regression analysis indicated participation strongly correlated with anxiety and depression reductions in Offline-PG (R = 0.62, P = 0.003) and MPG (R = 0.58, P = 0.004) and self-efficacy gains in Online-PG and MPG (R = 0.67, P = 0.002).

conclusion24-Style Tai Chi effectively improves college students' mental health, with on-site and mixed approaches excelling in reducing anxiety and depression, and online and mixed approaches enhancing self-efficacy. A hybrid promotion strategy is recommended to optimize participation and outcomes. Registration number: TCTR20250306005; https://thaiclinicaltrials.org/.

Indexed as

Health PromotionMental HealthStudentsTai JiAnxietyDepressionFemaleHumansMaleSelf EfficacyUniversitiesYoung Adult

Identifiers

PMID41758872
PMCPMC12948128

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.