Effects of home-based digital-assisted dyadic Tai Chi training in Chinese chronic heart failure patients and family caregivers: a randomised controlled trial protocol.
Yan Zhang, Fei Wan Ngai, Lili Wei...
https://pubmed.ncbi.nlm.nih.gov/42049291Actively Recruiting
Phase Not Applicable
Age: 18Years - 75Years
All Genders
ID06876441
Effect of the Home-based Digital-assisted Dyadic Tai Chi Training Program Among Sedentary Adults With Heart Failure and Their Caregivers: A Randomized Controlled Trial
Led by The Hong Kong Polytechnic University · Updated on 2026-03-11
256
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
Sponsors
T
The Hong Kong Polytechnic University
Lead Sponsor
T
The Affiliated Hospital of Qingdao University
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating the Home-based Digital-assisted Dyadic Tai Chi (HDTC) training program to improve functional capacity and cardiac function in sedentary individuals with chronic heart failure (CHF). The study also aims to assess secondary outcomes like exercise self-efficacy, fear of activity, sedentary behavior, hospital admission, quality of life, and emotional well-being for both CHF individuals and their caregivers. This is a randomized controlled trial involving both patients and their caregivers to reduce care burden and improve mutual support. Participants will be randomly assigned to one of two groups: the HDTC group or the usual care group. Those in the usual care group receive a 30-minute online education and nurse-led telephone support covering symptom management, medication, diet, exercise, psychosocial support, and monthly follow-ups. The HDTC group receives all usual care plus a 30-minute educational seminar, a 1-hour dyadic coaching session, a preliminary Tai Chi training session, and a 12-week Tai Chi training program based on the 24-form Yang-style Tai Chi, with sessions increasing in frequency and duration and supplemented by online coaching and instructional videos. Participants and their caregivers will be assessed at the start, 4 weeks, and 12 weeks after starting the intervention. Data collected will include functional capacity, cardiac function, physical activity levels, psychological measures like depression and anxiety, quality of life, and mutuality between patient and caregiver. The study also tracks hospital admissions and care burden. Safety and progress will be monitored through regular evaluations, using statistical models to analyze changes over time. The total study duration from enrollment to final assessment spans 12 weeks.
CONDITIONS
Brief Title
Effect of the Home-based Digital-assisted Dyadic Tai Chi (HDTC) Training Program Among Sedentary Individuals With HF and Their Caregivers: a Randomized Controlled Trial
Who Can Participate
Age: 18Years - 75Years
All Genders
Eligibility Criteria
You may qualify if you...
- CHF individuals aged 18 to 75 years
- Diagnosed with chronic heart failure, any HF phenotype
- NYHA class I, II, or III
- 6-minute walk distance over 150 meters
- Stable disease phase for at least 4 weeks
- Able to practice Tai Chi independently without musculoskeletal issues
- Sedentary lifestyle sitting more than 8 hours per day in past month
- Own a smartphone
- Willing to participate and provide informed consent
- Caregivers aged 18 or older
- Primary home caregiver with emotional or social ties to CHF individual
- Able to perform Tai Chi without assistance
- Willing to participate and provide informed consent
You will not qualify if you...
- Planned surgery within next 6 months
- Severe comorbidities such as cancer, liver or kidney failure, or psychiatric disorders
- Plans to enter nursing home or care facility
- Regular Tai Chi practice or other exercise at least 3 times per week for 20 minutes each in past 3 months
- Currently participating in similar or related studies
- Caregivers who are formal care providers such as nurses
AI-Screening
AI-Powered Screening
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit (in-person or online)
Treatment
Duration - 12 weeks
Participants in the HDTC group attend a 30-minute educational seminar, a 1-hour dyadic coaching session, a 1-hour preliminary Tai Chi training session, followed by 12 weeks of Tai Chi training with gradually increasing frequency and duration. Participants in the usual care group receive a 30-minute online education and monthly nurse-led telephone support.
1 educational seminar, 1 coaching session, 1 preliminary training session, and weekly Tai Chi sessions; usual care group has monthly telephone consultations
Trial Site Locations
Total: 1 location
1
The Affiliated Hospital of Qingdao University
Qingdao, Shandong, China, 266000
Actively Recruiting
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Research Team
Y
Yao Jie Xie, PhD
Y
Yan Zhang, Master
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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