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
Abstract BackgroundWeChat 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 tria...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2025-06-01
|
| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2025/1/e66249 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850162346604888064 |
|---|---|
| author | Yanping Duan Wei Liang Lan Guo Huimin Zhan Chunli Xia Huan Ma Borui Shang Yanping Wang Min Yang Shishi Cheng |
| author_facet | Yanping Duan Wei Liang Lan Guo Huimin Zhan Chunli Xia Huan Ma Borui Shang Yanping Wang Min Yang Shishi Cheng |
| author_sort | Yanping Duan |
| collection | DOAJ |
| description |
Abstract
BackgroundWeChat 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.
ObjectiveThis 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.
MethodsThis 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.
ResultsSignificant time-by-group interaction effects were observed for MVPA (F2, 122PF2, 122PF2, 122PF2, 122PF2,1 22PF2, 122PF2, 122PddF2, 122PF2, 122P
ConclusionsThe 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. |
| format | Article |
| id | doaj-art-10eed849ec94445e8dc8ef30d0de472e |
| institution | OA Journals |
| issn | 1438-8871 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj-art-10eed849ec94445e8dc8ef30d0de472e2025-08-20T02:22:36ZengJMIR PublicationsJournal of Medical Internet Research1438-88712025-06-0127e66249e6624910.2196/66249Effectiveness 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 TrialYanping Duanhttp://orcid.org/0000-0002-6432-7542Wei Lianghttp://orcid.org/0000-0002-8120-7905Lan Guohttp://orcid.org/0000-0002-9073-0888Huimin Zhanhttp://orcid.org/0009-0004-3070-3505Chunli Xiahttp://orcid.org/0000-0002-0198-5687Huan Mahttp://orcid.org/0000-0003-4150-9201Borui Shanghttp://orcid.org/0000-0003-3009-950XYanping Wanghttp://orcid.org/0000-0001-6979-3625Min Yanghttp://orcid.org/0000-0002-8251-7630Shishi Chenghttp://orcid.org/0000-0002-3616-5654 Abstract BackgroundWeChat 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. ObjectiveThis 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. MethodsThis 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. ResultsSignificant time-by-group interaction effects were observed for MVPA (F2, 122PF2, 122PF2, 122PF2, 122PF2,1 22PF2, 122PF2, 122PddF2, 122PF2, 122P ConclusionsThe 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.https://www.jmir.org/2025/1/e66249 |
| spellingShingle | Yanping Duan Wei Liang Lan Guo Huimin Zhan Chunli Xia Huan Ma Borui Shang Yanping Wang Min Yang Shishi Cheng 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 Journal of Medical Internet Research |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://www.jmir.org/2025/1/e66249 |
| work_keys_str_mv | AT yanpingduan effectivenessofawechatminiprogrambasedinterventiononpromotingmultiplehealthbehaviorchangesamongchinesepatientswithcardiovasculardiseasesinhomebasedrehabilitationrandomizedcontrolledtrial AT weiliang effectivenessofawechatminiprogrambasedinterventiononpromotingmultiplehealthbehaviorchangesamongchinesepatientswithcardiovasculardiseasesinhomebasedrehabilitationrandomizedcontrolledtrial AT languo effectivenessofawechatminiprogrambasedinterventiononpromotingmultiplehealthbehaviorchangesamongchinesepatientswithcardiovasculardiseasesinhomebasedrehabilitationrandomizedcontrolledtrial AT huiminzhan effectivenessofawechatminiprogrambasedinterventiononpromotingmultiplehealthbehaviorchangesamongchinesepatientswithcardiovasculardiseasesinhomebasedrehabilitationrandomizedcontrolledtrial AT chunlixia effectivenessofawechatminiprogrambasedinterventiononpromotingmultiplehealthbehaviorchangesamongchinesepatientswithcardiovasculardiseasesinhomebasedrehabilitationrandomizedcontrolledtrial AT huanma effectivenessofawechatminiprogrambasedinterventiononpromotingmultiplehealthbehaviorchangesamongchinesepatientswithcardiovasculardiseasesinhomebasedrehabilitationrandomizedcontrolledtrial AT boruishang effectivenessofawechatminiprogrambasedinterventiononpromotingmultiplehealthbehaviorchangesamongchinesepatientswithcardiovasculardiseasesinhomebasedrehabilitationrandomizedcontrolledtrial AT yanpingwang effectivenessofawechatminiprogrambasedinterventiononpromotingmultiplehealthbehaviorchangesamongchinesepatientswithcardiovasculardiseasesinhomebasedrehabilitationrandomizedcontrolledtrial AT minyang effectivenessofawechatminiprogrambasedinterventiononpromotingmultiplehealthbehaviorchangesamongchinesepatientswithcardiovasculardiseasesinhomebasedrehabilitationrandomizedcontrolledtrial AT shishicheng effectivenessofawechatminiprogrambasedinterventiononpromotingmultiplehealthbehaviorchangesamongchinesepatientswithcardiovasculardiseasesinhomebasedrehabilitationrandomizedcontrolledtrial |