AUTHOR=Chen Xiankun , Jiang Wei , Salazar Mariano , Zhu Huiying , Wen Zehuai , Chen Xixi , Lundborg Cecilia Stålsby 

TITLE=Traditional Baduanjin exercise through the eyes of patients with chronic heart failure: A qualitative content analysis study

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=9

YEAR=2023

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.1049036

DOI=10.3389/fcvm.2022.1049036

ISSN=2297-055X

ABSTRACT=<sec><title>Objective</title><p><italic>Baduanjin</italic> (eight silken movements) is a traditional Chinese exercise that can be used as cardiac rehabilitation therapy for patients with chronic heart failure (CHF) especially when other forms of rehabilitation are scarce or unaffordable. This study explores the experiences of Chinese patients with CHF who undertook <italic>Baduanjin</italic> exercise at home as part of a pilot trial in Guangzhou, China.</p></sec><sec><title>Methods</title><p>We conducted seven qualitative interviews with participants who had participated in the intervention arm of a pilot randomized controlled trial (RCT) (<italic>n</italic> = 8). For data collection, we used a semi-structured interview guide with both open-ended, and follow-up questions. We audio recorded the interviews, transcribed them verbatim, and then analyzed them with content analysis.</p></sec><sec><title>Results</title><p>Participants’ experiences of doing <italic>Baduanjin</italic> were classified into three categories: (1) improving practice (2) factors facilitating good exercise adherence, and (3) feeling good. Participants reported that the exercises were easy but that the correct <italic>Baduanjin</italic> execution and coordination between the mind, movements, and breathing were only achievable through practice. In addition, the training benefits which they perceived were the predominant motivation for patients to keep practicing. Finally, trust in <italic>Baduanjin</italic>, personal attitudes toward health, flexibility in practice times, as well as social support helped the participants to achieve good adherence to home-based training.</p></sec><sec><title>Conclusion</title><p>This study’s findings indicate that <italic>Baduanjin</italic> could be a cardiac rehabilitation exercise modality for patients with CHF in China, especially in a home-based setting.</p></sec>