94% of researchers rate our articles as excellent or good
Learn more about the work of our research integrity team to safeguard the quality of each article we publish.
Find out more
ORIGINAL RESEARCH article
Front. Cardiovasc. Med.
Sec. General Cardiovascular Medicine
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1416356
The effect of WeChat-based brisk walking on kinesiophobia in patients after percutaneous coronary intervention: a randomised controlled trial
Provisionally accepted- 1 Hebei General Hospital, Shijiazhuang, China
- 2 Hengshui Second People's Hospital, Hengshui, China
- 3 Affiliated Hospital of Hebei University of Technology, Tianjin, China
- 4 Hebei University of Chinese Medicine, Shijiazhuang, Hebei Province, China
Aim: This study aimed to evaluate the benefit of a home-based cardiac rehabilitation (CR) programme with telemonitoring guidance on kinesiophobia in patients with percutaneous coronary intervention (PCI) discharged from hospital. It also aimed to explore the effectiveness of this programme on self-efficacy and cardiorespiratory endurance using a randomised controlled trial.Design: This study was a single-blind, prospective randomised controlled trial. Methods: Patients who underwent PCI at our hospital were enrolled. The intervention group (IG) performed WeChat-based brisk walking, and the control group (CG) patients received the usual care, including the advice to remain physically active. All patients underwent cardiopulmonary exercise testing to assess their peak oxygen uptake (peak VO2) at baseline and after a 12-week intervention period. The main outcome indicator was kinesiophobia and secondary outcomes included exercise self-efficacy, cardiorespiratory endurance (i.e. peak VO2) and major adverse cardiovascular events.Results: A total of 137 patients were enrolled in this study between 1 February 2023 and 31 October 2023; of these, 130 patients successfully completed a 12-week WeChat-based brisk walking CR programme. Following 12 weeks of intervention, the Tampa Scale for Kinesiophobia Heart scores in the IG decreased significantly more than in the CG and pre-IG. The IG’s Self-Efficacy for Exercise scores were higher than those of the CG and pre-IG. In addition, the increase in peak VO2 was larger in the IG than in the CG.Conclusion: The WeChat-based brisk walking programme is beneficial in reducing kinesiophobia by increasing exercise self-efficacy in patients after PCI; it also helps to improve cardiopulmonary endurance. WeChat-based brisk walking is feasible and acceptable.
Keywords: Cardiac Rehabilitation, WeChat, Brisk walking, Kinesiophobia, Nursing
Received: 17 May 2024; Accepted: 24 Feb 2025.
Copyright: © 2025 Wan, Zhou, Sun, Yu, Liu, Zhang, Zhang and Li. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Li Zhang, Hebei General Hospital, Shijiazhuang, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.