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July 27, 2021Frontiers in Cardiovascular MedicineOpen Access

Feasibility and Preliminary Effects of the BESMILE-HF Program on Chronic Heart Failure Patients: A Pilot Randomized Controlled Trial

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Key result

Six-week BESMILE-HF program improves self-efficacy and maintains exercise capacity vs usual care in chronic HF.

  • MD 3.2
  • 95% CI 0.6-5.9
  • P=0.004
  • n=18

Why the study?

Exercise-based cardiac rehabilitation programs in China face scarcity and unaffordability, prompting the need to assess the feasibility and preliminary effects of the Baduanjin-based BESMILE-HF program.

Does the BESMILE-HF program improve self-efficacy and exercise capacity in patients with chronic heart failure?

Comparison

BESMILE-HF program plus usual medications vs usual medications alone

Design

Pilot randomized controlled trial

Follow-up

6 weeks

Authors

XCXiankun ChenWJWei JiangTOThomas P. Olson

Discussion

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Overview

Supports short-term BESMILE-HF use to boost self-efficacy in chronic HF; extends cardiac rehabilitation evidence to culturally adapted programs.

Study Design

Type

RCT (n=18)

Structured PICO

Does the BESMILE-HF program improve self-efficacy and exercise capacity in patients with chronic heart failure?

P
Population
18 patients with chronic heart failure in China (8 in BESMILE-HF group, 10 in control group).
I
Intervention
BESMILE-HF program (Baduanjin exercise with self-efficacy building) for 6 weeks, added to usual medications.
C
Comparator
Usual medications alone.
O
Outcome
Feasibility (participants' involvement) and preliminary clinical effects (self-efficacy and exercise capacity/peak oxygen consumption) at 6 weeks.patient reported

Main Result

Effect estimate: MD 3.2 (95% CI 0.6-5.9)

p-value: p=0.004

The BESMILE-HF program, a contextually adapted cardiac rehabilitation program using Baduanjin exercise, is feasible and improves self-efficacy in Chinese patients with chronic heart failure.

Limitations

  • Small sample size
  • Short follow-up period

Cite This Study

Chen et al. (2021) conducted an RCT in Chronic heart failure (n=18). BESMILE-HF program (Baduanjin exercise with self-efficacy building) vs. Usual medications was evaluated on Change in self-efficacy (MD 3.2, 95% CI 0.6-5.9, p=0.004). The 6-week BESMILE-HF program significantly improved self-efficacy compared to usual care (MD 3.2; 95% CI 0.6-5.9; p=0.004) and maintained exercise capacity in chronic heart failure patients.

synapsesocial.com/papers/6a0b7e46f380e2b59dca2302https://doi.org/10.3389/fcvm.2021.715207
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Exercise-based rehabilitation for heart failure2014 · 346 citations
  2. 2Exercise Training as Therapy for Heart Failure2015 · 170 citations
  3. 3Availability and characteristics of cardiac rehabilitation programmes in China2016 · 52 citations
  4. 4Self-efficacy: Toward a unifying theory of behavioral change.1977 · 43,849 citations
  5. 5Self-efficacy: Toward a unifying theory of behavioral change.1977 · 35,543 citations