Key result
Guozhuang dance improves exercise self-efficacy by ~33% versus standard care in post-PCI patients.
Why the study?
Many coronary heart disease patients post-PCI face low physical activity, reduced self-efficacy, and poor quality of life, highlighting the need for improved rehabilitation strategies.
Does a 12-week Guozhuang dance intervention improve exercise self-efficacy, functional capacity, physical activity, and quality of life in CHD patients following PCI?
RCT (n=88)
Single-blind (investigators blinded to group assignments)
1:1 via a computer-generated Excel sequence
No
Does a 12-week Guozhuang dance intervention improve exercise self-efficacy, functional capacity, physical activity, and quality of life in CHD patients following PCI?
Absolute Event Rate: 67.84% vs 50.9%
p-value: p=<0.001
A 12-week Guozhuang dance program significantly enhances exercise self-efficacy, functional capacity, physical activity, and quality of life in CHD patients after PCI, serving as a valuable addition to traditional cardiac rehabilitation.
Supports integrating Guozhuang dance into post-PCI cardiac rehab; extends RCT evidence for culturally tailored exercise boosting self-efficacy in CHD.
Background Coronary heart disease (CHD) is a leading cause of death. Despite PCI improving coronary perfusion, many patients face low physical activity, reduced self-efficacy, and poor quality of life, emphasizing the need for better rehabilitation. Objectives To evaluate the effects of a 12-week Guozhuang dance intervention on exercise self-efficacy, functional capacity, physical activity, and health-related quality of life in CHD patients following PCI. Methods 88 post-PCI patients were randomly assigned to a control group ( n = 44) or an intervention group ( n = 44). Both groups received standard care; the control group participated in conventional rehabilitation, while the intervention group added Guozhuang dance. Outcomes measures were assessed at baseline(T0), at 4(T1) and 12(T2) weeks of intervention, and at 6 weeks after post-intervention (T3) using the Multidimensional Self-Efficacy for Exercise Scale (MSES), Six-Minute walk distance (6MWD), International Physical Activity Questionnaire (IPAQ), and the Chinese Questionnaire of Quality of Life (CQQC). Data were analyzed using intention-to-treat (ITT) analysis. The protocol was registered in the Chinese Clinical Trial Registry (ChiCTR2300069341). Results Both groups demonstrated comparable baseline characteristics ( P > 0.05). Significant group × time interactions were found for exercise self-efficacy and 6MWT distance (both P < 0.001), while physical activity and quality of life showed significant main effects of group (both P < 0.05). The intervention group demonstrated significantly greater improvements in exercise self-efficacy, physical activity, and quality of life at T1, T2, and T3 (all P < 0.05). For 6MWD, significant between-group differences were observed at T2 and T3 (both P < 0.001), but not at T1 ( P = 0.065 > 0.05). Conclusion A 12-week Guozhuang dance program significantly enhances exercise self-efficacy, functional capacity, physical activity, and quality of life in CHD patients after PCI, making it a valuable addition to traditional cardiac rehabilitation. Clinical Trial Registration https://www.chictr.org.cn/bin/home , identifier, ChiCTR2300069341.
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Wu et al. (2026) conducted an RCT in Coronary heart disease (CHD) following percutaneous coronary intervention (PCI) (n=88). Guozhuang dance vs. Standard post-PCI care (conventional rehabilitation) was evaluated on Exercise self-efficacy (MSES score) at 12 weeks (p=<0.001). A 12-week Guozhuang dance program significantly improved exercise self-efficacy compared to standard care (MSES score 67.84 vs 50.90, p<0.001) in patients with coronary heart disease following PCI.
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