{
  "abstract": "Background\n\nHome-based exercise supports functional recovery after lung transplantation, yet exercise behavior varies among recipients. Guided by the capability, opportunity, motivation, and behavior (COM-B) model, this study examined configurations associated with relatively higher recent home-based exercise behavior among lung transplant recipients.Methods\n\nThis cross-sectional study included adult lung transplant recipients within the first year after transplantation at a tertiary hospital in Zhejiang, China. Five COM-B-related conditions were assessed: 6-min walk distance, exercise rehabilitation knowledge, perceived social support, exercise self-efficacy, and exercise automaticity. Recent home-based exercise behavior during the previous 7 days was assessed through structured retrospective interviews and calculated as MET-min/week. Fuzzy-set qualitative comparative analysis examined necessary conditions, sufficient configurations, and the negated outcome; exploratory univariate analyses described clinical context.Results\n\nAmong 139 lung transplant recipients, no single condition was necessary for relatively higher recent home-based exercise behavior. Four sufficient configurations were identified (solution coverage, 0.675; consistency, 0.827). Exploratory analyses highlighted postoperative stage and pulmonary function; the negated-outcome analysis supported causal asymmetry. The configurations were summarized as motivation-characterized and multi-condition synergistic patterns. Motivation-characterized configurations combined higher exercise self-efficacy and higher exercise automaticity, although one configuration involving relatively limited exercise capacity was calibration-sensitive. Multi-condition synergistic configurations involved favorable combinations of capability-, social opportunity-, and motivation-related conditions.Conclusion\n\nRelatively higher recent home-based exercise behavior was associated with multiple COM-B-related configurations rather than any single necessary condition. These findings may inform multidimensional assessment and clinically contextualized rehabilitation support during post-transplant home recovery.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Qianyin Zhu"
    },
    {
      "affs": [
        0
      ],
      "name": "Leiwen Tang"
    },
    {
      "affs": [
        0
      ],
      "name": "Pan Lin"
    },
    {
      "affs": [
        0
      ],
      "name": "Fei Zeng"
    },
    {
      "affs": [
        0
      ],
      "name": "Meijuan Lan"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/20ka8rwk6cnqe.bib",
  "cited_by": 0,
  "doi": "10.1080/07853890.2026.2756039",
  "fulltext_url": "https://europepmc.org/articles/PMC13729628",
  "id": "20ka8rwk6cnqe",
  "issns": [
    "0785-3890",
    "1365-2060"
  ],
  "landing_url": "https://europepmc.org/article/MED/42969928",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Pulmonary Medicine"
    ],
    [
      "heading",
      "Research Article"
    ],
    [
      "openalex",
      "2746|Transplantation: Methods and Outcomes"
    ]
  ],
  "openalex": "W7225116681",
  "pdf_url": "https://europepmc.org/articles/PMC13729628?pdf=render",
  "pmcid": "PMC13729628",
  "pmid": "42969928",
  "published": "2026-11-02",
  "publisher": "Taylor & Francis",
  "ris": "https://research.draconitic.com/paper/20ka8rwk6cnqe.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T15:20:43Z",
      "native_id": "MED:42969928",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42969928"
    },
    {
      "first_seen": "2026-11-07T12:22:20Z",
      "native_id": "PMC13729628",
      "source": "pmc",
      "url": "https://doi.org/10.1080/07853890.2026.2756039"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Transplantation: Methods and Outcomes",
      "subfield": "surgery"
    }
  ],
  "title": "Configurational patterns associated with relatively higher recent home-based exercise behavior among lung transplant recipients: a fuzzy-set qualitative comparative analysis.",
  "title_text": "Configurational patterns associated with relatively higher recent home-based exercise behavior among lung transplant recipients: a fuzzy-set qualitative comparative analysis.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:22:20Z",
  "url": "https://research.draconitic.com/paper/20ka8rwk6cnqe",
  "venue": "Annals of medicine",
  "versions": []
}