A study on the influencing factors of exercise adherence in patients with chronic heart failure: from a configuration perspective
ObjectiveThe study aims to investigate the configuration path of influencing factors of exercise adherence in chronic heart failure (CHF) patients based on the Capability, Opportunity, Motivation-Behavior (COM) model.BackgroundThe effectiveness of exercise rehabilitation in patients with CHF depends...
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Frontiers Media S.A.
2025-06-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1536349/full |
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| author | Jing Lu Jie Wang Zhanhong You Qin Wang Guozhen Sun |
| author_facet | Jing Lu Jie Wang Zhanhong You Qin Wang Guozhen Sun |
| author_sort | Jing Lu |
| collection | DOAJ |
| description | ObjectiveThe study aims to investigate the configuration path of influencing factors of exercise adherence in chronic heart failure (CHF) patients based on the Capability, Opportunity, Motivation-Behavior (COM) model.BackgroundThe effectiveness of exercise rehabilitation in patients with CHF depends upon their sustained adherence over the long term. Exercise adherence is influenced by a combination of antecedent conditions; however, the mechanisms underlying adherence to exercise in CHF patients remain unclear.DesignCross-sectional study.MethodConvenience sampling was used to recruit patients with CHF from 3 tertiary-level hospitals in China, between January and May 2024. Latent profile analysis (LPA) was conducted to identify the latent profile of exercise adherence in patients with CHF. Fuzzy-set qualitative comparative analysis (fsQCA) was then employed by conducting necessity and sufficiency analysis.ResultsA total of 219 patients with CHF participated in the study. The LPA results categorized exercise adherence among these patients into three profiles: low (28.3%), moderate (54.3%), and high (17.4%) adherence. The necessity analysis revealed that the perception of benefits was a necessary condition for achieving high exercise adherence, whereas no singular factor was deemed necessary for low exercise adherence. Furthermore, the sufficiency analysis identified four distinct configurational pathways leading to high exercise adherence and two pathways leading to low exercise adherence.ConclusionPatients with CHF display varied exercise adherence behaviors, influenced by a range of antecedent conditions that interact synergistically, leading to diverse adherence patterns. Enhancing intrinsic motivation is essential for improving exercise adherence in this population. The exercise adherence behaviors of patients with CHF reflect distinct preferences, suggesting that healthcare providers can implement targeted interventions based on specific configurational pathways.Patient or public contributionIn the data collection phase, patients with CHF were recruited to participate in the survey. |
| format | Article |
| id | doaj-art-97a7ae104a054bdba72e93eb1275832f |
| institution | DOAJ |
| issn | 1664-1078 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj-art-97a7ae104a054bdba72e93eb1275832f2025-08-20T03:19:23ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-06-011610.3389/fpsyg.2025.15363491536349A study on the influencing factors of exercise adherence in patients with chronic heart failure: from a configuration perspectiveJing Lu0Jie Wang1Zhanhong You2Qin Wang3Guozhen Sun4School of Nursing, Nanjing Medical University, Nanjing, ChinaDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaSchool of Nursing, Nanjing Medical University, Nanjing, ChinaDepartment of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, ChinaSchool of Nursing, Nanjing Medical University, Nanjing, ChinaObjectiveThe study aims to investigate the configuration path of influencing factors of exercise adherence in chronic heart failure (CHF) patients based on the Capability, Opportunity, Motivation-Behavior (COM) model.BackgroundThe effectiveness of exercise rehabilitation in patients with CHF depends upon their sustained adherence over the long term. Exercise adherence is influenced by a combination of antecedent conditions; however, the mechanisms underlying adherence to exercise in CHF patients remain unclear.DesignCross-sectional study.MethodConvenience sampling was used to recruit patients with CHF from 3 tertiary-level hospitals in China, between January and May 2024. Latent profile analysis (LPA) was conducted to identify the latent profile of exercise adherence in patients with CHF. Fuzzy-set qualitative comparative analysis (fsQCA) was then employed by conducting necessity and sufficiency analysis.ResultsA total of 219 patients with CHF participated in the study. The LPA results categorized exercise adherence among these patients into three profiles: low (28.3%), moderate (54.3%), and high (17.4%) adherence. The necessity analysis revealed that the perception of benefits was a necessary condition for achieving high exercise adherence, whereas no singular factor was deemed necessary for low exercise adherence. Furthermore, the sufficiency analysis identified four distinct configurational pathways leading to high exercise adherence and two pathways leading to low exercise adherence.ConclusionPatients with CHF display varied exercise adherence behaviors, influenced by a range of antecedent conditions that interact synergistically, leading to diverse adherence patterns. Enhancing intrinsic motivation is essential for improving exercise adherence in this population. The exercise adherence behaviors of patients with CHF reflect distinct preferences, suggesting that healthcare providers can implement targeted interventions based on specific configurational pathways.Patient or public contributionIn the data collection phase, patients with CHF were recruited to participate in the survey.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1536349/fullexercise adherenceheart failureconfigurationfsQCACOM-B |
| spellingShingle | Jing Lu Jie Wang Zhanhong You Qin Wang Guozhen Sun A study on the influencing factors of exercise adherence in patients with chronic heart failure: from a configuration perspective Frontiers in Psychology exercise adherence heart failure configuration fsQCA COM-B |
| title | A study on the influencing factors of exercise adherence in patients with chronic heart failure: from a configuration perspective |
| title_full | A study on the influencing factors of exercise adherence in patients with chronic heart failure: from a configuration perspective |
| title_fullStr | A study on the influencing factors of exercise adherence in patients with chronic heart failure: from a configuration perspective |
| title_full_unstemmed | A study on the influencing factors of exercise adherence in patients with chronic heart failure: from a configuration perspective |
| title_short | A study on the influencing factors of exercise adherence in patients with chronic heart failure: from a configuration perspective |
| title_sort | study on the influencing factors of exercise adherence in patients with chronic heart failure from a configuration perspective |
| topic | exercise adherence heart failure configuration fsQCA COM-B |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1536349/full |
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