Applying the COM-B behaviour model and behaviour change wheel to develop an intervention to improve hearing-aid use in adult auditory rehabilitation

Barker, Fiona; Atkins, Lou; Lusignan, Simon de

doi:10.3109/14992027.2015.1120894

Cited by 248 publications

(229 citation statements)

References 31 publications

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“…A set of policy options that are sensitive to the material/physical and social contexts can be selected accordingly to deliver these intervention functions (e.g., guidelines; regulation; service provision; marketing and communication), which will inform specific activities and modes of delivery for effectively shaping and sustaining these dietary transitions (Michie et al, 2014). The COM-B system is indeed being successfully used to inform interventions in several contexts and behaviors (e.g., Barker et al, 2016;Cassidy et al, 2018;Goud et al, 2017;Mangurian et al, 2017;Murthag, 2018), but not yet in our focal topic. Note, however, that the large majority of the findings captured in this review were from observation or cross-sectional studies (see Table 1 for an overview and Table S1 in Supplementary Materials for detailed information).…”

Section: Capability Opportunity and Motivation To Follow More Plant-mentioning

confidence: 99%

Reducing meat consumption and following plant-based diets: Current evidence and future directions to inform integrated transitions

Graça

Godinho

Trüninger

2019

Trends in Food Science & Technology

316

186

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HighlightsEvidence on transitions to more plant-based diets is increasing but still fragmented.This limits concerted efforts to successfully shape and sustain these transitions.We present a systematic review of relevant variables, framed as barriers and enablers.These were mapped into a coherent overarching framework of behavior change.Studies that integrate capability, opportunity and motivation variables are needed.3 Abstract BackgroundThere is increasing consensus that transitioning towards reduced meat consumption and more plant-based diets is a key feature to address important health and sustainability challenges. However, relevant evidence that may inform these transitions remains fragmented with no overarching rationale or theoretical framework, which limits the ability to design and deliver coordinated efforts to address these challenges. Scope and approachEleven databases were systematically searched using sets of keywords referring meat curtailment, meat substitution and plant-based diets, as well as consumer choice, appraisal or behavior (2602 articles selected for title and abstract screening; 161 full-texts assessed for eligibility; 110 articles selected for extraction and coding). Barriers and enablers were identified and integrated into an overarching framework (i.e., COM-B system), which conceptualizes behavior as being influenced by three broad components: capability, opportunity and motivation. Key findings and conclusionsThis review mapped potential barriers and enablers in terms of capability, opportunity, and motivation to reduce meat consumption and follow more plant-based diets. These included lack of information for consumers and difficulty to acquire new cooking skills (barrier, capability), changes in service provision in collective meal contexts (enabler, opportunity), and positive taste expectations for plant-based meals (enabler, motivation). Evidence on variables referring to the motivation domain is clearly increasing, but there is a striking need for studies that include capability and opportunity variables as well. The results of this review are relevant to a variety of fields and audiences interested in promoting sustainable living and health improvements through dietary choice.

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Section: Capability Opportunity and Motivation To Follow More Plant-mentioning

confidence: 99%

Reducing meat consumption and following plant-based diets: Current evidence and future directions to inform integrated transitions

Graça

Godinho

Trüninger

2019

Trends in Food Science & Technology

316

186

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“…The COM-B system-A framework for understanding behaviour (Michie et al, 2011) CC-BY license [Colour figure can be viewed at wileyonlinelibrary.com] to explore healthcare professionals' behaviours in practice (Alexander, Brijnath, & Mazza, 2014;Barker, Atkins, & de Lusignan, 2016).…”

Section: F I G U R Ementioning

confidence: 99%

“…The model proposes that for someone to do a behaviour (B—in this case supporting young women with appropriate eating and moving) they need to have the physical and psychological capability (C), the social and physical opportunity (O) and the reflective motivation (evaluation and planning) (M) or automatic motivation (emotions, impulses). The COM‐B model has been previously used in qualitative research to explore healthcare professionals’ behaviours in practice (Alexander, Brijnath, & Mazza, ; Barker, Atkins, & de Lusignan, ).…”

Section: Introductionmentioning

confidence: 99%

Healthcare professionals’ views on supporting young mothers with eating and moving during and after pregnancy: An interview study using the COM‐B framework

Lucas

Olander

Salmon

2019

Health Soc Care Community

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Young mothers under the age of 20 often have poor nutrition and low levels of physical activity, adversely affecting outcomes for themselves and their babies. The aim of this qualitative study was to explore the experiences of healthcare professionals in supporting young women around eating and moving during and after pregnancy. Seventeen semi‐structured interviews were conducted with midwives, family nurse practitioners and health visitors involved in the care of pregnant and post‐natal mothers under the age of 20 in England and Wales. Data were analysed using thematic analysis and coded within the theoretical framework of the COM‐B model to three areas of capability, motivation and opportunity. For capability, participants were broadly divided between those who had specialist knowledge and training in communication skills to support health behaviours in this population and professionals reliant on tacit knowledge. For opportunity, having enough time was seen as critical because young women's difficult social contexts meant supporting improved health behaviours required relationships of trust to be built. For motivation, participants reported that supporting young women with eating and moving was part of their role. However, the decision to prioritise this support sometimes related to perceived need based on BMI and this was complicated as young women were still growing. Motivation was additionally connected to professionals’ own body experiences and health behaviours. Moving habits were less frequently discussed than eating as professionals described how young women tended to walk a lot in their daily lives or found that young women were not interested. Results suggest that to support eating and moving behaviours with young women, professionals need to be trained in communication techniques, enabled with the time to hold space for young women and be able to reflect on their own attitudes and beliefs to support a rounded model of health and wellbeing.

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“…The COM-B model has not yet been applied to chlamydia testing; however, it has been successfully applied in other health behaviour contexts, [28][29][30][31][32][33][34][35] and has been used as basis for developing effective interventions. [36][37][38][39] The benefit of employing the COM-B model to chlamydia testing is that several distinct explanatory components are outlined; thus, additional potential influences on behaviour can be considered which is essential for the development of an intervention.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers to chlamydia testing in general practice for young people using a theoretical model (COM-B): a systematic review protocol

et al. 2017

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IntroductionChlamydia is a key health concern with high economic and social costs. There were over 200 000 chlamydia diagnoses made in England in 2015. The burden of chlamydia is greatest among young people where the highest prevalence rates are found. Annual testing for sexually active young people is recommended; however, many of those at risk do not receive testing. General practice has been identified as an ideal setting for testing, yet efforts to increase testing in this setting have not been effective. One theoretical model which may provide insight into the underpinnings of chlamydia testing is the Capability, Opportunity and Motivation Model of Behaviour (COM-B model). The aim of this systematic review is to: (1) identify barriers and facilitators to chlamydia testing for young people in general practice and (2) use a theoretical model to conduct a behavioural analysis of chlamydia testing behaviour.Methods and analysisQualitative, quantitative and mixed methods studies published after 2000 will be included. Seven databases (MEDLINE, PubMed, EMBASE, Informit, PsycInfo, Scopus, Web of Science) will be searched to identify peer-reviewed publications which examined barriers and facilitators to chlamydia testing in general practice. Risk of bias will be assessed using the Critical Appraisal Skills Programme. Data regarding study design and key findings will be extracted. The data will be analysed using thematic analysis and the resultant factors will be mapped onto the COM-B model components. All findings will be reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.Ethics and disseminationEthical approval is not required. The results will be disseminated via submission for publication to a peer-review journal when complete and for presentation at national and international conferences. The review findings will be used to inform the development of interventions to facilitate effective and efficient chlamydia testing in general practice.

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Applying the COM-B behaviour model and behaviour change wheel to develop an intervention to improve hearing-aid use in adult auditory rehabilitation

Cited by 248 publications

References 31 publications

Reducing meat consumption and following plant-based diets: Current evidence and future directions to inform integrated transitions

Reducing meat consumption and following plant-based diets: Current evidence and future directions to inform integrated transitions

Healthcare professionals’ views on supporting young mothers with eating and moving during and after pregnancy: An interview study using the COM‐B framework

Facilitators and barriers to chlamydia testing in general practice for young people using a theoretical model (COM-B): a systematic review protocol

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