Applying the Capability, Opportunity, and Motivation Behaviour Model (COM-B) to Guide the Development of Interventions to Improve Early Detection of Atrial Fibrillation

Abstract

Objective:The primary objective of this study is to use the Capability, Opportunity, and Motivation Behaviour (COM-B) model to identify potential strategies aimed at improving the early detection of atrial fibrillation (AF) in the general population.Methods:We undertook a review of the literature to identify factors associated with participation in community-based screening for AF, followed by mapping of the factors generated into the components of the COM-B model, and validation of the model by an expert panel. The Behaviour Change Wheel (BCW) was used to nominate potential intervention strategies and steps to guide the design and implementation of community-based screening for AF.Results:A total of 28 factors from 21 studies were mapped into the COM-B model. Based on the BCW approach, 24 intervention strategies and 7 steps that could guide the design and implementation of community-based screening for AF were recommended.Conclusion:The application of the COM-B model demonstrated how factors influencing the participation of individuals with undiagnosed AF in community-based screening could be identified. The model could also serve as a guide for the design and implementation of interventions for improving AF detection in the general population.

Optimising a targeted test reduction intervention for patients admitted to the intensive care unit: The Targeted Intensive Care Test Ordering Cluster Trial intervention

“…The COM-B model has been used previously to develop complex interventions. 12,13 However, evidence of widespread use of the COM-B framework or other comparable frameworks to develop complex interventions for trials involving critically ill patients admitted to the ICU is lacking. By using the COM-B framework, relevant behavioural change techniques with demonstrated performance have been categorised into components of the final intervention.…”

Slum Dwellers’ Adherence to COVID-19 Guidelines: Application of the COM-B Model to Barriers and Facilitators of Behavioural Change in Uganda’s Urban Slums

“…The model posits that for an individual to engage in any behaviour; they need to have the physical and psychological ability (capability), a social and physical context that prompts the behaviour (opportunity), and they should want or need to engage in the behaviour more than any rival behaviours at that moment (motivation). The COM-B model is illustrated in Figure 1 below: The model has been applied across a range of studies including those developing clinical interventions to improve heart disease diagnosis [18] and the use of hearing aids [19]. Several researchers have also applied it to identify factors that hinder and/or facilitate uptake of preventive behaviours like diets, chlamydia testing for young people, self-care in heart failure patients and healthy lifestyles after gestational diabetes diagnosis among postnatal mothers [20,21,22,23].…”

Design of a mindfulness-based intervention to support teachers’ emotional regulation behaviors

“…Researchers have found the model applicable across many fields; however, the BCW lacks specific guidance as to context and population specific components required for an intervention (Howlett et al, 2019;Jatau et al, 2019;Walton et al, 2020). The model requires researchers to have a level of fluency in its application to designing interventions, and nuanced understanding of the context in which they will implement the intervention in order to determine which aspects are most applicable (Michie et al, 2014, p. 110).…”