TABLE 1.
Overlap of Theoretical Domains Framework (TDF) and Capability, Opportunity, Motivation, Behavior (COM-B) Model*
| TDF Domain | Definition in Context of Surgical Practice Change | Capability | Opportunity | Motivation |
|---|---|---|---|---|
| Knowledge | Awareness that procedure exists and/or having sufficient knowledge about it to make change | x | ||
| Skills | Physically possessing skills and expertise to make change | x | ||
| Behavioral regulation | Actions taken to directly change behavior | x | ||
| Memory, attention, and decision processes | Recalling the processes to make change and the decision making surrounding it | x | ||
| Social/professional role and identity | Individual behaviors and qualities that impact change | x | ||
| Beliefs about capabilities | Believing they have the skills and capacity to make change | x | ||
| Environmental context and resources | Possessing appropriate resources and/or being in environment or situation conducive to change | x | ||
| Social influences | Interactions between colleagues, mentors, thought leaders, and patients that impact their thoughts and actions surrounding the change | x | ||
| Optimism | Confidence that the change will improve outcomes | x | ||
| Beliefs about consequences | What they think will happen if they make the change | x | ||
| Reinforcement | Being more likely to repeat/carry out change if they experience a positive result | x | ||
| Intentions | Why they made the change | x | ||
| Goals | What they want the change to happen | x | ||
| Emotion | Reactions or feelings surrounding change | x |