Table 3.
COM-B SYSTEM | TDF DOMAIN | INTERVENTION FUNCTIONb |
---|---|---|
Capability: Psychological |
1. Knowledge 2. Memory, Attention and Decision Process 3. Behavioral Regulation |
Education: Increasing knowledge or understanding Training: Imparting skills Enablement: Increasing means/reducing barriers to increase capability or opportunity |
Capability: Physical | 4. Skillsa |
Training Enablement |
Opportunity: Social | 5. Social Influences |
Restriction: Using rules to increase the target behaviour by reducing the opportunity to engage in competing behaviours Environmental Restructuring: Changing the physical or social context Enablement: Increasing means/reducing barriers to increase capability or opportunity |
Opportunity: Physical | 6. Environmental context and resources |
Restriction Environmental restructuring Enablement |
Motivation: Automatic | 7. Emotion |
Persuasion: Using communication to induce positive or negative feelings or stimulate action Incentivisation: Creating expectation of reward Coercion: Creating expectation of punishment or cost Modeling: Providing an example for people to aspire to or imitate Enablement: Increasing means/reducing barriers to increase capability or opportunity Environmental Restructuring |
Motivation: Reflective |
8. Professional role and identity 9. Beliefs about capabilities 10. Goalsa 11. Intentionsa 12. Beliefs about consequences |
Education Persuasion Incentivisation Coercion |
Other (not transposed on TDF) |
13. Reinforcement 14. Optimism |
aTDF domain uniquely identified as a facilitator to MCC discussion and decision-making
bDefinitions taken from Michie M, van Stralen M, West R. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 2011; 6:42