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. 2020 May 4;103(1):221–230. doi: 10.4269/ajtmh.19-0939

Table 2.

Application of the COM-B model to facilitate PPM-1 boosted implementation

COM-B model key behavioral determinants Behavioral subtype that may affect implementation Practical strategies preplanned to overcome pharmacy staff/pharmacists’ behavioral barriers to implementation
Capability Physical Providing pharmacists/pharmacies with project implementation resources allowing for documentation and referral, for example, directory of PPM-1 clinics in the area
Psychological Comprehensive training which included troubleshooting
Motivation Reflective Weekly visits by cluster facilitators to each participating pharmacy to engage with participants and help “facilitate” any plans/ideas or mitigate any problems
Automatic Provision of certification on training, invitation to attend quarterly review meetings, announcing the top five pharmacies (referral numbers) at these meetings
Opportunity Physical Providing travel allowance for pharmacy staff to attend Training 2.
Social Informing GPs to expect referrals and letting participants know that GPs in the area would be expecting referrals—to enhance the social acceptance of pharmacists providing non-dispensing services

GP = general practitioner; PPM = Public–private mix.