Table 7.

Barriers and enablers related to adaption (COM-B analysis—opportunities, motivation)

Author (year)	Opportunities
	Physical	Social
Andrade et al. (2017) [75]	○ Unable to implement an electronic system (enabler)	○ None reported
Bryce et al. (2005) [58]	○ Adapting guidelines to context (enabler)	○ None reported
Gueye et al. (2016) [108]	○ Programme showed flexibility over time, as it was able to mobilize a large number of staff	○ None reported
Halpern et al. (2010) [77]	○ A technical working group is crucial to help develop the country-specific systems, oversee implementation, and adjust or deal with unexpected changes (enabler)	○ None reported
Leethongdee (2007) [83]	○ Created a new catchment area which increased the budget (enabler)	○ None reported
Rahman et al. (2020) [105]	○ Readiness of the health system to execute the policy (enabler/barrier)	○ Proactive leadership from national programmes, advocacy, technical and resource support from international development partners (enabler)
Stein et al. (2008) [106]	○ None reported	○ The spiritual adaptation/incorporation provided culturally appropriate support (enabler)
Wingfield et al. (2015) [113]	○ None reported	○ Strong multisectoral collaboration (enabler)

	Motivation
	Automatic	Reflective
Stein et al. (2008) [106]	○ None reported	○ Nurses valued counselling skills that were built as an adaptation to the guideline (enabler)
Wingfield et al. (2015) [113]	○ None reported	○ Lack of available evidence, and thus deciding on the transfer amounts and timing was difficult (barrier)