COM-B component (definition) | TDF Domain (definition) | Themes patients | Themes health professionals |
---|---|---|---|
Capability (Patientsā psychological and physical capacity to engage in a healthy lifestyle) | Knowledge (An awareness of the existence of something) | Knowledge of healthy lifestyle | Knowledge of healthy lifestyle; Beliefs about healthy lifestyle; Beliefs about financial burden |
Memory, Attention and Decision Processes (The ability to retain information, focus selectively on aspects of the environment and choose between two or more alternatives) | - | Confusion due to information overload | |
Skills (An ability or proficiency acquired through practice) | Creativity; Coping with temptations/social pressure | Creativity; Assertiveness | |
Behavioral Regulation (Anything aimed at managing or changing objectively observed or measured actions) | Breaking habits; Creating routines | Breaking habits; Creating routines | |
Opportunity (All factors external to patients that encourage or discourage healthy lifestyle behaviors) | Environmental Context and Resources (Any circumstance of a personās situation or environment that discourages or encourages the development of skills and abilities, independence, social competence, and adaptive behavior) | Disease characteristics; Material support tools; Characteristics of health care system; Societal characteristics | Disease characteristics; Material support tools; Characteristics of health care system; Societal characteristics; Competing tasks; Psychiatric or cognitive problems |
Social Influences (Those interpersonal processes that can cause individuals to change their thoughts, feelings, or behaviors) | Instrumental/emotional support by social environment; Peer pressure | Instrumental/emotional support by social environment; Peer pressure; Professional support | |
Motivation (Patientsā reflective and automatic brain processes that energize and direct behavior, such as habitual processes, emotional responding, and analytical decision-making) | (Social/Professional) Role & Identity (A coherent set of behaviors and displayed personal qualities of an individual in a social or work setting) | - | Obedience; Conscientiousness |
Beliefs about Capabilities (Acceptance of the truth, reality, or validity about an ability, talent, or facility that a person can put to constructive use) | - | Locus of control; Self-efficacy | |
Optimism (The confidence that things will happen for the best or that desired goals will be attained) | Focusing at opportunities; Acceptance; Resilience | Focusing at opportunities; Acceptance | |
Emotion (A complex reaction pattern, involving experiential, behavioral, and physiological elements, by which the individual attempts to deal with a personally significant matter or event) | Depressive feelings; Stress; Anxiety | Depressive feelings; Stress; Anxiety | |
Beliefs about Consequences (Acceptance of the truth, reality, or validity about outcomes of a behavior in a given situation) | Beliefs about consequences of lifestyle behaviors; Previous experiences with consequences | Beliefs about consequences of lifestyle behaviors; Previous experiences with consequences | |
Reinforcement (Increasing the probability of a response by arranging a dependent relationship, or contingency, between the response and a given stimulus) | Noticeable effects; Healthy behaviors experienced as punishment | Noticeable effects; Unhealthy behaviors as short-term reward; Punishing unhealthy behaviors | |
Intentions (A conscious decision to perform a behavior or resolve to act in a certain way) | Intrinsic motivation; Higher-order purposes | Intrinsic motivation; Higher-order purposes | |
Goals (Mental representations of outcomes or end states that an individual wants to achieve) | Flexibility; Discipline | Goal setting |