Table 1 Preliminary mapping of behavior change barriers for antibiotic prescribing to theoretical constructs
COM-B categories [ 42 ] | TDF domain [ 40 ] | TDF construct [ 40 ] | Barrier to antibiotic prescribing [ 47 ] | Hypothetical causal mechanism |
|---|---|---|---|---|
Capability | Knowledge | Knowledge of condition/ scientific rationale | Lack of knowledge and training | Feedback can change awareness to impart new knowledge that leads to behavior change |
| Â | Skills | Interpersonal skills | Perception of patient demands and preferences | None (feedback has no direct influence on interpersonal skills) |
Opportunity | Environmental context and resources | Material resources | Inadequate drug supply infrastructure | None (feedback has no direct influence on material resources) |
| Â | Social influences | Social pressure | Peer pressure and social norms | None (feedback has no direct influence on social pressure) |
Motivation | Beliefs about capabilities | Self-efficacy | None (barriers are indirect via beliefs about capability constructs) | Feedback can influence perceptions of ability, improving or worsening self-efficacy, which can lead to behavior change |
| Â | Emotion | Fear | Fear of bad clinical outcomes | Feedback can cause emotional reactions that influence motivation, leading to behavior change |