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Table 4 COM-B domains included in the behaviour change intervention targeted at services, practitioner and patient level

From: Enhancing the Behaviour Change Wheel with synthesis, stakeholder involvement and decision-making: a case example using the ‘Enhancing the Quality of Psychological Interventions Delivered by Telephone’ (EQUITy) research programme


Target levels






Physical capability


Psychological capability

• Provide knowledge on procedures and guidelines to deliver psychological interventions remotely

• Boost practitioners’ telephone skills

• Provide knowledge about the origins, drivers, and processes of telephone treatment

• Develop telephone skills to enable a good therapeutic relationship, improve patient engagement, deliver patient-centred care, and effectively deliver treatment without visual aids and non-verbal cues

• Improve knowledge on psychological treatments (e.g. counselling, cognitive behavioural therapy, guided-self-help) and its different modes of delivery (e.g. face-to-face, telephone, group, online)


Physical opportunity

• Ensure practitioners are working in a comfortable and confidential environment

• Ensure resources needed for telephone delivery are available


Social opportunity

• Provide regular assessment and monitoring of telephone performance in service

• Promote learning and collaborative work across practitioners

• Provide assessment and monitoring of telephone performance during training and clinical practice



Automatic motivation


Identify feelings related to working by telephone, and discuss feelings of being undervalued


Reflective motivation

• Promote reflective practice (e.g. telephone performance, beliefs and emotions related to working remotely, professional role expectations/challenges)

• Challenge negative beliefs associated to telephone treatment (e.g. telephone is a lower version of treatment)