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Table 1 Definitions of the COM-B constructs and intervention functions as outlined by the Behaviour Change Wheel [7]

From: Barriers and facilitators to implementing evidence-based guidelines in long-term care: a qualitative evidence synthesis

  Definition
COM-B construct
  Physical capability Physical skill, strength, or stamina
  Psychological capability Knowledge or psychological skills, strength, or stamina to engage in the necessary mental processes
  Physical opportunity Opportunity afforded by the environment involving time, resources, locations, cues, physical affordance
  Social opportunity Opportunity afforded by the interpersonal influences, social cues and cultural norms that influence the way that we think about things
  Reflective motivation Reflective processes involving plans (self-conscious intentions) and evaluations (beliefs about what is good and bad)
  Automatic motivation Automatic processes involving emotional reactions, desires (wants and needs), impulses, inhibitions, drive states, and reflex responses
Intervention function
  Environmental restructuring Changing the physical or social context
  Restrictions Using rules to reduce the opportunity to engage in the target behaviour (or to increase the target behaviour by reducing the opportunity to engage in competing behaviours)
  Education Increasing knowledge or understanding
  Persuasion Using communication to induce positive or negative feelings to stimulate action
  Incentivisation Creating an expectation of reward
  Coercion Creating an expectation of punishment or cost
  Training Imparting skills
  Enablement Increasing means/reducing barriers to increase capability (beyond education and training) or opportunity (beyond environmental restructuring)
  Modeling Provide an example for people to aspire to or imitate