COM-B components
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What needs to happen for the target behavior to be achieved?
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Physical capability (physical ability) |
· Willingness/spirit and ability to follow the proposed dietary pattern · Sufficient health staff and up to date on clinical guidelines |
Psychological capability (knowledge, cognitive and interpersonal skills, memory, attention, decision processes, behavioral regulation) |
· Knowledge about the proposed dietary pattern · Knowledge about the role of food in glycemic control · Capability to plan meals according to the proposed dietary pattern · Capability to maintain proposed dietary pattern in social events (e.g., meetings, parties, restaurants) |
Physical opportunity (environmental context, material resources) |
· Access to proposed dietary pattern at home and at work · Patient-centered healthcare staff approach |
Social opportunity (culture, social influences) |
· Family/friend support to follow the proposed dietary pattern |
Reflective motivation (role and social identity, beliefs in one’s own capability, beliefs about risks/benefits associated with the behavior) |
· Valuing the achievement of goals to control the disease · Personal self-efficacy to follow the proposed dietary pattern · Overcoming unhealthy food preferences (“fat is tasty”; “healthy foods don’t satisfy hunger”) · Perception of benefits of the proposed dietary pattern · Perception of risks associated with unhealthy eating · Overcoming male gender issues (e.g., “men consume alcohol in excess”; “healthy eating is not compatible with male work”) · Overcoming female gender issues (“taking care of others - children, husband, grandchildren - is a priority”) |
Automatic motivation (emotions/drives arising from associative learning and/or innate dispositions, reinforcers) |
· Ability to deal with food cravings or cravings · Feel comfortable trying new flavors/spices · Positive attitude towards diabetes |
Physical activity (PA): doing 150 minutes a week (e.g., brisk walking) on a regular and progressive basis or increasing the daily number of steps (up to 10,000/day) |
COM-B components
|
What needs to happen for the target behavior to be achieved?
|
Physical capability (physical ability) |
· Willingness/spirit and ability to include regular PA in the daily routine · Sufficient health staff and up to date on clinical guidelines |
Psychological capability (knowledge, cognitive and interpersonal skills, memory, attention, decision-making, and behavioral regulation) |
· Knowledge about PA recommendations for people with diabetes · Knowledge about the role of PA in glycemic control · Ability to plan regular PA practice · Ability to perform PA safely (e.g., without hypoglycemia) · Ability to deal with everyday difficulties to perform PA (e.g., low mood, unforeseen events, extreme temperatures) |
Physical opportunity (environmental context, resources, and equipment) |
· Access to places to perform PA (e.g., streets, parks, gyms) · Time to perform PA · Patient-centered healthcare staff approach |
Social opportunity (culture, social influences) |
· Family/friend support to perform PA regularly |
Reflective motivation (role and social identity, beliefs in one’s own capability, beliefs about risks/benefits associated with the behavior) |
· Valuing the achievement of glycemic goals · Perception of PA benefits · Perception of risks associated with sedentary lifestyle · Personal self-efficacy for practicing PA regularly · Overcoming male gender issues (e.g., “men should prioritize work”) · Overcoming female gender issues (“taking care of others - children, husband, grandchildren - is a priority”) |
Automatic motivation (emotions/drives arising from associative learning and/or innate dispositions, reinforcers) |
· Positive attitude towards diabetes |
Medications: strictly follow medication treatment (medication name, correct route, dose, time) |
COM-B components
|
What needs to happen for the target behavior to be achieved?
|
Physical capability (physical skill) |
· Willingness/spirit and ability to plan the taking medications · Sufficient health staff and up to date on clinical guidelines |
Psychological capability (knowledge, cognitive and interpersonal skills, memory, attention, decision-making, and behavioral regulation) |
· Knowledge about medications in use (name, dose, indication, action, conservation and side effects) · Knowledge about the relationship between compliance with treatment and glycemic control · Planning the daily routine according to the medications · Planning the taking medications in non-routine events (e.g., trips, outings, parties) |
Physical opportunity (environmental context, resources, and equipment) |
· Access to prescription drugs · Patient-centered healthcare staff approach |
Social opportunity (culture, social influences) |
· Family/friend support |
Reflective motivation (role and social identity, beliefs in one’s own capability, beliefs about consequences - risks/benefits - associated with behavior) |
· Valuing the achievement of glycemic goals · Perception of benefits of drug treatment · Perception of risks associated with failures in compliance with drug treatment · Personal self-efficacy to comply with drug treatment · Overcoming concerns about drug treatment · Overcoming fear of medication or injection side effects · Overcoming male gender issues (e.g., “men should be strong”) |