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Table 2 COM-B component description with tobacco cessation assistance examples

From: Using behaviour change theory to train health workers on tobacco cessation support for tuberculosis patients: a mixed-methods study in Bangladesh, Nepal and Pakistan

COM-B Model Component Definition Example
Capability Physical Physical skill Having the ability to deliver tobacco cessation support with a flipbook
Psychological Capacity to engage in necessary thought processes – comprehension/reasoning Having appropriate knowledge of TB or tobacco to provide cessation support
Opportunity Physical Opportunity afforded by environment Having a suitable location for cessation counselling
Social Opportunity afforded by the cultural milieu dictating how one thinks about things, e.g. the words/concepts that make up language Feeling able to talk about tobacco use with women as well as men, regardless of cultural taboos
Motivation Reflective Reflective processes involving evaluations and plans Reflecting on interaction with patients and identifying ways to deliver cessation messages so they are respond to the realities of patients’ lives.
Automatic Automatic processes involving emotions and impulses arising from associative learning and/or innate dispositions Wanting to deliver tobacco cessation support because as a health worker, one should help people become healthy
  1. Adapted from Atkins 2013 [62]