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Table 3 TDF Domains Mapped to COM-B

From: Use of the theoretical domains framework and behaviour change wheel to develop a novel intervention to improve the quality of multidisciplinary cancer conference decision-making

COM-B SYSTEM

TDF DOMAIN

INTERVENTION FUNCTIONb

Capability: Psychological

1. Knowledge

2. Memory, Attention and Decision Process

3. Behavioral Regulation

Education: Increasing knowledge or understanding

Training: Imparting skills

Enablement: Increasing means/reducing barriers to increase capability or opportunity

Capability: Physical

4. Skillsa

Training

Enablement

Opportunity: Social

5. Social Influences

Restriction: Using rules to increase the target behaviour by reducing the opportunity to engage in competing behaviours

Environmental Restructuring: Changing the physical or social context

Enablement: Increasing means/reducing barriers to increase capability or opportunity

Opportunity: Physical

6. Environmental context and resources

Restriction

Environmental restructuring

Enablement

Motivation: Automatic

7. Emotion

Persuasion: Using communication to induce positive or negative feelings or stimulate action

Incentivisation: Creating expectation of reward

Coercion: Creating expectation of punishment or cost

Modeling: Providing an example for people to aspire to or imitate

Enablement: Increasing means/reducing barriers to increase capability or opportunity

Environmental Restructuring

Motivation: Reflective

8. Professional role and identity

9. Beliefs about capabilities

10. Goalsa

11. Intentionsa

12. Beliefs about consequences

Education

Persuasion

Incentivisation

Coercion

Other (not transposed on TDF)

13. Reinforcement

14. Optimism

 
  1. aTDF domain uniquely identified as a facilitator to MCC discussion and decision-making
  2. bDefinitions taken from Michie M, van Stralen M, West R. The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 2011; 6:42