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Table 1 COM-B and TDF domains relevant to low-value ADT use for localized prostate cancer

From: Learning from the “tail end” of de-implementation: the case of chemical castration for localized prostate cancer

COM-B domain

TDF domain

Definition [20,23]

Capability—psychological

Knowledge

An awareness of the existence of something

Skills (interpersonal)

An ability or proficiency acquired through practice

Decision processes

The ability to retain information, focus selectively on aspects of the environment, and choose between two or more alternatives

Behavioral regulation

Anything aimed at managing or changing objectively observed or measured actions

Opportunity—physical

Environmental context and resources

Any circumstance of a person’s situation or environment that discourages or encourages the development of skills and abilities, independence, social competence, and adaptive behavior

Opportunity—social

Social influences

Those interpersonal processes that can cause individuals to change their thoughts, feelings, or behaviors

Motivation—reflective

Professional/social role and identity

A coherent set of behaviors and displayed personal qualities of an individual in a social or work setting

Beliefs about consequences

Acceptance of the truth, reality, or validity about outcomes of a behavior in a given situation

Intentions

A conscious decision to perform a behavior or a resolve to act in a certain way

Goals

Mental representations of outcomes or end states that an individual wants to achieve

Motivation—automatic

Emotion

A complex reaction pattern, involving experiential, behavioral, and physiological elements, by which the individual attempts to deal with a personally significant matter or event