Table 2 COM-B model components and preliminary behavioural needs analysis
COM-B model component | Behaviour 1: Opening CFHealthHub and accessing adherence data through the ‘How am I doing?’ page for each patient. What needs to happen? | Behaviour 2: Discuss adherence with patients using the non-judgemental CFHealthHub style. What needs to happen? |
|---|---|---|
Physical capability | - Have the skills to be able to use CFHealthHub correctly, for example interpreting objective adherence graphs | - Have the skills to be able to use CFHealthHub correctly, for example interpreting adherence graphs and speak to patients appropriately about adherence |
Psychological capability | - Understand the importance of adherence to nebulisers in CF - To understand what patients’ adherence is across their centre - Be able to remember to use CFHealthHub to access adherence data - Be able to self-monitor use of CFHealthHub | - Understand the importance of adherence to nebulisers in CF - Be able to remember to use non-judgemental adherence language |
Physical opportunity | - Have the resources to access objective adherence data e.g. a computer, internet, CFHealthHub log in - Have time to access objective adherence data on CFHealthHub | - Have the resources to access objective adherence data e.g. a computer, internet, CFHealthHub log in - Have a realistic plan of when to deliver adherence discussions - Have the time in the working day to deliver adherence discussions |
Social opportunity | - Be/feel supported by the CF team to use CFHealthHub - Have senior colleagues/management endorse and use CFHealthHub | - Be/feel supported by the CF team to use CFHealthHub |
Reflective motivation | - Perceive adherence data as a part of their clinical role - Perceive few/no concerns about using CFHealthHub with patients - Believe that objective adherence data can improve patient care - Intend to use CFHealthHub and objective adherence data | - Perceive adherence support as a part of their clinical role - Perceive few/no concerns about using CFHealthHub with patients - Believe that adherence discussions can improve patient care - Feel confident in using CFHealthHub and discussing adherence - Want to achieve better patient adherence as a centre |
Automatic motivation | - Have an established routine within the clinical workplace for accessing objective adherence data - Have a habit of opening objective adherence data in every clinical encounter | Â |