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How to apply behavioural change techniques: COM-B

How to apply behavioural change techniques: COM-B

Here is a summary of the COM-B applied to behaviour change of greener inhaler use, by Szymon Urbanski

Clinician Capability

  • Clinician has limited interest in environmental concerns
  • Clinician believes that patient has limited interest in environmental concerns
  • Clinician may forget to bring up topic of green inhalers during patient conversation

Patient Capability

  • Patient has cultural or language barriers
  • Patient has limited physical capability to use green inhaler

Clinician Opportunity

  • Limited time available in consultation
  • Remote consultations can make sharing of information and demonstrations more challenging
  • Providers may have limited types of green inhalers in stock

Patient Opportunity

  • Limited number of bookable consultations available
  • Patients may base decisions on which inhalers on advice from family or friends
  • Patients may not see clinician as a trustworthy messenger

Clinician Motivation

  • Clinicians prioritises focus on clinical aspect of inhaler choice (rather than environmental)

Patient Motivation

  • Patient does not see change in inhaler as beneficial to them
  • Patient fears that they will not be able to go back to their old inhaler
  • Patient has limited desire to learn new techniques for a new type of inhaler
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