Acceptability, reliability, and validity of a brief measure of capabilities, opportunities, and motivations ("COM-B").


Journal

British journal of health psychology
ISSN: 2044-8287
Titre abrégé: Br J Health Psychol
Pays: England
ID NLM: 9605409

Informations de publication

Date de publication:
09 2020
Historique:
received: 02 10 2019
revised: 23 03 2020
pubmed: 22 4 2020
medline: 18 12 2020
entrez: 22 4 2020
Statut: ppublish

Résumé

Objectives The Capabilities, Opportunities, Motivations, Behaviour (COM-B) model is being used extensively to inform intervention design, but there is no standard measure with which to test the predictive validity of COM or to assess the impact of interventions on COM. We describe the development, reliability, validity, and acceptability of a generic 6-item self-evaluation COM questionnaire. Design and methods The questionnaire was formulated by behaviour change experts. Acceptability was tested in two independent samples of health care professionals (N = 13 and N = 85, respectively) and a sample of people with low socio-economic status (N = 214). Acceptability (missing data analyses and user feedback), reliability (test-retest reliability and Bland-Altman plots) and validity (floor and ceiling effects, Pearson's correlation coefficient [r], exploratory factor analysis [EFA], and confirmatory factor analysis [CFA] were tested using a national survey of 1,387 health care professionals. Results The questionnaire demonstrated acceptability (missing data for individual items: 5.9-7.7% at baseline and 18.1-32.5% at follow-up), reliability (ICCs .554-.833), and validity (floor effects 0.6-5.5% and ceiling effects 4.1-22.9%; pairwise correlations rs significantly <1.0). The regression models accounted for between 21 and 47% of the variance in behaviour. CFA (three-factor model) demonstrated a good model fit, (χ

Identifiants

pubmed: 32314500
doi: 10.1111/bjhp.12417
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

474-501

Informations de copyright

© 2020 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.

Références

Armitage, C. J., & Conner, M. (2001). Efficacy of the theory of planned behaviour: A meta-analytic review. British Journal of Social Psychology, 40, 471-499. https://doi.org/10.1348/014466601164939
Atkins, L., Kelly, M. P., Littleford, C., Leng, G., & Michie, S. (2017). Reversing the pipeline? Implementing public health evidence-based guidance in English local government. Implementation Science, 12, 63. https://doi.org/10.1186/s13012-017-0589-5
Ayton, D. R., Barker, A. L., Morello, R. T., Brand, C. A., Talevski, J., Landgren, F. S., … Botti, M. (2017). Barriers and enablers to the implementation of the 6-PACK falls prevention program: A pre-implementation study in hospitals participating in a cluster randomised controlled trial. PLoS ONE, 12, e0171932. https://doi.org/10.1371/journal.pone.0171932
Balku, E., Tóth, G., Nárai, E., Zsiros, E., Varsányi, P., & Vitrai, J. (2017). Methodology for identification of healthstyles for developing effective behavior change interventions. Journal of Public Health, 25, 387-400. https://doi.org/10.1007/s10389-017-0799-y
Barker, F., Atkins, L., & de Lusignan, S. (2016). Applying the COM-B behaviour model and behaviour change wheel to develop an intervention to improve hearing-aid use in adult auditory rehabilitation. International Journal of Audiology, 55, S90-S98. https://doi.org/10.3109/14992027.2015.1120894.
Bland, J. M., & Altman, D. G. (1999). Measuring agreement in method comparison studies. Statistical Methods in Medical Research, 8, 135-160. https://doi.org/10.1177/096228029900800204
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
Cohen, J. (1992). A power primer. Psychological bulletin, 112(1), 155. https://doi.org/10.1037/0033-2909.112.1.155
Field, A. (2009). Discovering statistics using SPSS, 3rd edn. London: SAGE Publications Limited.
Fleiss, J. L. (1986). The design and analysis of clinical experiments. New York: John Wiley Sons.
Giesinger, J. M., Kieffer, J. M., Fayers, P. M., Groenvold, M., Petersen, M. A., Scott, N. W., … EORTC Quality of Life Group. (2016). Replication and validation of higher order models demonstrated that a summary score for the EORTC QLQ-C30 is robust. Journal of Clinical Epidemiology, 69, 79-88. https://doi.org/10.1016/j.jclinepi.2015.08.007
Hankonen, N., Heino, M. T., Kujala, E., Hynynen, S. T., Absetz, P., Araujo-Soares, V., … Haukkala, A. (2017). What explains the socioeconomic status gap in activity? Educational differences in determinants of physical activity and screentime. BMC Public Health, 17(1), 144. https://doi.org/10.1186/s12889-016-3880-5
Harrison, J. A., Mullen, P. D., & Green, L. W. (1992). A meta-analysis of studies of the Health Belief Model with adults. Health Education Research, 7(1), 107-116. https://doi.org/10.1093/her/7.1.107
Howlett, N., Schulz, J., Trivedi, D., Troop, N., & Chater, A. (2017). A prospective study exploring the construct and predictive validity of the COM-B model for physical activity. Journal of Health Psychology, 24(10), 1378-1391. https://doi.org/10.1177/1359105317739098
Keyworth, C., Epton, T., Goldthorpe, J., Calam, R., & Armitage, C. J. (2018). Are healthcare professionals delivering opportunistic behaviour change interventions? A multi-professional survey of engagement with public health policy. Implementation Science, 13(1), 122. https://doi.org/10.1186/s13012-018-0814-x
Kline, R. B. (2011). Principles and practice of structural equation modeling. New York, NY: Guilford Press.
Krosnick, J. A., & Presser, S. (2010). Questionnaire design. In P. V. Marsden, & J. D. Wright (Eds.), Handbook of survey research (2nd edn., pp. 263-313). Bingley, UK: Emerald Group Publishing Limited.
McEachan, R., Taylor, N., Harrison, R., Lawton, R., Gardner, P., & Conner, M. (2016). Meta-analysis of the Reasoned Action Approach (RAA) to understanding health behaviors. Annals of Behavioral Medicine, 50, 592-612. https://doi.org/10.1007/s12160-016-9798-4
McHorney, C. A., & Tarlov, A. R. (1995). Individual-patient monitoring in clinical practice: Are available health status surveys adequate? Quality of Life Research, 4, 293-307. https://doi.org/10.1007/BF01593882
Michie, S., Atkins, L., & West, R. (2014). The behaviour change wheel: A guide to designing interventions. London, UK: Silverback.
Michie, S., Van Stralen, M. M., & West, R. (2011). The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6, 42. https://doi.org/10.1186/1748-5908-6-42
National Institute for Health and Care Excellence. (2014). Behaviour change: Individual approaches (PH49). London, UK: NICE.
Plotnikoff, R. C., Costigan, S. A., Karunamuni, N., & Lubans, D. R. (2013). Social cognitive theories used to explain physical activity behavior in adolescents: A systematic review and meta-analysis. Preventive Medicine, 56, 245-253. https://doi.org/10.1016/j.ypmed.2013.01.013
Raftery, A. E. (1995). Bayesian model selection in social research. Sociological Methodology, 25, 111-163. https://doi.org/10.2307/271063
Sheppard, B. H., Hartwick, J., & Warshaw, P. R. (1988). The theory of reasoned action: A meta-analysis of past research with recommendations for modifications and future research. Journal of Consumer Research, 15, 325-343. https://doi.org/10.1086/209170
Simon, R., & West, R. (2015). Models of addiction and types of interventions: An integrative look. The International Journal of Alcohol and Drug Research, 4(1), 8. https://doi.org/10.7895/ijadr.v4i1.198
Stevely, A. K., Buykx, P., Brown, J., Beard, E., Michie, S., Meier, P. S., & Holmes, J. (2018). Exposure to revised drinking guidelines and 'COM-B' determinants of behaviour change: Descriptive analysis of a monthly cross-sectional survey in England. BMC Public Health, 18(1), 251. https://doi.org/10.1186/s12889-018-5129-y
Stevens, J. P. (1992). Applied multivariate statistics for the social sciences, 2nd edn. Hillsdale, NJ: Erlbaum.
Tabachnick, B. G., Fidell, L. S., & Ullman, J. B. (2007). Using multivariate statistics, Vol. 5. Boston, MA: Pearson.
Taylor, M. J., Arriscado, D., Vlaev, I., Taylor, D., Gately, P., & Darzi, A. (2016). Measuring perceived exercise capability and investigating its relationship with childhood obesity: A feasibility study. International Journal of Obesity, 40(1), 34-38. https://doi.org/10.1038/ijo.2015.210
Terwee, C. B., Bot, S. D., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., … de Vet, H. C. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34-42. https://doi.org/10.1016/j.jclinepi.2006.03.012
Wamper, K. E., Sierevelt, I. N., Poolman, R. W., Bhandari, M., & Haverkamp, D. (2010). The Harris hip score: Do ceiling effects limit its usefulness in orthopedics? Acta Orthopaedica, 81, 703-707. https://doi.org/10.3109/17453674.2010.537808
Webb, J., Hall, J., Hall, K., & Fabunmi-Alade, R. (2016). Increasing the frequency of physical activity very brief advice by nurses to cancer patients. A mixed methods feasibility study of a training intervention. Public Health, 139, 121-133. https://doi.org/10.1016/j.puhe.2016.05.015
Young, M. D., Plotnikoff, R. C., Collins, C. E., Callister, R., & Morgan, P. J. (2014). Social cognitive theory and physical activity: A systematic review and meta-analysis. Obesity Reviews, 15, 983-995. https://doi.org/10.1111/obr.12225

Auteurs

Chris Keyworth (C)

Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, Manchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, UK.

Tracy Epton (T)

Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, Manchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, UK.

Joanna Goldthorpe (J)

Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, Manchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, UK.

Rachel Calam (R)

Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, Manchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, UK.

Christopher J Armitage (CJ)

Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, Manchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, UK.
Manchester Academic Health Science Centre, Manchester University NHS Foundation Trust, UK.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH