Applying the Capability, Opportunity, and Motivation Behaviour Model (COM-B) to Guide the Development of Interventions to Improve Early Detection of Atrial Fibrillation

Objective:The primary objective of this study is to use the Capability, Opportunity, and Motivation Behaviour (COM-B) model to identifypotential strategies aimed at improving the early detection of atrial fibrillation (AF) in the general population.Methods: We undertook a review of the literature to identify factors associated with participation in community-based screening for AF,followed by mapping of the factors generated into the components of the COM-B model, and validation of the model by an expert panel. TheBehaviour Change Wheel (BCW) was used to nominate potential intervention strategies and steps to guide the design and implementationof community-based screening for AF.Results: A total of 28 factors from 21 studies were mapped into the COM-B model. Based on the BCW approach, 24 intervention strategies and 7 steps that could guide the design and implementation of community-based screening for AF were recommended.Conclusion: The application of the COM-B model demonstrated how factors influencing the participation of individuals with undiagnosed AF in community-based screening could be identified. The model could also serve as a guide for the design and implementation ofinterventions for improving AF detection in the general population