- Title
- Barriers and facilitators of adherence to nicotine replacement therapy: a systematic review and analysis using the capability, opportunity, motivation, and behaviour (COM-B) model
- Creator
- Mersha, Amanual Getnet; Gould, Gillian Sandra; Bovill, Michelle; Eftekhari, Parivash
- Relation
- International Journal of Environmental Research and Public Health Vol. 17, Issue 23, no. 8895
- Publisher Link
- http://dx.doi.org/10.3390/ijerph17238895
- Publisher
- MDPI AG
- Resource Type
- journal article
- Date
- 2020
- Description
- Background: Poor adherence to nicotine replacement therapy (NRT) is associated with low rates of smoking cessation. Hence, this study aims to identify and map patient-related factors associated with adherence to NRT using the capability, opportunity, motivation, and behaviour (COM-B) model. Methods: A systematic review was conducted by searching five databases (MEDLINE, Scopus, EMBASE, CINAHL, and PsycINFO) and grey literature on 30 August 2020. Data were extracted, thematically analysed, and mapped to the COM-B model. The Joanna Briggs Institute (JBI) critical appraisal tool was utilised to assess the quality of studies. Results: A total of 2929 citations were screened, and 26 articles with a total of 13,429 participants included. Thirty-one factors were identified and mapped to COM-B model: psychological capability (forgetfulness, education), physical capability (level of nicotine dependence, withdrawal symptoms), reflective motivation (perception about NRT and quitting), automatic motivation (alcohol use, stress, depression), physical opportunity (cost), and social opportunity (social support). The most prominent element associated with adherence was reflective motivation followed by physical capability and automatic motivation. Conclusions: Multiple personal, social, and environmental factors affect NRT adherence. Hence, it is recommended to implement a multifaceted behavioural intervention incorporating factors categorised under the COM-B model, which is the hub of the behaviour change wheel (BCW) to improve adherence and quitting.
- Subject
- adherence; COM-B model; factors; nicotine replacement therapy; smoking cessation; SDG 7; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1430285
- Identifier
- uon:38817
- Identifier
- ISSN:1661-7827
- Rights
- This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
- Language
- eng
- Full Text
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Goal 7: Ensure access to affordable, reliable, sustainable and modern energy
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