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British Journal of Health Psychology
Article . 2020 . Peer-reviewed
License: CC BY NC
Data sources: Crossref
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British Journal of Health Psychology
Article
License: CC BY NC
Data sources: UnpayWall
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https://doi.org/10.1111/bjhp.1...
Article . 2020
License: CC BY NC
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Acceptability, reliability, and validity of a brief measure of capabilities, opportunities, and motivations (“COM‐B”)

Authors: Chris Keyworth; Tracy Epton; Joanna Goldthorpe; Rachel Calam; Christopher J. Armitage;

Acceptability, reliability, and validity of a brief measure of capabilities, opportunities, and motivations (“COM‐B”)

Abstract

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 r s 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 2 [6] = 7.34, p = .29, RMSEA = .02, CFI = .99, TLI = .99, BIC = 13,510.420, AIC = 13,428.067). Conclusions The novel six‐item questionnaire shows evidence of acceptability, validity, and reliability for self‐evaluating capabilities, opportunities, and motivations. Future research should aim to use this tool in different populations to obtain further support for its reliability and validity. Statement of contribution What is already known on the subject? The Capability, Opportunity, Motivation (COM), Behaviour (‐B) model is being used extensively to inform intervention design. The lack of an accepted universal measure hinders progress in behaviour change. What does this study add? There is evidence of acceptability, validity, and reliability for self‐evaluating COM. Our measure may be sufficiently generic for any behaviour or population, although this requires further testing.

Country
United Kingdom
Keywords

Motivation, Psychometrics, questionnaire, 150, 610, Reproducibility of Results, Weights and Measures, behaviour change, COM-B, health behaviour, Surveys and Questionnaires, Humans, Factor Analysis, Statistical

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
217
Top 0.1%
Top 1%
Top 1%
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