Heart Failure Self-Care Behaviour through the COM-B Model: A Systematic Review of Behavioural Determinants and Mechanisms

Heart Failure Self-Care Behaviour through the COM-B Model: A Systematic Review of Behavioural Determinants and Mechanisms | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Systematic Review Heart Failure Self-Care Behaviour through the COM-B Model: A Systematic Review of Behavioural Determinants and Mechanisms Beti Kristinawati, Tintin Sukartini, Moses Glorino Rumambo Pandin, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7858646/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background: Self-care behavior is essential in managing heart failure (HF), but its implementation varies greatly. The COM-B (Capability, Opportunity, Motivation, Behavior) model has been widely used as a framework for behavioral change. Still, there has been no systematic mapping of its use in self-care for heart failure patients. Objective: This study aims to identify, map, and synthesize scientific evidence on how the COM-B model explains and/or influences self-care behaviors in HF adult patients. Method: This systematic review follows PRISMA 2020. Searches were conducted in PubMed, Scopus, Web of Science, CINAHL, EMBASE, MedLine, and PsycInfo for publications in 2020 and 2025. Screening and deduplication were managed using EndNote. Inclusion criteria comprised empirical studies on HF adults (≥18 years), self-care explorations mappable to COM-B, and reporting of self-care behavior outcomes. Joanna Briggs Institute (JBI) critical appraisal was use to assess the methodological quality of studies, and data were synthesized narratively and thematically. A total of 25 articles met the criteria for analysis. Results: Most studies show that Capability is facilitated through education and training. Opportunity is supported by technology, caregivers, and service systems, while Motivation is strengthened through psychosocial approaches such as motivational interviewing and self-efficacy training. Interventions involving all three elements simultaneously tend to be more effective in improving self-care behaviors. Conclusion: The COM-B model helps understand and guide self-care behaviors in heart failure patients. This model is essential when designing interventions and evaluating behaviors to make chronic disease management programs more effective and sustainable. Nursing Behavioral intervention COM-B model Heart failure Self-care behavior Systematic review Full Text Additional Declarations The authors declare no competing interests. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7858646","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Systematic Review","associatedPublications":[],"authors":[{"id":529476641,"identity":"ebb90884-3136-4516-9eaf-a0992efb9f9d","order_by":0,"name":"Beti 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4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground: \u003c/strong\u003eSelf-care behavior is essential in managing heart failure (HF), but its implementation varies greatly. The COM-B (Capability, Opportunity, Motivation, Behavior) model has been widely used as a framework for behavioral change. Still, there has been no systematic mapping of its use in self-care for heart failure patients.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eObjective:\u003c/strong\u003eThis study aims to identify, map, and synthesize scientific evidence on how the COM-B model explains and/or influences self-care behaviors in HF adult patients.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethod:\u003c/strong\u003e This systematic review follows PRISMA 2020. Searches were conducted in PubMed, Scopus, Web of Science, CINAHL, EMBASE, MedLine, and PsycInfo for publications in 2020 and 2025. Screening and deduplication were managed using EndNote. Inclusion criteria comprised empirical studies on HF adults (≥18 years), self-care explorations mappable to COM-B, and reporting of self-care behavior outcomes. Joanna Briggs Institute (JBI) critical appraisal was use to assess the methodological quality of studies, and data were synthesized narratively and thematically. A total of 25 articles met the criteria for analysis.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults:\u003c/strong\u003e Most studies show that Capability is facilitated through education and training. Opportunity is supported by technology, caregivers, and service systems, while Motivation is strengthened through psychosocial approaches such as motivational interviewing and self-efficacy training. Interventions involving all three elements simultaneously tend to be more effective in improving self-care behaviors.\u0026nbsp;\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion:\u003c/strong\u003e The COM-B model helps understand and guide self-care behaviors in heart failure patients. 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