Barriers and Facilitators of Adherence to Nicotine Replacement Therapy: A Systematic Review and Analysis Using the Capability, Opportunity, Motivation, and Behaviour (COM-B) Model

Amanual Getnet Mersha, Gillian Sandra Gould, Michelle Bovill and Parivash Eftekhari
Additional contact information
Amanual Getnet Mersha: School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, Newcastle, NSW 2308, Australia
Gillian Sandra Gould: School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, Newcastle, NSW 2308, Australia
Michelle Bovill: School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, Newcastle, NSW 2308, Australia
Parivash Eftekhari: School of Medicine and Public Health, The University of Newcastle, University Drive, Callaghan, Newcastle, NSW 2308, Australia

IJERPH, 2020, vol. 17, issue 23, 1-21

Abstract: 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.

Keywords: adherence; COM-B model; factors; nicotine replacement therapy; smoking cessation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/17/23/8895/pdf (application/pdf)
https://www.mdpi.com/1660-4601/17/23/8895/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:23:p:8895-:d:453611

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().