Table 7 Barriers and enablers related to adaption (COM-B analysis—opportunities, motivation)
From: Strategies to adapt and implement health system guidelines and recommendations: a scoping review
Author (year) | Opportunities | |
|---|---|---|
Physical | Social | |
Andrade et al. (2017) [75] | â—‹ Unable to implement an electronic system (enabler) | â—‹ None reported |
Bryce et al. (2005) [58] | â—‹ Adapting guidelines to context (enabler) | â—‹ None reported |
Gueye et al. (2016) [108] | â—‹ Programme showed flexibility over time, as it was able to mobilize a large number of staff | â—‹ None reported |
Halpern et al. (2010) [77] | â—‹ A technical working group is crucial to help develop the country-specific systems, oversee implementation, and adjust or deal with unexpected changes (enabler) | â—‹ None reported |
Leethongdee (2007) [83] | â—‹ Created a new catchment area which increased the budget (enabler) | â—‹ None reported |
Rahman et al. (2020) [105] | â—‹ Readiness of the health system to execute the policy (enabler/barrier) | â—‹ Proactive leadership from national programmes, advocacy, technical and resource support from international development partners (enabler) |
Stein et al. (2008) [106] | â—‹ None reported | â—‹ The spiritual adaptation/incorporation provided culturally appropriate support (enabler) |
Wingfield et al. (2015) [113] | â—‹ None reported | â—‹ Strong multisectoral collaboration (enabler) |
Motivation | ||
|---|---|---|
Automatic | Reflective | |
Stein et al. (2008) [106] | â—‹ None reported | â—‹ Nurses valued counselling skills that were built as an adaptation to the guideline (enabler) |
Wingfield et al. (2015) [113] | â—‹ None reported | â—‹ Lack of available evidence, and thus deciding on the transfer amounts and timing was difficult (barrier) |