晚期癌症患者预立医疗照护计划参与行为影响因素的系统综述
傅艺玲, 吴茜, 罗晓庆, 吴艾泓, 夏雪兰, 郑敏

Factors influencing advance care planning engagement behavior in patients with advanced cancer: a systematic review
FU Yiling, WU Qian, LUO Xiaoqing, WU Aihong, XIA Xuelan, ZHENG Min
表3 COM-B模型应用于晚期癌症患者ACP参与行为的内涵
Tab 3 Connotation of the COM-B model in the ACP engagement behavior of advanced cancer patients

COM-B

component

TDFOriginal definition

Application of TDF to the connotation of ACP engagement behavior in patients

with advanced cancer

Capability
Psychological capabilityKnowledgeAn awareness of the existence of somethingUnderstanding and being familiar with ACP-related knowledge
Memory, attention and decision processesThe ability to retain information, selectively focus on aspects of the environment and choose between two or more alternativesAbility to remember, focus, and select ACP
Behavioural regulationAnything aiming at managing or changing objectively observed or measured actionsUsing healthy behaviors to manage emotions and pursue goals
Physical capabilitySkillsAn ability or proficiency acquired through practiceAcquiring the ability or skill to engage in ACP through practice, including physiological and cognitive skills
Opportunity
Social opportunitySocial influencesThose interpersonal processes that can cause individuals to change their thoughts, feelings, or behaviorsThe process of social activities that enable individuals to change their cognition and behavior about ACP
Physical opportunityEnvironmental context and resourcesAny circumstance of a person's situation or environment that discourages or encourages the development of skills and abilities, independence, social competence, and adaptive behaviorPersonal conditions and environments that influence ACP engagement
Motivation
Reflective motivationBeliefs about capabilitiesAcceptance of the truth, reality, or validity about an ability, talent, or facility that a person can put to constructive useBelieving that individuals have enough knowledge about ACP and can participate in ACP discussions
GoalsMental representations of outcomes or end states that an individual wants to achieveThe psychological outcomes that individuals want to achieve
IntentionsA conscious decision to perform a behavior or a resolve to act in a certain wayIdentifying the skills that are needed to engage in ACP
Beliefs about consequencesAcceptance of the truth, reality, or validity about outcomes of a behavior in a given situationThe degree to which the individuals accept the facts or believe that ACP's involvement in the behavior will lead to specific results
Automatic motivationSocial/professional role and identityA coherent set of behaviors and displayed personal qualities of an individual in a social or work settingSelf-perception based on social or professional identity
OptimismThe confidence that things will happen for the best or that desired goals will be attainedConfidence that the desired goal will be achieved
ReinforcementIncreasing the probability of a response by arranging a dependent relationship, or contingency, between the response and a given stimulusPromoting and strengthening support for ACP participation
EmotionA complex reaction pattern, involving experiential, behavioural, and physiological elements, by which the individual attempts to deal with a personally significant matter or eventA mental state or emotional response that is determined by an individual's environment