Exploring personal aptitudes and personality traits that, together with social determinants, shape health behaviors and conduct: a thematic analysis based on the Capability, Opportunity, Motivation and Behavior (COM-B) change system


Por: Young-Silva, Y, Berenguera, A, Juvinyà-Canal, D, Martí-Lluch, R, Arroyo P, Tamayo-Morales, O, Marcilla-Toribio, I, Elizondo-Alzola, U, Méndez-López, F, Chela-àlvarez, X and Motrico, E

Publicada: 5 jun 2024
Resumen:
Introduction Effective implementation of strategies to promote health and prevent noncommunicable illnesses requires a profound understanding of the interaction between the individual and society. This study brings to health research the consideration of psychosocial factors that influence the maintenance and change of health behaviors and conduct. From a primary care perspective, it is crucial to propose a biopsychosocial approach for the development of health promotion and self-care programs that embrace personal aptitudes as a relevant individual aspect.Objectives To explore experiences related to personal aptitudes and personality traits that influence health behaviors and conduct, taking into account the social determinants of health, through a thematic analysis based on the capability-opportunity-motivation and behavior (COM-B) system.Methods and analysis This qualitative research is carried out from a descriptive phenomenological perspective, based on 17 focus groups in which 156 people participated. Inductive and deductive analysis techniques were used following Lincoln and Guba's criteria of methodological rigor. In addition to 7 different triangulations of analysts, 6 main categories were identified based on the COM-B system: psychological capacity, physical capacity, physical opportunity, social opportunity, reflective motivation, and automatic motivation. The importance of considering these factors to promote healthy behaviors was stressed.Discussion This study examined how personal experiences related personal aptitudes and personality traits influence health behaviors and conduct in Spain. It was found that personality traits such as health literacy, self-efficacy, activation, and self-determination can influence the adoption of healthy behaviors. Likewise, the need for control, overthinking, and ambivalence made it impossible. Furthermore, social determinants of health and interpersonal relationships also play an important role.Trial registration ClinicalTrials.gov, NCT04386135. Registered on April 30, 2020

Filiaciones:
Young-Silva, Y:
 Fdn Inst Univ Recerca Atencio Primaria Salut Jordi, Unitat Suport Recerca Girona, Barcelona, Spain

 Univ Girona, Escola doctorat, Girona, Spain

Berenguera, A:
 Fdn Inst Univ Recerca Atencio Primaria Salut Jordi, Barcelona, Spain

 Univ Girona, Dept Infermeria, Girona, Spain

 Univ Autonoma Barcelona, Dept Salut Publ, Bellaterra, Spain

 Country Network Chron Primary Care & Hlth Prevent, Bellaterra, Spain

Juvinyà-Canal, D:
 Univ Girona, Dept Infermeria, Girona, Spain

 Univ Girona, Grup Recerca Salut i Atencio Sanitaria, Girona, Spain

 Univ Girona, Catedra Promocio Salut, Girona, Spain

Martí-Lluch, R:
 Univ Autonoma Barcelona, Dept Salut Publ, Bellaterra, Spain

 Country Network Chron Primary Care & Hlth Prevent, Bellaterra, Spain

 Inst Univ Recerca Atencio Primaria Jordi Gol i Gur, Vasc Hlth Res Grp Girona, Girona, Spain

 Inst Invest Biomed Girona IDIBGI, Parc Hosp Marti Julia, Salt, Spain

Arroyo P:
 Country Network Chron Primary Care & Hlth Prevent, Bellaterra, Spain

 Inst Recerca St Joan Deu, Res Grp, Esplugas de Llobregat, Spain

Tamayo-Morales, O:
 Country Network Chron Primary Care & Hlth Prevent, Bellaterra, Spain

 Unidad Invest Atenc Primaria Salamanca APISAL, Salamanca, Spain

 Inst Invest Biomed Salamanca IBSAL, Salamanca, Spain

Marcilla-Toribio, I:
 Univ Castilla La Mancha, Ctr Estudios Sociosanitarios, Edificio Melchor Cano,Campus Cuenca S-N, Cuenca, Spain

 Univ Castilla La Mancha, Grp Invest Hlth Gender & Social Determinants, Edificio Melchor Cano,Campus Cuenca S-N, Cuenca, Spain

Elizondo-Alzola, U:
 Grp Invest Ciencias Diseminac Implementac Serv San, Inst Invest Biocruces, Baracaldo, Spain

 Debagoiena Integrated Hlth Care Org, Osakidetza Basque Hlth Serv, Pharm Serv Primary Care, Arrasate Mondragon, Gipuzkoa, Spain

Méndez-López, F:
 Country Network Chron Primary Care & Hlth Prevent, Bellaterra, Spain

 Inst Hlth Res Aragon IIS Aragon, Aragonese Primary Care Res Grp GAIAP, Zaragoza, Spain

Chela-àlvarez, X:
 Country Network Chron Primary Care & Hlth Prevent, Bellaterra, Spain

 Balear Hlth Serv, Primary Care Res Unit Mallorca IB Salut, Palma de Mallorca, Spain

 Hlth Res Inst Balear Isl IdISBa, Res Grp Primary Care & Promot Balear Isl Community, Palma De Mallorca, Spain

Motrico, E:
 Country Network Chron Primary Care & Hlth Prevent, Bellaterra, Spain

 Univ Seville, Inst Biomed Seville IBIS, Dept Dev & Educ Psychol, Seville, Spain
ISSN: 22962565





Frontiers in Public Health
Editorial
FRONTIERS MEDIA SA, AVENUE DU TRIBUNAL FEDERAL 34, LAUSANNE CH-1015, SWITZERLAND, Suiza
Tipo de documento: Article
Volumen: 12 Número:
Páginas:
WOS Id: 001249804400001
ID de PubMed: 38898892
imagen Green Accepted, Green Submitted, Green Published, gold

MÉTRICAS