Effectiveness of the COM-B Model Application in Hypertension Management; a Systematic Review | ||
| Health Education and Health Promotion | ||
| Article 1, Volume 14, Issue 1, Winter 2026, Pages 1-8 PDF (782 K) | ||
| DOI: 10.58209/hehp.14.1.1 | ||
| Authors | ||
| A. Abidah* 1; T. Sukartini2; H. Mariyanti3 | ||
| 1Faculty of Nursing, Airlangga University, Surabaya, Indonesia | ||
| 2Department of Advanced Nursing, Faculty of Nursing, Airlangga University, Surabaya, Indonesia | ||
| 3Department of Basic Nursing, Faculty of Nursing, Airlangga University, Surabaya, Indonesia | ||
| Abstract | ||
| Aims: This systematic review aims to identify the effectiveness of the COM-B-based intervention model on hypertension management behavior and to explore the barriers and facilitators of COM-B interventions in changing hypertension behavior. Information & Methods: This systematic review uses the PRISMA guide. The databases of Scopus, PubMed, ProQuest, and Web of Science were searched from January 2015 to April 2025. The search strategy uses keywords and Boolean operators. The selection of articles is based on the research's inclusion and exclusion criteria. This study used the Joanna Briggs Institute Critical Appraisal Checklist to assess the quality of the included studies. Findings: Twelve studies involving 1,961 participants from China, the United States, Uganda, Nepal, India, and Ghana were included. 5 quantitative articles showed that COM-B-based interventions had clinical significance in terms of blood pressure values and behavioral significance, including blood pressure control, self-management, dietary patterns, and others. 7 qualitative articles report on barriers and facilitators to behavior change, including low health literacy, medical costs, pill fatigue, and social factors. Meanwhile, facilitators of behavior change are family support, interactive education, and treatment facilities such as digital reminders. Conclusion: The COM-B model is effectively used to evaluate barriers and facilitators to the performance of health behaviors. Identified barriers and facilitators can be used to develop COM-B-based behavior change interventions. Behavioral changes are evident in the results of COM-B-based intervention research, which significantly influence clinical outcomes. | ||
| Keywords | ||
| Behavior Change Techniques; Hypertension; Self-Management; Systematic Review | ||
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