Using the COM-B model to identify barriers and facilitators towards adoption of a diet associated with cognitive function (MIND diet)

The present study aims to identify components of the COM-B (capability, opportunity, motivation, and behaviour) model that impact dietary pattern modifications in individuals aged 40-55 years residing in the UK, with a focus on mitigating the risk of cognitive decline in later life. Utilizing a qualitative approach grounded in the COM-B model and the Theoretical Domains Framework (TDF), the research investigates beliefs surrounding the adoption of the Mediterranean-DASH Intervention for Neurodegenerative delay (MIND) diet. A cohort of twenty-five participants, comprising both men and women within the specified age range, was recruited through email, Facebook, and face-to-face interactions to engage in focus groups or interviews. Content analysis identified several key barriers to MIND diet adoption, including time constraints, work environment challenges, taste preferences, and convenience issues. Conversely, facilitators for adopting the diet included perceived improvements in health, memory enhancement, effective planning and organization, and access to high-quality food. This study elucidates the personal, social, and environmental factors that participants perceive as hindrances and supports in adopting the MIND diet among middle-aged adults in the UK. Notably, the findings indicate a greater prevalence of barriers compared to facilitators. The insights gained from this research will inform the development of a behaviour change intervention, guided by the subsequent steps of the Behaviour Change Wheel, aimed at enhancing capability, opportunity, and motivation for healthier dietary practices. [NPID: COM-B, barriers, behavior change, intervention, MIND diet]

Year: 2021

Reference: Timlin, D., McCormack, J. M., & Simpson, E. E. (2021). Using the COM-B model to identify barriers and facilitators towards adoption of a diet associated with cognitive function (MIND diet). Public health nutrition, 24(7), 1657–1670. https://doi.org/10.1017/S1368980020001445