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Table 2 Changeable determinants of behaviour, behaviour change methods and corresponding intervention components. Each determinant has been mapped back to the COM-B model of behaviour change. (COM-B refers to capability, opportunity and motivation)

From: A new integrated behavioural intervention for knee osteoarthritis: development and pilot study

Changeable determinant of behaviour Behaviour change technique Intervention component COM-B
Recognise that increased knee muscle activation will increase load on the joint, potentially exacerbating pain. Persuasive communication Making sense of pain Motivation to engage in re-learning of muscle patterns
Using imagery
Recognise that emotional factors can impact on central sensitisation and affect the pain experience. Persuasive communication Making sense of pain Motivation and opportunity to challenge pain-related beliefs
Using imagery
Consciousness raising
Develop awareness of acute muscular response to pain (e.g. knee bracing) and be able to consciously influence these patterns. Consciousness raising Making sense of pain Capability and opportunity to change muscular responses to pain
Counterconditioning General relaxation
Bio (Feedback) Responding differently to pain
Understand the concept of biomechanical compensation and be able to reorganise postural muscle activity in order to minimise knee muscle activation in standing. Using imagery General relaxation Capability and opportunity to change muscular control of posture in standing
Consciousness raising Postural deconstruction
(Bio)Feedback
Develop the ability to reduce muscular overactivity during functional tasks, such as walking. Using imagery Responding differently to pain Capability and opportunity to change muscular coordination in everyday tasks
Consciousness raising
Functional muscle retraining
Counterconditioning
Bio (Feedback)