Barriers identified using the Capability, Opportunity, Motivation, Behavior (COM-B) model | Intervention functions (layer 2) | Policy targets (layer 3) |
PSH resident barriers and potential enablers -Have decreased knowledge of SHS or thirdhand smoke (capability) -Lack skills to adopt a smoke-free home (capability) -Indoor cannabis use and other substance use reduces capability and motivation to smoke outdoors (capability/motivation) -aKids/pets may encourage smoke-free home adoption (motivation) - Lack of safe designated smoking zones reduces opportunity for smoke-free living (opportunity) - Social norms of pervasive smoking reduces opportunity for smoke-free home (opportunity) | PSH residents -Education: Information on harms related to SHS and thirdhand smoke; combustible tobacco and e-cigarettes, and cannabis -Training: Step-by-step guide to adopt a smoke-free home -Restrictions: Voluntary smoke-free home adoption -Persuasion: Pledges; infographics on impact of SHS on kids and pets -Enablement: Referral to smoking cessation resources | Environmental or social planning -Voluntary adoption of smoke-free homes -Exploring potential downstream effect of other residents adopting smoke-free homes Service provision -Providing referrals to cessation programs |
PSH staff barriers -Believe residents prefer to smoke indoors (capability) -Have no skills to refer residents to smoking cessation programs (capability) -Believe that smoking can allay a resident’s mental health symptoms (capability) | PSH staff -Training: To refer residents to smoking cessation programs -Education: Information from pilot data that residents are supportive of indoor smoke-free policies; debunk myths around nicotine allaying mental health symptoms |