The motivation-opportunity-capability model of behavioural therapy - the vital component of effective patient centric obesity management

Obesity has reached pandemic proportions globally and its management requires a multipronged approach to ensure an effectual and sustainable response. Integrating behavioural therapy is an important component in obesity management and would often lead to improvement in the quality of care provided to patients with obesity. Though important, it is often complex and difficult to administer in a busy outpatient department. We propose a Motivation-Opportunity-Capability(MOC) model, using Michie et al's COM-B ideation as an inspiration. This provides a simple framework to understand the behaviour of a patient with obesity and suggest therapeutic strategies more likely to be effective in a person centric manner. Integration of the MOC model in existing obesity management protocols would further help in improving outcomes of therapy and help in providing sustained weight loss.