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Vaccines have effectively reduced the spread of the COVID-19 pandemic. This study aimed to evaluate a program promoting COVID-19 vaccination for Kurdish individuals in Said Sadiq, northern Iraq, using the COM-B model. A total of 150 adults over 18 years old in the city of Said Sadiq participated as the intervention and control group. This was a quasi-experimental study to implement a behavior modification-based intervention to promote of COVID-19 vaccine uptake. The authors developed an organized and innovative educational application program to improve determinants related to COVID-19 vaccine uptake among adults over 18 years old in Said Sadiq. The mobile application consisted of eight educational lessons. Independent t-tests and paired sample t-tests were employed to determine the comparability of the intervention compared to the control group. The effect size was estimated as "small" for social opportunity, “medium" for physical capability, psychological capability, physical opportunity, and reflective motivation, and “large" for automatic motivation. Our findings showed a significant increase in the rate of COVID-19 vaccine uptake among participants in the intervention group compared to the control group (P= 0.033) after the program implementation. This study utilized the COM-B model to provide useful guidance for understanding the adult population in Iraqi Kurdistan to increase COVID-19 vaccine uptake. The study demonstrates the ability to use the COM-B model in the development of an m-health intervention to promote COVID-19 vaccine uptake in northern Iraq. Although our intervention was brief, it showed promising findings. Our findings have valuable implications as they demonstrate that a short, inexpensive, and convenient intervention can effectively educate and empower people during the COVID-19 pandemic.

Keywords: COVID-19, Vaccine, Behavior Change, COM-B model, Education, m-health

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