Table 2.
Overview demands to enhance breastfeeding behaviour and their corresponding COM-B component and TDF domain
| COM-B component | TDF domain | Subthemes | Demands description |
|---|---|---|---|
| Capability | Memory, attention and decision process | Understanding infants’ cues and identifying problems | Develop capability to read cues and identify abnormal infant behaviors so that can react promptly when challenges arise. |
| Knowledge & skills | Breastfeeding knowledge accumulation and skills training |
16 learning demands, of which the lactation education and breast pump selection guidance were the most frequently mentioned. Face-to-face, systematic, staffed and plain course. Educational resource that integrated text, image, and video modes. |
|
| Physical opportunity | Environmental context and resource | Cleanliness and quietness in the household environment | A clean and quiet household environment during postpartum recovery period. |
|
Breastfeeding support in workplaces Breastfeeding support in hospitals |
Tools for breast milk storage, privacy lactation spaces, and flexible schedule for lactation in workplaces Private lactation spaces and tools for breast milk expression and storage in hospitals |
||
| Social opportunity | Social influences | Partner and family support | Family members share responsibility and have close collaboration to care for the infant. |
| Peer support | Practical and emotional support provided by experienced mothers. | ||
| Authoritative support from healthcare providers | Authoritative affirmation given by healthcare workers when women’s own breastfeeding advocacy was dismissed by family members. | ||
| Reflective motivation | Beliefs about consequences | Information about the health impacts of breastfeeding | Information on the health impacts of breastfeeding for mothers and infants, respectively. |
| Automatic motivation | Emotion | Maternal-infant bonding | Information about infant when separated by pictures, videos, phone call or internet. |
| Free of aversive stimulus | No questioning and pressure but respect and comfort. |
COM-B Capability, Opportunity, and Motivation System, TDF Theoretical Domains Framework