Table 3.
Behaviour change needs of women who have and have not experienced a cardiometabolic pregnancy complication according to the COM-B system.
| Behaviour change need | Answer | CMPC (n = 207) |
No CMPC (n = 266) |
p |
|---|---|---|---|---|
| Capability: physical and psychological – I would have to. . . | Know more about why it was important (e.g. have a better understanding of how foods affect my health) | 129 (62.3) | 156 (58.6) | 0.418 |
| Know where to find information | 134 (64.7) | 150 (56.4) | 0.066 | |
| Know more about how to do it (e.g. have a better understanding of effective ways to increase exercise) | 143 (69.1) | 154 (57.9) | 0.130 | |
| Know how to create restful time or space for myself | 135 (65.2) | 158 (59.4) | 0.196 | |
| Have better physical skills (e.g. learn how to cook healthy meals for the family) | 89 (43.0) | 116 (43.6) | 0.894 | |
| Know how to organize, plan and prioritize (e.g. exercise during child’s nap time; incorporate into usual routine, such as taking baby for a walk) | 131 (63.3) | 145 (54.5) | 0.055 | |
| Have more physical strength (e.g. having the fitness to exercise) | 131 (63.3) | 148 (55.6) | 0.094 | |
| Have more mental strength (e.g. learn how to resist cravings more) | 135 (65.2) | 166 (62.4) | 0.528 | |
| Overcome physical limitations (e.g. recovery from childbirth, coping with lack of sleep) | 128 (61.8) | 155 (58.3) | 0.433 | |
| Overcome mental obstacles (e.g. managing stress or negative thoughts about self) | 126 (60.9) | 149 (56.0) | 0.288 | |
| Have more physical stamina (e.g. be able to exercise for longer) | 100 (48.3) | 112 (42.1) | 0.178 | |
| Have more mental stamina (e.g. be able to stick to a plan to eat healthy) | 105 (50.7) | 135 (50.8) | 0.995 | |
| Something else | 2 (1.0) | 4 (1.5) | 0.604 | |
| Opportunity: physical and social – I would have to. . . | Have more time to do it (e.g. create a specific time during the day to exercise) | 151 (72.9) | 192 (72.2) | 0.853 |
| Have a flexible work arrangement (e.g. part-time employment) | 86 (41.5) | 125 (47.0) | 0.237 | |
| Have enough money to do it (e.g. earn enough to pay for gym membership) | 118 (57.0) | 159 (69.8) | 0.544 | |
| Have the necessary materials (e.g. exercise equipment) | 98 (47.3) | 100 (37.6) | 0.033 | |
| Have it more easily accessible (e.g. online access to the intervention) | 99 (47.8) | 127 (47.7) | 0.986 | |
| Have it incorporated with my baby’s appointment (e.g. maternal and child health visits) | 95 (45.9) | 120 (45.1) | 0.866 | |
| Have a conducive environment to do it (e.g. access to recreational facilities and parks) | 83 (40.1) | 94 (35.3) | 0.289 | |
| Have more people around me doing it (e.g. be part of a ‘crowd’ who are doing it) | 84 (40.6) | 97 (36.5) | 0.361 | |
| Have more triggers to prompt me (e.g. have more reminders to exercise at a specific time) | 91 (44.0) | 84 (31.6) | 0.006 | |
| Have the support of my partner on health issues (e.g. verbal and emotional engagement) | 91 (44.0) | 108 (40.6) | 0.463 | |
| Have practical support from others (e.g. help with childcare and chores from partner, family and friends) | 120 (58.0) | 141 (53.0) | 0.282 | |
| Have someone to hold me accountable | 57 (27.5) | 65 (24.4) | 0.445 | |
| Something else | 0 (0) | 3 (1.1) | 0.125 | |
| Motivation: automatic and reflective – I would have to. . . | Feel that I want to do it enough (e.g. enjoy eating healthy or exercising) | 152 (73.4) | 168 (63.2) | 0.018 |
| Feel that I need to do it enough (e.g. believe that my own health is important and feel the need to prioritize self-care) | 136 (65.7) | 157 (59.0) | 0.138 | |
| Believe that it would be a good thing to do (e.g. it will help me cope emotionally or make me feel better) | 132 (65.7) | 153 (57.5) | 0.168 | |
| Believe that it is good for my children (e.g. I am being a good example for my child) | 126 (60.9) | 180 (67.7) | 0.125 | |
| Develop better plans for doing it (e.g. have clearer and better developed plan for eating) | 117 (56.5) | 129 (48.5) | 0.083 | |
| Develop a habit of doing it (e.g. get into a pattern of eating healthy without having to think) | 139 (67.1) | 173 (65.0) | 0.631 | |
| Believe in my ability to do it (e.g. have confidence in my ability to prepare healthy meals) | 115 (55.6) | 126 (47.4) | 0.077 | |
| It would have to fit my cultural and religious beliefs (e.g. beliefs about the type of food to eat when breastfeeding) | 41 (19.8) | 55 (20.7) | 0.815 | |
| Something else | 1 (0.5) | 0 (0) | 0.256 |
CMPC: cardiometabolic pregnancy complication.
Data are presented as n (%) and were analysed using a Pearson’s chi-square test.