Table 1. Recommended intervention functions for increasing the timely uptake of childhood cataract services in India.
Barrier domains* | Details of Barriers | Target audience | COM-B components** | Recommended intervention functions* |
---|---|---|---|---|
Beliefs about Consequences | A belief that it is acceptable to delay cataract surgery in children | Parents and carers | Reflective motivation | Education and Modelling |
A belief that a visit to babaji (local priest) will cure the cataract in children | ||||
Motivation and goals | No intention to take the child for any routine eye examination, citing time constraints | Parents and carers | Reflective motivation | Education, Incentivisation, and Modelling |
Environmental Context and Resources | Economic constraints and limited the feasibility of travelling long distances to seek the treatment | Parents and carers | Physical opportunity | Environmental restructuring, Training, and Enablement |
Social Influences | Parents were influenced by what their friends and families did and recommended. | Parents and carers | Social opportunity | Environmental restructuring, training and Enablement |
Knowledge | A lack of knowledge of cataract in children, and lack of awareness about the preventive aspects and when to go for surgery. | Parents and carers | Psychological capability | Education |
** COM-B component stands for Capability (Physical capability or Psychological capability), Opportunity (Physical opportunity or Social opportunity), and Motivation (Automatic motivation or Reflective motivation)–Behaviour, represents source of the behaviours and is the core of the BCW
* Recommended intervention functions were identified by the Behaviour Change Wheel (BCW)