Table 3.

Examples of Barriers and Enablers in Each COM-B category

Category	Subcategory	Total	Example
Capabilities	Physical	4	Learning context: Needs to be in ‘real-life’ context57 Minimal training r/t early career transitions; provide training34
	Psychological	5	Lack of knowledge by HCP and families as to resources available41 Knowledge of child’s condition58
Opportunities	Physical	18	Lack of expertise in the community, for example, school-based services61 Lack of service coordination62 64 65 Varying eligibility requirements for services and financial aid, and insufficient resources62 Transportation concerns64 Funding35 Financial problems experienced by families66 Lack of formal criteria for enrollment in programme58
	Social	10	Family members be engaged in our improvement processes58 64 Lack of communication between Health care providers, educators, client41 Good communication facilitated relationships and trust between services and aided supportive counselling34 55 62
Motivation	Reflective	6	Children with special needs may experience stigmas, social isolation, and an impaired development of social skills, self-esteem, sexuality and sense of identity35 Action plans for goal setting59
	Automatic	2	Family stress and comfort with medical complexities61

COM-B, Capability, Opportunity, Motivation-Behaviour.