Table 1.
Parent Coding Structure, based on determinants of behaviour change in the Barrier Analysis Approach (Kittle, 2013)
| Determinant | Description | |
|---|---|---|
| 1. | Perceived self‐efficacy (what makes it easier to breastfeed) | An individual's belief that it is easier for them to do a particular behaviour given their current knowledge and skills. We ask: what makes it easier to perform the behaviour? |
| 2. | Perceived self‐efficacy (what makes it harder to breastfeed) | An individual's belief that it is more difficult for them to do a particular behaviour given their current knowledge and skills. We ask: what makes it harder to perform the behaviour? |
| 3. | Perceived positive consequences | What positive things a person thinks will happen as a result of performing a behaviour. Responses to questions related to positive consequences may reveal advantages (benefits) of the behaviour, attitudes about the behaviour and perceived positive attributes of the action |
| 4. | Perceived negative consequences | The negative things a person thinks will happen as a result of performing a behaviour. Responses to questions related to negative consequences may reveal disadvantages of the behaviour, attitudes about the behaviour and perceived negative attributes of the action |
| 5. | Perceived social norms (supportive people) | The perception that people important to the mother think that the mother should do the behaviour. Norms have two parts: who matters most to the mother on a particular issue and what the mother perceives those people think the mother should do. |
| 6. | Perceived social norms (unsupportive people) | The perception that people important to the mother think that the mother should not do the behaviour. Norms have two parts: who matters most to the mother on a particular issue and what the mother perceives those people think the mother should do. |
| 7. | Access | Includes the degree of availability (to a particular audience) of the needed products or services required to adopt a given behaviour. Includes barriers and facilitators related to race, cost, geography, distance, linguistics, cultural issues, gender or gender identity, etc. |
| 8. | Perceived action efficacy | The belief that by practicing the behaviour (breastfeeding), one will avoid the problem that the behaviour is effective in avoiding (e.g., if I breastfeed I avoid my baby being susceptible to sickness). We ask: did the mother state that breastfeeding had an effect of X, Y, Z condition? |
| 9. | Perceived divine will (influence of religious belief) | A person's belief that it is God's will for them to/not to breastfeed. Includes participant's perception of what their religion accepts or rejects and perceptions about the spirit world or magic (e.g., spells, curses) |
| 10. | Policy | Laws and regulations (local, regional or national) that affect behaviours and access to products and services that may make it more or less likely for a person to take steps to breastfeed |
| 11. | Culture | Cultural norms or stigmas that affect infant feeding or breastfeeding behaviour |