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. 2022 Sep 8;39(11):e14945. doi: 10.1111/dme.14945

TABLE 3.

COM‐B construct and TDF domains by importance criteria

COM‐B TDF domain, definition (component constructs) Relevance at the personal level Importance criteria Importance assessment
Freq a Elab b
Capability (Psychological) Knowledge

(Lack of) knowledge of link between postpartum health behaviours and future type 2 diabetes risk

(Lack of) knowledge of specific health behaviour recommendations to prevent future type 2 diabetes risk

20 (57) 2 High
Memory, attention and decision processes

Forgetting health behaviour recommendations

Deciding not to take up postpartum health behaviour recommendations

9 (26) 4 Low
Behavioural regulation

Planning and engaging with postpartum health behaviour recommendations

Sustaining lifestyle changes made during pregnancy

18 (51) 2 High
Capability (Physical) Skills Not relevant (although postpartum health behaviours could be acquired through practice, e.g. learning to cook a healthy meal, this was not reported in the included studies) 0 (0) 0 N/A
Opportunity (Physical) Environmental context and resources (EC&R) Environmental barriers (competing demands, lack of cultural‐specific resources, environment of facilities [e.g. not feeling safe], accessibility, socio‐economic) 22 (63) 8 High
Opportunity (social) Social influences

Finding value in the health advice of healthcare professionals

Social/emotional, pragmatic and peer support from family and friends to enable healthy behaviours

Respecting the social norms of women's cultural group

32 (91) 5 High
Motivation (Automatic) Reinforcement Previous experience of OGTT and GDM management during pregnancy 7 (20) 2 Low
Emotion

Fear and anxiety of being diagnosed with future type 2 diabetes as a motivator of healthy behaviours

Impact of early parenthood and migrant experience on emotions including postpartum abandonment

15 (43) 3 High
Motivation (Reflective) Beliefs about consequences

Beliefs about the consequences of (not) following healthy behaviours on women's lives

Beliefs about the importance of healthy behaviours for reducing future type 2 diabetes risk

Cultural beliefs, norms or myths about healthy eating and exercise in the postpartum period

24 (69) 6 High
Social/Professional Role and Identity Placing one's healthcare needs secondary to those of the newborn, and secondary to family and cultural norms and needs 17 (49) 2 High
Beliefs about capabilities

Perceived (in)ability to manage type 2 diabetes risk; perceived inevitability of type 2 diabetes

Lack of confidence in capability to adhere to follow postpartum health behaviours

16 (46) 4 High
Optimism Low perceived personal susceptibility to type 2 diabetes 9 (26) 1 Low
Goals Setting goals relevant to postpartum health behaviours (e.g. being healthy for children, reduce weight) 11 (31) 1 Low
Intentions Intentions to engage in/maintain healthy behaviour recommendations 1 (3) 1 Low
a

Number of studies identified (%).

b

Number of themes.