TABLE 3.
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 |
Number of studies identified (%).
Number of themes.