Table 3 Mapping of themes to the TDF domains and COM-B model
Themes | TDF | COM-B |
|---|---|---|
- Fitness level prior to pregnancy - House work as a form of PA - Medical conditions and pregnancy symptoms (pain/energy/tiredness) | Knowledge (awareness of the existence of something: knowledge of condition) | Psychology capability Knowledge or psychological skills, strength or stamina to engage in the necessary mental process |
- Limited knowledge surrounding PA benefits, types of PA in pregnancy and PA resources - Pregnant women discussed concerns around having that ‘conversation’ | Knowledge (awareness of the existence of something: knowledge of condition) | Psychology capability Knowledge or psychological skills, strength or stamina to engage in the necessary mental process |
- Self- monitoring, use of pedometer/step count/phone apps | Behavioural regulation (managing or changes action – self monitoring) | |
- Women expressed interest in goal setting | Goalsa (mental representations of outcome or end states, that an individual wants to achieve) | |
- Pregnant woman’s situation (family life/children/work/pets) - Financial situation - Weather/ built environment and resources within the community | Environmental context and resources (persons situation or environment) | Physical Opportunity Opportunity afforded by the environment involving time, resources, location, cues physical affordance |
- Acknowledged support from family members, partner and friends - Interaction with other pregnant women [PA classes] was mentioned | Social influences (Process that can change thoughts feelings or behaviours – social pressure) | Social opportunity Opportunity afforded by interpersonal influences, social cues and cultural norms that influence the way we think |
- ‘Every pregnant women is different’ - Differences in pregnancies | Social role and identity (set of behaviours and displayed personal qualities in a social or work setting) | Reflective Motivation Reflective process involving plans (self-conscious intentions) and evaluations (beliefs about what is good and bad) |
- Using pregnancy as an ‘excuse’ - Concern for health of the baby - Feeling responsible - Difficulty breaking habits/mind-set | Beliefs about capability (acceptance of the truth, reality or validity about an ability, perceived behavioural control,, self-esteem, confidence) | |
- Post-partum intentions (planning weight loss/healthy lifestyle) | Intentions (A conscious decision to perform a behaviour) | Reflective Motivation Reflective process involving plans (self-conscious intentions) and evaluations (beliefs about what is good and bad) |
- Feelings of worry, concern and guilt during pregnancy - Fear based on previous pregnancy outcome/miscarriage | Emotion (complex reactions - fear, anxiety, affect, stress, depression, positive and negative effect, burn out) | Automatic Motivation Automatic processes involving emotional reactions, desires(wants and needs) impulses inhibitions drive states and reflex responses |