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Table 2 COM-B coding & analysis of selected behaviours

From: Designing the Healthy Eating and Active Lifestyles for Diabetes (HEAL-D) self-management and support programme for UK African and Caribbean communities: a culturally tailored, complex intervention under-pinned by behaviour change theory

COM-B Domain

Coding included in this domain

What needs to happen for the behaviour to occur?

Reducing carbohydrate to palm/fist each meal

Switch saturated fats for unsaturated fats

Do 30 mins MVPA 5 days a week

Monitor waist circumference

Capability

Psychological

Behavioural regulation

Cognitive skills

Interpersonal skills

Knowledge

Memory

Decision making processes

Knowledge:

Understand which foods are carbs; understand portion size targets and what foods can replace carbs to avoid hunger.

Behavioural regulation & cognitive skills:

To set goals and maintain motivation.

Have strategies for eating socially.

Knowledge:

Know what foods contain different oils.

Learn to cook differently

Behavioural regulation & cognitive skills:

To set goals and maintain motivation.

Have strategies for eating socially.

Knowledge:

Know what the guideline targets are.

Know what activities are suitable.

Knowledge:

Know what the guideline targets are.

Physical

Physical skills

  

Have stamina and skill to undertake activity

Know how to accurately take the measurement

Opportunity

Social

Social influences

Have social support to change behaviour.

Have social support to change behaviour.

Have social support to change behaviour.

Have social support to change behaviour.

Physical

Environmental context

Resources and equipment

  

Have suitable activities accessible & affordable.

Have the time to undertake the activity.

Have a tape measure.

Motivation

Reflective

Social role & identity

Beliefs about one’s own capability

Optimism

Beliefs

Intentions

Goals

Identity: Address issues of cultural identity portion size.

Beliefs about consequences: Understand the mechanisms of glucose balance and the consequences of not achieving targets.

Identity: Address issues of cultural identity associated with cooking in oil & food choice.

Beliefs about consequences: Understand the consequences/benefits to change and know the risks of saturated fats.

Self-belief: over-come fears of injury.

Identity: Address issues of cultural identity associated with exercise.

Beliefs about consequences: Understand why achieving the guidelines is important.

Beliefs: overcoming acceptance of larger body sizes.

Beliefs about consequences: Understand why achieving the guidelines is important.

Automatic

Emotion

Reinforcement/habit

Overcome hunger and cravings

Support habit formation with planning skills

Get used to new tastes & flavours

Support habit formation with planning skills

Support habit formation with planning skills

Support habit formation with planning skills