Table 1 Themes mapped against level of influence, the COM-B and TDF frameworks’ constructs
Level of influence | Theme number | Theme | COM-B component/COM-B subcomponent (TDF domain) |
|---|---|---|---|
System | 1 | System approach to weight status assessment is required to normalise the undertaking of this check | Capability/Psychological (Behavioural Regulation), Opportunity/ Social (Social Influences), Motivation/ Automatic (Reinforcements) |
2 | Increasing public awareness about the importance of weight status assessment | Capability/ Physiological (Behavioural Regulations), Opportunity/ Social (Social Influences) | |
3 | Limited public health services available for management of childhood overweight and obesity | Capability/ Psychological (Skills), Capability/Physical (Skills) Opportunity/ Physical (Environmental Context and Resources) | |
Setting | 4 | Schools versus other settings were weight status assessment could be undertaken | Opportunity/ Physical (Environmental Context and Resources) |
Individual | 5 | Recognition of GPs’ and nurses’ role in children’s routine weight status assessment | Capability/Psychological (Knowledge), Capability/ Psychological (Skills), Capability/Physical (Skills), Motivation/ Reflective and Automatic (Social/Professional Identity & Role), Motivation/ Reflective (Beliefs about capabilities) |
6 | Barriers to assessing weight status in primary school children and discussing the results with families | Capability/ Psychological (Memory, Attention and Decision Processes), Motivation/ Reflective (Beliefs about Capabilities), Motivation/ Automatic (Emotions) | |
7 | Objective and subjective methods of weight status assessment | Capability/Psychological (Memory, Attention and Decision Processes), Motivation/ Reflective (Beliefs about Capabilities), Motivation/ Reflective (Beliefs about consequences) | |
8 | Conditional raising of weight status topic with parents | Capability/ Psychological (Memory, Attention and Decision Processes), Opportunity/ Social (Influences Social), Motivation/ Reflective (Beliefs about Consequences), Motivation/ Reflective Intentions (Motivation and Goals) |