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Table 6 Quotes from barriers regarding uptake of the MIND diet in rank order

From: Comparison of barriers and facilitators of MIND diet uptake among adults from Northern Ireland and Italy

Northern Ireland Rome
COM-B/TDF SUB-THEME QUOTE COM-B/TDF Subtheme QUOTE
Physical opportunity:
Environmental context
1. Time
2. Food environment at work/canteen
3. Budget
4. Treats in for kids.
“For me it is time, by the time you get home from work, and maybe have done overtime, you couldn’t be bothered”
“There is nothing healthy in a canteen”
Physical opportunity: Environmental context 1. Availability/
Access to food
2. Budget
3. Time
4. Season
“Finding berries and the cost of them are a barrier”
“Berries are hard to find as they are seasonal, I only eat them in summer”
Reflective motivation:
Belief about capabilities
1. Convenience
2. Taste preference
3. Mindset
“Kids don’t want healthy stuff, so sometimes I have convenience stuff to make it easier for me”
“I don’t like fish, you know the strong smelling fishy fish”
Social opportunity:
Social influence
1. Family influence
2. Visiting family
And friends
“The problem is my family, they only eat white pasta”
“I would cook more unhealthily and quantity if family are visiting”
Psychological capability:
Knowledge
1. Lack knowledge of MIND diet and foods “If you don’t know what is healthy for your brain, you won’t eat that way” Reflective motivation:
Belief about capabilities
1. Taste preference
2. Convivence
Mindset
I don’t buy the brown pasta as it is more expensive and it doesn’t taste as nice as the white”
“I don’t eat vegetables, any kind of them”
“I love cheese, I do not think I could eat less cheese”
Psychological capability:
Memory, attention and decision process
1. Alcohol
2. Tired
3. Holidays
“If I had a good drink at the weekend, it would take Tuesday or Wednesday to get over it, and I wouldn’t want to eat this food” Psychological capability: Behaviour regulation 1. Self-monitoring “No, I don’t monitor my food intake”
Psychological capability:
Behaviour regulation
1. Lack monitoring of food consumption “No, I don’t, and sure, when I go to weight watchers, I don’t even do it” Psychological capability:
Knowledge
1. Lack knowledge of MIND diet. “I have never heard of the MIND diet”
Physical capability:
Skills
1. Lack cooking skills “I couldn’t cook that, if you handed me all the ingredients, I would be like, what am I doing with it” Social, professional and identity. 1. Culture “My family eat lots of food, lots of white pasta and cheese, this is typical of Southern Italians to eat more and are more overweight”
“Berries are not part of our culture”
  1. COM-B Capability, Opportunity, Motivation, Behaviour, TDF Theoretical domains framework