Table 3 Theoretical Framework of Acceptability (TFA) constructs and thematic analysis findings from follow-up interviews with mothers (n = 42) and program delivery staff (n = 10)
TFA construct and definition | Themes derived |
|---|---|
Ethicality: The extent to which the intervention fits with an individual’s value system | • Value of language and cultural understanding • Written booklets as a tool for involving family and friends • Healthy Beginnings as a trustworthy program |
Affective attitude: How an individual feels about the intervention | • Mothers generally liked the combination of delivery modes • Mothers appreciated the time and emotional support from bi-cultural nurses • Age-appropriate information helped mothers with what to expect |
Perceived effectiveness: The extent to which the intervention is perceived to have achieved its intended purpose | • The bicultural nurse gave specialised advice and helped mothers with problem solving • The program SMS and booklets for increasing knowledge and reminders • Perceptions that the program was especially useful for first-time mothers and new migrants |
Burden: The effort needed to participate | • Logistical issues increased mothers’ efforts needed to participate • The phone-based service was seen as convenient • Mothers are busy and did not always have time |
Intervention coherence: The extent to which the intervention is understood | • Uncertainties about the program impacted involvement |