Behavioural analysis of postnatal physical activity in the UK according to the COM-B model: a multi-methods study

BMJ Open
Kate EllisStephen Sutton

Abstract

Develop a behavioural analysis of factors influencing postnatal physical activity (PA) according to the 'capability, opportunity, motivation and behaviour' (COM-B) model of behaviour to inform intervention development using the Behaviour Change Wheel (BCW). Cross-sectional, multi-method study using semi-structured interviews and a quantitative questionnaire. Children's centres and mother and baby groups in Hertfordshire and Cambridgeshire, UK. Convenience samples of postnatal women were interviewed (n=16) and completed the questionnaire (n=158). Semi-structured interviews followed a preprepared topic guide exploring the COM-B model components and analysed using framework analysis. The questionnaire, based on the self-evaluation of behaviour questionnaire, was adapted using patient and public involvement and findings from the interviews. Questionnaire participants rated their agreement with 22 predefined statements related to COM-B model components. Mean, SD and 95% CI were calculated and each item categorised according to importance. Demographic data were collected. The questionnaire identified that new mothers would be more active if they had more time, felt less tired, had accessible childcare, were part of a group, advised b...Continue Reading

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