ArticleBMJ open2019
Behavioural analysis of postnatal physical activity in the UK according to the COM-B model: a multi-methods study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
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- Using the COM-B model to explore factors influencing influenza vaccination among the elderly: Insights from primary healthcare workers in China.Human vaccines & immunotherapeutics · 2025Article
- Initial participant perspectives about participating in an online, semi-supervised, cirrhosis-specific nutrition and exercise intervention.British journal of health psychology · 2025Article
- From insight to action: a qualitative study of the postpartum return to recreational exercise and sport in Ireland and the UK.BMJ open sport & exercise medicine · 2025Article
- What drives waste sorting? A capability, opportunity, motivation, and behavior model analysis with hybrid modeling.Frontiers in psychology · 2025Article
- Facilitators and barriers to behavior change in overweight and obesity management using the COM-B model.Frontiers in psychology · 2024Article
- Article
- Physical Activity Interventions for Postnatal Weight Management: A Systematic Literature Review.The Malaysian journal of medical sciences : MJMS · 2023Review
- Article
- Associations between social support and physical activity in postpartum: a Norwegian multi-ethnic cohort study.BMC public health · 2023Article
- Women's Experiences Regarding Physical Activity during the Postpartum Period: A Feminist Poststructuralist Study.Nursing reports (Pavia, Italy) · 2023Article
- Facilitators and barriers of preventive behaviors against COVID-19 during Ramadan: A phenomenology of Indonesian adults.Frontiers in public health · 2023Article
- Barriers and facilitators to physical activity and further digital exercise intervention among inactive British adolescents in secondary schools: a qualitative study with physical education teachers.Frontiers in public health · 2023Article
- Facilitators and barriers to physical activity among English adolescents in secondary schools: a mixed method study.Frontiers in public health · 2023Article
- Co-design of a school-based physical activity intervention for adolescent females in a disadvantaged community: insights from the Girls Active Project (GAP).BMC public health · 2022Article
- Identifying the factors affecting 'patient engagement' in exercise rehabilitation.BMC sports science, medicine & rehabilitation · 2022Article
- Pregnant women's experiences of social distancing behavioural guidelines during the Covid-19 pandemic 'lockdown' in the UK, a qualitative interview study.BMC public health · 2021Article
- Connecting primary care patients to community-based physical activity: a qualitative study of health professional and patient views.BJGP open · 2020Article
- The Concurrent Acceptability of a Postnatal Walking Group: A Qualitative Study Using the Theoretical Framework of Acceptability.International journal of environmental research and public health · 2020Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveDevelop 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).
designCross-sectional, multi-method study using semi-structured interviews and a quantitative questionnaire.
settingChildren's centres and mother and baby groups in Hertfordshire and Cambridgeshire, UK.
participantsConvenience samples of postnatal women were interviewed (n=16) and completed the questionnaire (n=158).
methodsSemi-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.
resultsThe 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 by a healthcare professional, able to develop a habit and had more motivation. Additional themes emerging from qualitative data were engaging in PA groups with other new mothers, limited physical stamina following complicated births, social interaction, enjoyment and parental beliefs as motivation, provision of child-friendly PA facilities and environments and babies' unpredictable routines.
conclusionThe behavioural analysis presented in this paper identifies and adds detail on the range of factors influencing the target behaviour. Some are unique to the target population, requiring targeted interventions for postnatal women, whereas some are individualised, suggesting the need for individually tailored interventions. We will use the behavioural analysis presented to design an intervention using the subsequent steps in the BCW.
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