ArticleHealth psychology and behavioral medicine2022
Understanding pregnancy as a teachable moment for behaviour change: a comparison of the COM-B and teachable moments models.
Article in Health psychology and behavioral medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
35 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Women's experiences of discussing health behaviours within their maternity care: a systematic review and meta-synthesis.Reproductive health · 2026Pooled it
- Physical activity experience of patients with hypertension: a systematic review and synthesis of qualitative literature.BMC public health · 2024Pooled it
- Hygiene-based measures for the prevention of cytomegalovirus infection in pregnant women: a systematic review.BMC pregnancy and childbirth · 2024Pooled it
- Prevention and Screening for Cardiometabolic Disease Following Hypertensive Disorders in Pregnancy in Low-Resource Settings: A Systematic Review and Delphi Study.Global heart · 2023Pooled it
- Randomized controlled trial of Sunnyside: Individual versus group-based online interventions to prevent postpartum depression.Journal of affective disorders · 2022Trial
- Handling the challenges of accessing reliable and tailored information on physical activity during pregnancy: a mixed-methods, cross-perspective investigation.BMC pregnancy and childbirth · 2026Article
- Network analysis of symptoms related to quality of life and subjective well-being during pregnancy.Reproductive health · 2026Article
- Pathways to Birth Trauma: Prenatal PTSD as a Mediator Between Adverse Childhood Experiences and Childbirth-Related PTSD Symptoms.Birth (Berkeley, Calif.) · 2026Article
- Do Dietitians Recommend Too Much Carbohydrate? A Cross-Sectional Survey of Gestational Diabetes Mellitus Dietary Advice: A Patient Perspective.The Australian & New Zealand journal of obstetrics & gynaecology · 2026Article
- Influence of a Structured Teaching on Targeted Pelvic Floor Muscle Contraction Ability in Pregnant Women: The pelviTrust Trial.Healthcare (Basel, Switzerland) · 2026Article
- Physical Activity During Pregnancy: Associations Between Levels and Types of Physical Activity and Low Back Pain-Related Disability in Portuguese Pregnant Women.International journal of environmental research and public health · 2026Article
- Knowledge, Attitudes, Practices, and Illness Perception of Female Outpatients With Chronic Pelvic Pain.Pain research & management · 2026Article
- What do women value in a maternal education app? A sequential mixed-methods study on user perspectives of EMAeHealth.European journal of midwifery · 2026Article
- Prevalence of and factors associated with obesity during pregnancy in Ireland 2013-2022: a retrospective observational study from a large tertiary maternity hospital.BMJ public health · 2026Article
- The value of pregnancy-related factors in the prediction of cardiovascular disease: a systematic review.International journal of cardiology. Cardiovascular risk and prevention · 2025Review
- Exploring we-talk as a relational measure for transformation of motivation in family genetic risk communication.SSM. Qualitative research in health · 2025Article
- "You Want to Eat Healthy, Especially When You're Pregnant. But Sometimes, It's Just Not Possible": Perceptions of Facilitators and Barriers to Healthy Food and Diet Practices During Pre-Conception and Pregnancy.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Clustering of non-medical risk factors and the association with duration of social care in pregnant women in highly vulnerable circumstances.European journal of public health · 2025Article
- Physical activity among Chinese pregnant women in the first trimester: A cross-sectional study.International journal of nursing sciences · 2025Article
- Pregnant Women's Knowledge of Pelvic Floor and Related Dysfunctions: A Scoping Review.Healthcare (Basel, Switzerland) · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTheoretical models have informed the understanding of pregnancy as a 'teachable moment' for health behaviour change. However, these models have not been developed specifically for, nor widely tested, in this population. Currently, no pregnancy-specific model of behaviour change exists, which is important given it is a unique yet common health event. This study aimed to assess the extent to which factors influencing antenatal behaviour change are accounted for by the COM-B model and Teachable Moments (TM) model and to identify which model is best used to understand behaviour change during pregnancy.
designTheoretical mapping exercise.
methodsA deductive approach was adopted; nine sub-themes identified in a previous thematic synthesis of 92 studies were mapped to the constructs of the TM and COM-B models. The sub-themes reflected factors influencing antenatal health behaviour.
findingsAll sub-themes mapped to the COM-B model constructs, whereas the TM model failed to incorporate three sub-themes. Missed factors were non-psychological, including practical and environmental factors, social influences, and physical pregnancy symptoms. In contrast to the COM-B model, the TM model provided an enhanced conceptual understanding of pregnancy as a teachable moment for behaviour change, however, neither model accounted for the changeable salience of influencing factors throughout the pregnancy experience.
conclusionsThe TM and COM-B models are both limited when applied within the context of pregnancy. Nevertheless, both models offer valuable insight that should be drawn upon when developing a pregnancy-specific model of behaviour change.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.