Table 3 Barriers and facilitators to participation in and delivery of RESPOND, mapped to the COM-B Framework

Capability: physical and psychological capacity to engage in the behaviour

Barrier

• Complex health situation^CR

• Lack of prior knowledge or training for delivery of specific RESPOND components^I

Facilitator

• Increased awareness of falls risk factors and their management strategies^FG

• Medical clearance to commence exercise program^CR

• Prior work experience or training in certain aspects of RESPOND^I

Opportunity: external factors that make the behaviour possible

Barrier

• Complex social situations^CR

• Insufficient time^CR

• RESPOND recommendations not supported by participant’s primary healthcare provider^{CR, FG}

• Participants’ competing priorities (health and social)^I

• Participants’ lack of perceived relevance^I

Facilitator

• Access to transport^CR

• Adequate time^CR

• Financially viable^CR

• Services readily available^CR

• Supportive primary healthcare provider^FG

• RESPOND education pamphlets as basis for intervention sessions^I

• Participants’ perceived relevance^I

Motivation: brain processes that direct behaviour, such as decision-making, habitual processes and emotional responses

Barrier

• Lack of perceived relevance^{CR, FG}

• Clinical decision-making within the constraints of the RCT^I

Facilitator

• Support from RESPOND clinician^{CR, FG}

• Perceived personal relevance^{CR, FG}

• Positively-framed health messages^FG

• Participatory decision-making^FG

• Peer support^I

• Person-centred approach^I

• Rapport with participant^I

• Positively-framed health messages^I