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

From: A mixed methods process evaluation of a person-centred falls prevention program

  Participant Behaviour = participation in RESPOND
Clinician Behaviour = delivery of RESPOND
Capability: physical and psychological capacity to engage in the behaviourBarrier• Complex health situationCR• Lack of prior knowledge or training for delivery of specific RESPOND componentsI
Facilitator• Increased awareness of falls risk factors and their management strategiesFG
• Medical clearance to commence exercise programCR
• Prior work experience or training in certain aspects of RESPONDI
Opportunity: external factors that make the behaviour possibleBarrier• Complex social situationsCR
• Insufficient timeCR
• RESPOND recommendations not supported by participant’s primary healthcare providerCR, FG
• Participants’ competing priorities (health and social)I
• Participants’ lack of perceived relevanceI
Facilitator• Access to transportCR
• Adequate timeCR
• Financially viableCR
• Services readily availableCR
• Supportive primary healthcare providerFG
• RESPOND education pamphlets as basis for intervention sessionsI
• Participants’ perceived relevanceI
Motivation: brain processes that direct behaviour, such as decision-making, habitual processes and emotional responsesBarrier• Lack of perceived relevanceCR, FG• Clinical decision-making within the constraints of the RCTI
Facilitator• Support from RESPOND clinicianCR, FG
• Perceived personal relevanceCR, FG
• Positively-framed health messagesFG
• Participatory decision-makingFG
• Peer supportI
• Person-centred approachI
• Rapport with participantI
• Positively-framed health messagesI
  1. Data source: CR Clinician records, FG Focus group (participants), I Interview (clinicians). This table is based on the COM-B framework [34]