Table 3 Overview of how themes of barriers and facilitators in promoting WMS fit within the COM-B and socioecological domains
COM-B | Framework | Subthemes | Concepts | Socioecological domain |
|---|---|---|---|---|
Capability | Physical | Training | No formal training, awareness | Provider-level |
Formal training, company, manager | System-level | |||
Routine lifestyle counselling | Lifestyle modification, diet, exercise, BMI | Provider-level | ||
Psychological | Expectations of fast-acting weight loss | Impatience, request for fast and effective products | Patient-level | |
Self-obtained information | Sales representatives, self-reading, online or printed materials | Provider-level | ||
Insufficient knowledge | Standard approach, plan | Provider level | ||
Opportunity | Physical | Lack of guidelines | Unaware of procedures, professional integrity | Provider-level |
Practicality and useful guidelines | Current practice, individuality | System-level | ||
Wide product range | Approach to WMS, lifestyle intervention | Provider-level | ||
Social | Service demand | Aesthetic, female, comorbidities, overweight | Patient-level | |
Stigma | Culture, rude, insensitive | Provider-level | ||
Motivation | Reflective | CPs’ extended role | History-taking, avoid drug-herb interactions | Provider-level |
Liaising with other health providers | Nutritionist, doctor, team platform, referral | System-level | ||
Automatic | Remuneration | Unwilling to pay for service, uncertified | Patient-level | |
Not for profit, free of charge, consultation | Provider-level | |||
Business aspect | Drive pharmacy sales | Provider-level | ||
General health improvement | Lifestyle management, health | Provider-level |