Skip to main content

Table 2 Scores and rank of more to less problematic aspects classified by TDF domains (N = 14) and sub-domains (N = 24)

From: Identifying barriers to the educational role of midwives in Cyprus and defining determinants in behaviour terms using the Behaviour Change Wheel: a mixed-method formative study

Domains (N = 14)

Items (N = 83)

Sub-domains (N = 24)

6-point Likert disagreement agreement scale

Sub-domain score (theor. range 1–6)

Rank (reverse)

Mean

SD

Mean

SD

 

Knowledge

Aware

Procedural knowledge & Role clarity (4 items)

5.46

0.78

5.43

0.60

20

Know

5.54

0.66

Familiar

5.25

0.94

Expected (role clarity)

5.46

0.78

Skills

Trained

Skills (4 items)

5.50

0.59

5.34

0.56

19

Skills

5.38

0.71

Practiced

5.25

0.85

Proficiency

5.25

0.74

Social/professional role and identity

Part of work

Professional role (4 items)

5.71

0.55

5.73

0.43

24

Job as midwife

5.71

0.55

Professional Responsibility

5.75

0.44

Consistent with profession

5.75

0.53

Beliefs about capabilities

Confident – even if participants not motivated

Self-efficacy (3 items)

5.04

0.81

5.28

0.63

17

Confident – when little time

5.25

0.85

Self-confident

5.54

0.66

Control

Perceived behavioural control (3 items)

4.38

1.41

4.81

0.83

10

Difficult-Easy

4.92

0.88

Impossible-Possible

5.13

0.95

Optimism

Expect best in uncertain times

Optimism (3 items)

5.13

0.99

5.32

0.66

18

Optimistic about the future

5.46

0.66

Expect more good than bad

5.38

0.71

Beliefs about consequences

Benefit mother–child health

Outcome expectancies (5 items)

5.79

0.41

5.43

0.48

21

Benefit public health

5.67

0.56

Disadvantages for relationship (reverse)

4.54

1.38

Satisfaction

5.63

0.58

Collaboration with professionals

5.54

0.72

Useless – useful

Attitudes (3 items)

5.58

1.10

5.72

0.57

23

Bad – Good

5.79

0.51

Not worthwhile—Worthwhile

5.79

0.51

Reinforcement

Financial reimbursement

Reinforcement (4 items)

2.38

1.58

4.49

0.65

5

Recognition from peers

4.71

1.12

Make a difference

5.21

0.88

Recognition from participants

5.67

0.48

Intentions

Next 10 appointments

Intention (4 items)

5.42

0.95

5.63

0.52

22

Determination

5.54

0.72

Intention

5.75

0.53

Strength of intention

5.79

0.51

Goals

Clear plan—Process

Priority (4 items)

5.17

0.76

3.98

0.67

4

Clear plan—Frequency

4.88

0.80

Higher priority (reverse)

2.79

1.25

More urgent (reverse)

3.08

1.02

Memory, attention and decision processes

Easy to remember

Memory and Attention (5 items)

4.92

0.93

4.76

0.70

9

Forget

4.96

1.23

Concentration

5.00

1.14

Distracting thoughts (reverse)

4.21

1.44

Attention focus

4.71

1.04

Environmental context and resources

Institutional financial support

Characteristic of socio-political context (4 items)

2.79

1.32

3.65

1.14

3

Good networks between parties

3.79

1.28

Fit with routine practice

4.13

1.45

Routine in organization

3.88

1.54

Enough time

Organizational resources (6 items)

3.50

1.32

3.31

0.99

1

Professional training

3.96

1.37

Necessary resources

3.04

1.37

Financial reimbursement

2.33

1.20

Sufficient material

3.75

1.39

Assistance

3.25

1.39

Motivation of participants

Characteristics of participants (2 items)

4.83

1.13

4.90

1.12

12

Positive response from participants

4.96

1.16

Social influences

Peer acceptance

Subjective norm (2 items)

5.17

0.87

5.17

0.86

14

Peer approval

5.17

0.87

Rely on team of professionals

Social support (4 items)

4.42

1.28

4.57

0.99

7

Colleagues are willing to listen

4.63

1.17

Helpful team of professionals

4.50

1.18

Rely on colleagues

4.75

1.03

Team of professionals do it

Descriptive norm (2 items)

4.46

1.22

4.56

1.07

6

Respected colleagues do it

4.67

1.17

Management support

Organizational support (3 items)

3.46

1.41

3.53

1.39

2

Management willing to listen

3.46

1.44

Helpful management

3.67

1.40

Emotion

Enjoy normal day-to-day activities

Stress (2 items)

4.83

1.05

4.63

0.85

8

Unhappy and depressed (reverse)

4.42

1.21

Inspired

Affect: Positive and negative emotions (2 items)

5.42

0.65

5.04

0.79

13

Nervous (reverse)

4.67

1.27

Behavioural regulation

Automatically

Automaticity (4 items)

5.29

1.04

5.21

0.81

16

Without thinking

5.13

0.99

Without having to consciously remember

5.29

1.00

Start before realize doing it

5.13

1.36

Track of overall progress

Self-monitoring (3 items)

5.21

0.88

5.18

0.77

15

Aware of day-to-day behaviour

5.00

0.78

Notice successes

5.33

0.87

Planning—when participants not motivated

Coping planning (3 items)

4.71

1.27

4.88

0.82

11

Planning -when little time

4.67

1.09

Planning – even if others do not do this

5.25

0.61

  1. Legend: The various TDF sub-domains (N = 24) are ranked in reverse order based on mean scores to reflect in ascending order more to less problematic areas related to midwives’ educational role