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Table 5 Mapping of codes to themes from Theoretical Domains Framework (TDF) and COM-B system

From: Barriers and enablers to delivery of the Healthy Kids Check: an analysis informed by the Theoretical Domains Framework and COM-B model

Code assigned directly to transcripts from focus groups

Themes from TDF

COM-B system

Rationale for doing HKCs**

Knowledge

Psychological CAPABILITY

Memory-remembering to do HKCs/preventive

Memory, attention and decision processes

Growth and weight component of HKC**

Systems and prompts**

Behavioural regulation

Structure-logistics (how the clinic is run)***

Tax incentive issues prompting HKC

Standardisation of HKCs or components within

Medicare and item numbers

Immunisation or vaccination issues

Financial barriers (for practitioners)

Dental component of HKC**

Skills

Physical CAPABILITY

Eye or vision component of HKC**

Hearing component of HKC**

Child support network, e.g., childcare & kinder**

Social influences

Social OPPORTUNITY

Parent concern

Role of MCHN

Population screening

Socio-cultural issues

Resource allocation as equity/ethical concern**

Systems and prompts for HKCs**

Environmental context and resources

Physical OPPORTUNITY

Structure-opportunistic (appointments)**

Structure-logistics (how the clinic is run)***

Structure- IT

Space and resources including ‘Purple Book’

Time barrier

Dental component of HKC**

Beliefs about capabilities

MOTIVATION- Reflective

Eye or vision component of HKC**

Social & emotional health component of HKC***

GP knowledge and skills**

PN attitude and feelings**

PN knowledge and skills

Role of the PN**

PN attitude and feelings**

Professional role and identity

Role of the PN**

GP attitude and feelings

Role of GP

Social & emotional health component of HKC***

Child support network, e.g., childcare & kinder**

Motivation (to do HKC or preventive care)

Motivation and goals

Preventive healthcare

Rationale for doing HKCs**

Beliefs about consequences

Outcomes from HKCs

Early intervention

Bureaucracy and ‘red tape’ barriers

Social & emotional health component of HKC***

Growth and weight component of HKC**

Resource allocation as equity/ethical concern**

MOTIVATION-Automatic

Hearing component of HKC**

Nature of behaviours

Not included in COM-B model but each code is a duplicate

GP knowledge and skills**

Structure-logistics (how the clinic is run)***

Structure-opportunistic (appointments)**

  1. **mapped to two different themes from TDF; ***mapped to three different themes from TDF.