Table 3. Emergent COM-B components, sub-themes, and quotations from patient analysis
COM-B componentSub-themePatient quotation example
MotivationHP as facilitator/role of influence 'Aye, when he sort of brought it up [discussion on improving physical activity] I was, sort of, went home and I was thinking to myself, I was like my jeans are a bit tight on me. And I just started noticing things like that. Then I was like right I’m going to do something about it . Give myself something to aim for.' [Patient, 33 years, male] .'Think I’d be more encouraged to do something like that, them [HP] saying, you need to increase your walking . I would maybe say, okay, I’ll take the dogs out five days a week and that will increase my walking by two and a half times , or I’ll make sure I go for a walk every weekend for two and a half… And that’s something you would commit to, because the doctor has said to you, you’ve got to do that.' [Patient, 64 years, female]
Legitimacy of action 'I think it’s something I would be more inclined to try if I was sort of referred to it. I know that sounds ridiculous…I don’t know. It’s hard to put into words. I think it would just, it sounds silly, but I would just feel more justified in going along if I was being told to go basically. Although I know we, as human beings, hate being told to do things as well. Maybe not being absolutely dictated to that I had to go, but if I was referred to it, I’d feel it was just a more legitimate thing to do if that makes sense.' [Patient, 50 years, female]
HP manner and approach to topic 'I think, I think you have to sort of be careful on what you’re doing on that side of things. Because if you have got people that’s on a bit of a downer and that as well, then the fact that you’re sort of putting that across to them as well that “you need to lose a bit of weight or anything like that, then that could sort of trigger more off. You could get people going a way and they could start sulking more. And thinking that doctor’s called me fat . ' [Patient, 33 years, male]'I suppose, getting people… it’s putting the message across without making people feel guilty for not doing exercise, is one of the most important things.' [Patient, 43 years, female]
OpportunityProviding tangible option 'Having something tangible that the GP’s group can recommend, rather than, we think you should get a bit more physical activity . ' [Patient, 68 years, female]
Meet and greet 'A meet and greet might be good then I wouldn’t mind going along to that on my own. If there was maybe other people going at the same time I’d think, “oh, we’re all joining together that’d be fun. ” And the chances are you might see someone you recognise so that meet and greet might be okay.' [Patient, 63 years, female]
Need for social support (buddy system) 'I was going to say, not that I’ve ever been to Alcoholics Anonymous, I know I’ve got a bit of a food addiction, but I know they’ll have their sponsors. So maybe they could buddy up with somebody who really does take a keen interest in where you’re at, and wants to help you monitor your progress, motivate you, and all the rest of it, then that might be quite an idea.' [Patient, 50 years, female]
  • COM-B = capability, opportunity, motivation, behavioural model. HP = health professional.