Table 2 COM-B model (Michie et al., 2011) and related themes

Capability: “the individual's capacity to engage in the activity concerned”

Psychological capability: ‘the capacity to engage in the necessary thought processes e.g.: comprehension, reasoning, knowledge.’

1-Knowledge about the cause of psychosis (enabler)

2-The nature of the disease (barrier)

Physical capability: physical

skills to enact the behaviour. e.g.: skills, ability, proficiency acquired trough practice

3-Training need (barrier)

Opportunity: ‘the factors that lie outside of the individual that make behaviour possible or

prompt it’

Social opportunity: ‘afforded by the cultural milieu’ which ‘dictates the way we think about things. Eg: social influences, norms, conformity, social comparisons

4-Attitude and practice of CHWs (enabler)

5-Partnership (enabler)

6-Engage families in care pathway (enabler/barrier)

7-Stigma (barrier)

Motivation: ‘all those brain processes that energize and direct behavior’

Reflective motivation: ‘analytical decision-making’, ‘reflective processes (involving evaluation and plans)’ e.g.: beliefs about capability and consequences, roles, identity, intentions, goals

8-Lack of confidence (barrier)

Automatic motivation: ‘involving emotions and impulses that arise from associative learning and/or innate dispositions. E.g.: emotions, reinforcement such as rewards, incentives, punishments

9-Readiness of CHW to provide mental health care (enabler)