Understanding Capabilities, Opportunities, and Motivations of Walking for Physical Activity Among Adults With Intellectual Disabilities: A Qualitative Theory‐Based Study

Background This study aimed to apply the COM‐B model to understand the c apabilities, o pportunities, and m otivations for walking b ehaviour among adults with intellectual disabilities. Methods A qualitative study was conducted with adults (≥ 18 years) with mild to moderate intellectual disabilities living in Greater Glasgow using one‐to‐one interviews ( n = 12; women = 5) and a photo‐elicitation activity followed by a focus group discussion ( n = 5; women = 1). The framework approach to analysis allowed for the influences of walking to be mapped onto the COM‐B model. Results Walking is a complex behaviour with many capabilities, opportunities and motivations to consider. Adults with intellectual disabilities were involved in making decisions about what results should be prioritised. Conclusions The COM‐B model is a flexible framework that can be applied to understand health behaviours of adults with intellectual disabilities. It is imperative to work with adults with intellectual disabilities throughout the research process.