{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T16:53:12Z","timestamp":1793033592972,"version":"4.5.0"},"reference-count":36,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100025520","name":"Medical Research Future Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100025520","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001030","name":"National Heart Foundation of Australia","doi-asserted-by":"publisher","award":["108269-2024"],"award-info":[{"award-number":["108269-2024"]}],"id":[{"id":"10.13039\/501100001030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","valueinhealthjournal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Value in Health"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jval.2026.03.005","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T08:18:56Z","timestamp":1774599536000},"page":"1368-1375","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Distributional Cost-Effectiveness Analysis of Antenatal Lifestyle Interventions to Reduce the Incidence of Gestational Diabetes and Type-2 Diabetes"],"prefix":"10.1016","volume":"29","author":[{"given":"Melanie","family":"Lloyd","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheridan","family":"Rodda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jedidiah","family":"Morton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanan","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Callander","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Cookson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"Teede","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zanfina","family":"Ademi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.jval.2026.03.005_bib1","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.jval.2021.07.013","article-title":"A comparison of the cost-effectiveness of lifestyle interventions in pregnancy","volume":"25","author":"Bailey","year":"2021","journal-title":"Value Health"},{"issue":"2","key":"10.1016\/j.jval.2026.03.005_bib2","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1001\/jamainternmed.2021.6373","article-title":"Association of antenatal diet and physical activity\u2013based interventions with gestational weight gain and pregnancy outcomes: a systematic review and meta-analysis","volume":"182","author":"Teede","year":"2022","journal-title":"JAMA Intern Med"},{"issue":"20","key":"10.1016\/j.jval.2026.03.005_bib3","doi-asserted-by":"crossref","first-page":"2094","DOI":"10.1001\/jama.2021.4230","article-title":"Counseling and behavioral interventions for healthy weight and weight gain in pregnancy: evidence report and systematic review for the US Preventive Services Task Force","volume":"325","author":"Cantor","year":"2021","journal-title":"JAMA"},{"issue":"9","key":"10.1016\/j.jval.2026.03.005_bib4","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.30683","article-title":"Projected return on investment from implementation of a lifestyle intervention to reduce adverse pregnancy outcomes","volume":"5","author":"Lloyd","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"1","key":"10.1016\/j.jval.2026.03.005_bib5","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.jval.2020.10.001","article-title":"Distributional cost-effectiveness analysis comes of age","volume":"24","author":"Cookson","year":"2021","journal-title":"Value Health"},{"key":"10.1016\/j.jval.2026.03.005_bib6","series-title":"Distributional Cost-Effectiveness Analysis: Quantifying Health Equity Impacts and Trade-Offs","author":"Cookson","year":"2020"},{"issue":"1","key":"10.1016\/j.jval.2026.03.005_bib7","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1177\/0272989X15583266","article-title":"Distributional cost-effectiveness analysis: a tutorial","volume":"36","author":"Asaria","year":"2016","journal-title":"Med Decis Mak"},{"key":"10.1016\/j.jval.2026.03.005_bib8","doi-asserted-by":"crossref","DOI":"10.1016\/j.ypmed.2019.105879","article-title":"Universal or targeted cardiovascular screening? Modelling study using a sector-specific distributional cost effectiveness analysis","volume":"130","author":"Collins","year":"2020","journal-title":"Prev Med"},{"issue":"8","key":"10.1016\/j.jval.2026.03.005_bib9","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1007\/s40273-023-01281-8","article-title":"Distributional cost-effectiveness analysis of treatments for non-small cell lung cancer: an illustration of an aggregate analysis and its key drivers","volume":"41","author":"Meunier","year":"2023","journal-title":"Pharmacoeconomics"},{"issue":"4","key":"10.1016\/j.jval.2026.03.005_bib10","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1177\/1753495X231213920","article-title":"The impact of socioeconomic deprivation on the prevalence of gestational diabetes: an observational study","volume":"17","author":"Gnanasambanthan","year":"2024","journal-title":"Obstet Med"},{"issue":"6","key":"10.1016\/j.jval.2026.03.005_bib11","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1111\/ajo.13734","article-title":"Time trends and projections in the prevalence of gestational diabetes mellitus in Queensland, Australia, 2009-2030: evidence from the Queensland Perinatal Data Collection","volume":"63","author":"Alwash","year":"2023","journal-title":"Aust N Z J Obstet Gynaecol"},{"issue":"7","key":"10.1016\/j.jval.2026.03.005_bib12","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1016\/j.jval.2023.02.003","article-title":"Targeting diabetes prevention to more disadvantaged groups improves cost-effectiveness: implications of inequality in type 2 diabetes from theoretical interventions","volume":"26","author":"Morton","year":"2023","journal-title":"Value Health"},{"issue":"7","key":"10.1016\/j.jval.2026.03.005_bib13","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1007\/s00125-023-05897-5","article-title":"Long-term cost-effectiveness of implementing a lifestyle intervention during pregnancy to reduce the incidence of gestational diabetes and type 2 diabetes","volume":"66","author":"Lloyd","year":"2023","journal-title":"Diabetologia"},{"key":"10.1016\/j.jval.2026.03.005_bib14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12966-014-0134-8","article-title":"Limiting postpartum weight retention through early antenatal intervention: the HeLP-her randomised controlled trial","volume":"11","author":"Harrison","year":"2014","journal-title":"Int J Behav Nutr Phys Act"},{"issue":"12","key":"10.1016\/j.jval.2026.03.005_bib15","doi-asserted-by":"crossref","first-page":"4073","DOI":"10.3390\/jcm9124073","article-title":"The healthy pregnancy service to optimise excess gestational weight gain for women with obesity: a qualitative study of health professionals\u2019 perspectives","volume":"9","author":"Goldstein","year":"2020","journal-title":"J Clin Med"},{"issue":"6","key":"10.1016\/j.jval.2026.03.005_bib16","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1002326","article-title":"Modelled health benefits of a sugar-sweetened beverage tax across different socioeconomic groups in Australia: a cost-effectiveness and equity analysis","volume":"14","author":"Lal","year":"2017","journal-title":"PLOS Med"},{"issue":"4","key":"10.1016\/j.jval.2026.03.005_bib17","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1007\/s40258-023-00813-9","article-title":"Modelled distributional cost-effectiveness analysis of childhood obesity interventions: a demonstration","volume":"21","author":"Killedar","year":"2023","journal-title":"Appl Health Econ Health Policy"},{"key":"10.1016\/j.jval.2026.03.005_bib18","series-title":"Socio-economic Indexes for Areas (SEIFA), Australia","year":"2021"},{"issue":"6","key":"10.1016\/j.jval.2026.03.005_bib19","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1016\/j.jval.2025.02.016","article-title":"Quality-adjusted life expectancy by socioeconomic disadvantage and remoteness area; population norms for Australia","volume":"28","author":"Rodda","year":"2025","journal-title":"Value Health"},{"issue":"2","key":"10.1016\/j.jval.2026.03.005_bib20","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1007\/s40273-017-0585-2","article-title":"Estimating the reference incremental cost-effectiveness ratio for the Australian health system","volume":"36","author":"Edney","year":"2018","journal-title":"Pharmacoeconomics"},{"issue":"2","key":"10.1016\/j.jval.2026.03.005_bib21","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1177\/0272989X20904360","article-title":"Estimating social variation in the health effects of changes in health care expenditure","volume":"40","author":"Love-Koh","year":"2020","journal-title":"Med Decis Mak"},{"key":"10.1016\/j.jval.2026.03.005_bib22","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2024.117495","article-title":"Aversion to income, ethnic, and geographic related health inequality: evidence from Australia","volume":"364","author":"Boujaoude","year":"2025","journal-title":"Soc Sci Med"},{"issue":"6","key":"10.1016\/j.jval.2026.03.005_bib25","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.18031","article-title":"Key components of antenatal lifestyle interventions to optimize gestational weight gain: secondary analysis of a systematic review","volume":"6","author":"Harrison","year":"2023","journal-title":"JAMA Netw Open"},{"issue":"1","key":"10.1016\/j.jval.2026.03.005_bib26","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1186\/s12884-023-06158-4","article-title":"Antenatal care addressing gestational weight gain (GWG): a cross sectional study of pregnant women\u2019s reported receipt and acceptability of recommended GWG care and associated characteristics","volume":"24","author":"Hollis","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"issue":"3","key":"10.1016\/j.jval.2026.03.005_bib28","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1056\/NEJMoa1304501","article-title":"Body-mass index and mortality among adults with incident type 2 diabetes","volume":"370","author":"Tobias","year":"2014","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jval.2026.03.005_bib29","article-title":"Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomised trials","volume":"358","year":"2017","journal-title":"BMJ"},{"key":"10.1016\/j.jval.2026.03.005_bib30","article-title":"Progression to type 2 diabetes in women with a known history of gestational diabetes: systematic review and meta-analysis","volume":"369","author":"Vounzoulaki","year":"2020","journal-title":"BMJ"},{"issue":"4","key":"10.1016\/j.jval.2026.03.005_bib31","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1016\/j.jval.2014.03.003","article-title":"Review of utility values for economic modeling in type 2 diabetes","volume":"17","author":"Beaudet","year":"2014","journal-title":"Value Health"},{"issue":"2","key":"10.1016\/j.jval.2026.03.005_bib32","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s11892-020-1288-1","article-title":"Are lifestyle interventions to reduce excessive gestational weight gain cost effective? A systematic review","volume":"20","author":"Bailey","year":"2020","journal-title":"Curr Diabetes Rep"},{"key":"10.1016\/j.jval.2026.03.005_bib34","series-title":"Antenatal lifestyle interventions to reduce gestational weight gain: where should we start and how much will it cost? J Contrib","author":"Lloyd","year":"2025"},{"issue":"6","key":"10.1016\/j.jval.2026.03.005_bib35","doi-asserted-by":"crossref","first-page":"1750","DOI":"10.1093\/ajcn\/87.6.1750","article-title":"Combined associations of prepregnancy body mass index and gestational weight gain with the outcome of pregnancy","volume":"87","author":"Nohr","year":"2008","journal-title":"Am J Clin Nutr"},{"issue":"1","key":"10.1016\/j.jval.2026.03.005_bib36","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s12966-025-01719-6","article-title":"BMI or not to BMI? debating the value of body mass index as a measure of health in adults","volume":"22","author":"Byker Shanks","year":"2025","journal-title":"Int J Behav Nutr Phys Act"},{"issue":"3","key":"10.1016\/j.jval.2026.03.005_bib37","doi-asserted-by":"crossref","first-page":"e220773","DOI":"10.1001\/jamanetworkopen.2022.0773","article-title":"Effects of a lifestyle intervention to prevent deterioration in glycemic status among South Asian women with recent gestational diabetes: a randomized clinical trial","volume":"5","author":"Tandon","year":"2022","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.jval.2026.03.005_bib38","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12889-019-7850-6","article-title":"A review of the impact of financing mechanisms on maternal health care in Australia","volume":"19","author":"Fox","year":"2019","journal-title":"BMC Public Health"},{"key":"10.1016\/j.jval.2026.03.005_bib40","series-title":"Health technology assessment policy and methods review","year":"2025"},{"issue":"5","key":"10.1016\/j.jval.2026.03.005_bib41","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2025-099673","article-title":"Application of distributional cost-effectiveness analysis methodology in real-world studies: a scoping review protocol","volume":"15","author":"Francis","year":"2025","journal-title":"BMJ Open"}],"container-title":["Value in Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1098301526001051?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1098301526001051?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T20:45:53Z","timestamp":1786481153000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1098301526001051"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":36,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S1098301526001051"],"URL":"https:\/\/doi.org\/10.1016\/j.jval.2026.03.005","relation":{},"ISSN":["1098-3015"],"issn-type":[{"value":"1098-3015","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Distributional Cost-Effectiveness Analysis of Antenatal Lifestyle Interventions to Reduce the Incidence of Gestational Diabetes and Type-2 Diabetes","name":"articletitle","label":"Article Title"},{"value":"Value in Health","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jval.2026.03.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 International Society for Pharmacoeconomics and Outcomes Research, Inc. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}