{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T14:04:29Z","timestamp":1790172269737,"version":"4.1.0"},"reference-count":60,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The Healthy Gut Diet Study (HGD) was a pilot randomized controlled trial aiming to prevent gestational diabetes mellitus (GDM) through a gut\u2010friendly diet from early to mid\u2010pregnancy (11\u201318\u2009weeks' gestation). The intervention was co\u2010designed with women with a lived experience of GDM and incorporated behaviour change techniques to support adherence to gut\u2010friendly dietary habits. This study aimed to investigate the enablers and barriers women faced in initiating and maintaining dietary behaviour changes during and after pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This qualitative study used semi\u2010structured interviews with women 12\u2009weeks postpartum who had been randomized to the intervention arm of the HGD study. Themes and subthemes were identified through an inductive reflexive thematic analysis. These were subsequently deductively mapped to the Theoretical Domains Framework, the COM\u2010B model\n                      <jats:italic>\/<\/jats:italic>\n                      the Behaviour Change Wheel and specific Behaviour Change Techniques.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seventeen interviews were conducted with participants with a mean age of 33 (SD 4.9) years, and 30% of whom were first\u2010time mothers. Five key themes were generated: (1) Empowering for Autonomy, (2) Building confidence and Competence, (3) Creating Capacity, (4) Navigating Physical Realities and (5) Sustaining Momentum. These themes each had their own descriptive sub\u2010themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pregnancy can serve as a \u201cteachable moment\u201d for dietary behaviour change, but sustainable behaviour change requires the use of person\u2010centred care, access to credible education, early initiation, continuous reinforcement and shared social support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bjhp.70083","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T06:41:57Z","timestamp":1779950517000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers and enablers to initiating and maintaining positive dietary changes during and after pregnancy\u2014A qualitative study of participants in the Healthy Gut Diet 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