{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T03:01:39Z","timestamp":1755226899690,"version":"3.43.0"},"reference-count":37,"publisher":"Wiley","license":[{"start":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T00:00:00Z","timestamp":1748044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["71904133"],"award-info":[{"award-number":["71904133"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To explore the perspectives of pregnant women with a history of gestational diabetes mellitus (GDM) on factors influencing preventive behaviours for GDM recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitative descriptive study was conducted through semi\u2010structured interviews with 30 pregnant women with a history of GDM. Interviews were recorded and transcribed verbatim and analysed using thematic analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study identified four major themes and 19 sub\u2010themes related to the prevention behaviors of GDM recurrence. These themes are as follows: Knowledge and Belief Levels include previous successful management experience, knowledge of recurrence prevention, awareness of the importance of GDM recurrence prevention, self\u2010efficacy, outcome expectancy, and risk perception. Self\u2010Regulation Skills and Abilities encompass goal setting, goal reconstruction, planning, self\u2010monitoring, self\u2010reflection, self\u2010evaluation, positive emotion adjustment, and self\u2010control. Social Environment involves social influence and social support. Accessibility of Personal Conditions includes physical health status, concurrent priorities, and physical environment accessibility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The study findings highlight that the level of knowledge on GDM recurrence prevention, self\u2010regulation ability, social support and accessibility of individual conditions are important influencing factors for women with a history of GDM to prevent GDM recurrence.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.70072","type":"journal-article","created":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T07:30:11Z","timestamp":1748071811000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perception of factors influencing preventive behaviours for the recurrence of gestational diabetes in women with a history of gestational diabetes during subsequent pregnancies: A qualitative study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6291-659X","authenticated-orcid":false,"given":"Leyang","family":"Liu","sequence":"first","affiliation":[{"name":"Capital Medical University School of Nursing  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-1249-8566","authenticated-orcid":false,"given":"Hua","family":"Liu","sequence":"additional","affiliation":[{"name":"Capital Medical University Beijing Obstetrics and Gynaecology Hospital  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5065-3056","authenticated-orcid":false,"given":"Weiwei","family":"Liu","sequence":"additional","affiliation":[{"name":"Capital Medical University School of Nursing  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,24]]},"reference":[{"issue":"1","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"S306","DOI":"10.2337\/dc25-S015","article-title":"15. Management of diabetes in pregnancy: standards of care in diabetes\u20132025","volume":"48","author":"American Diabetes Association Professional Practice Committee","year":"2025","journal-title":"Diab Care"},{"volume-title":"IDF Diabetes Atlas","year":"2021","author":"International Diabetes Federation","key":"e_1_2_13_3_1"},{"key":"e_1_2_13_4_1","doi-asserted-by":"crossref","DOI":"10.3389\/fendo.2022.960877","article-title":"The prevalence of gestational diabetes mellitus before and after the implementation of the universal two\u2010child policy in China","volume":"13","author":"Zhu H","year":"2022","journal-title":"Front Endocrinol (Lausanne)"},{"issue":"17","key":"e_1_2_13_5_1","doi-asserted-by":"crossref","DOI":"10.3390\/jcm10173904","article-title":"Prognosis associated with sub\u2010types of Hyperglycaemia in pregnancy","volume":"10","author":"Cosson E","year":"2021","journal-title":"J Clin Med"},{"issue":"6","key":"e_1_2_13_6_1","doi-asserted-by":"crossref","DOI":"10.3390\/ijms22062965","article-title":"Diabetes during pregnancy: a maternal disease complicating the course of pregnancy with long\u2010term deleterious effects on the offspring. A clinical review","volume":"22","author":"Ornoy A","year":"2021","journal-title":"Int J Mol Sci"},{"issue":"4","key":"e_1_2_13_7_1","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1111\/1753-0407.13263","article-title":"Subsequent perinatal outcomes of pregnancy with two consecutive pregnancies with gestational diabetes mellitus: a population\u2010based cohort study","volume":"14","author":"Guo Y","year":"2022","journal-title":"J Diab"},{"issue":"4","key":"e_1_2_13_8_1","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1007\/s00404-021-06024-8","article-title":"First pregnancy risk factors and future gestational diabetes mellitus","volume":"304","author":"Yoles I","year":"2021","journal-title":"Arch Gynecol Obstet"},{"issue":"1","key":"e_1_2_13_9_1","doi-asserted-by":"crossref","first-page":"24","DOI":"10.2337\/dc15-0511","article-title":"Gestational diabetes mellitus can Be prevented by lifestyle intervention: the Finnish gestational diabetes prevention study (RADIEL): a randomized controlled trial","volume":"39","author":"Koivusalo SB","year":"2015","journal-title":"Diab Care"},{"issue":"11","key":"e_1_2_13_10_1","doi-asserted-by":"crossref","first-page":"2650","DOI":"10.2337\/diacare.28.11.2650","article-title":"Postpartum physical activity and related psychosocial factors among women with recent gestational diabetes mellitus","volume":"28","author":"Smith BJ","year":"2005","journal-title":"Diab Care"},{"issue":"3","key":"e_1_2_13_11_1","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1097\/NUR.0b013e3181a42373","article-title":"Integrated theory of health behavior change: background and intervention development","volume":"23","author":"Ryan P","year":"2009","journal-title":"Clin Nurse Spec"},{"issue":"9","key":"e_1_2_13_12_1","doi-asserted-by":"crossref","first-page":"2047","DOI":"10.1111\/j.1365-2648.2011.05648.x","article-title":"Testing the integrated theory of health behaviour change for postpartum weight management","volume":"67","author":"Ryan P","year":"2011","journal-title":"J Adv Nurs"},{"issue":"12","key":"e_1_2_13_13_1","doi-asserted-by":"crossref","first-page":"4778","DOI":"10.1111\/jan.15759","article-title":"Predicting lymphedema self\u2010management behaviours in breast cancer patients: a structural equation model with the integrated theory of health behaviour change","volume":"79","author":"Shen A","year":"2023","journal-title":"J Adv Nurs"},{"issue":"7","key":"e_1_2_13_14_1","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000033017","article-title":"How to help aortic dissection survivors with recovery?: a health promotion program based on the comprehensive theory of health behavior change and literature review","volume":"102","author":"Lang X","year":"2023","journal-title":"Medicine (Baltimore)"},{"issue":"7","key":"e_1_2_13_15_1","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1080\/13557858.2023.2198683","article-title":"Using the integrated theory of health behavior change to assess factors affecting diabetes medication adherence among black adults during COVID\u201019: an explanatory sequential mixed methods design","volume":"28","author":"Rao D","year":"2023","journal-title":"Ethn Health"},{"issue":"11","key":"e_1_2_13_16_1","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1016\/j.ijnurstu.2010.06.004","article-title":"Generalization in quantitative and qualitative research: myths and strategies","volume":"47","author":"Polit DF","year":"2010","journal-title":"Int J Nurs Stud"},{"issue":"1","key":"e_1_2_13_17_1","first-page":"60","article-title":"An introduction to qualitative Health Research","volume":"72","author":"Luciani M","year":"2019","journal-title":"Prof Inferm"},{"issue":"6","key":"e_1_2_13_18_1","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32\u2010item checklist for interviews and focus groups","volume":"19","author":"Tong A","year":"2007","journal-title":"International J Qual Health Care"},{"key":"e_1_2_13_19_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2021.114523","article-title":"Sample sizes for saturation in qualitative research: a systematic review of empirical tests","volume":"292","author":"Hennink M","year":"2022","journal-title":"Soc Sci Med"},{"issue":"2","key":"e_1_2_13_20_1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun V","year":"2006","journal-title":"Qual Res Psychol"},{"issue":"4","key":"e_1_2_13_21_1","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1097\/DCC.0000000000000253","article-title":"Rigor or reliability and validity in qualitative research: perspectives, strategies, reconceptualization, and recommendations","volume":"36","author":"Cypress BS","year":"2017","journal-title":"Dimens Crit Care Nurs"},{"issue":"3","key":"e_1_2_13_22_1","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1111\/medu.14380","article-title":"Interpretive description: a flexible qualitative methodology for medical education research","volume":"55","author":"Thompson Burdine J","year":"2021","journal-title":"Med Educ"},{"issue":"5","key":"e_1_2_13_23_1","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1007\/s10488-013-0528-y","article-title":"Purposeful sampling for qualitative data collection and analysis in mixed method implementation research","volume":"42","author":"Palinkas LA","year":"2015","journal-title":"Adm Policy Ment Health"},{"issue":"20","key":"e_1_2_13_24_1","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1001\/jama.2013.281053","article-title":"World medical association declaration of Helsinki: ethical principles for medical research involving human subjects","volume":"310","author":"World Medical Association","year":"2013","journal-title":"JAMA"},{"issue":"5","key":"e_1_2_13_25_1","first-page":"25","article-title":"Factors and mental health issues in GDM Women's perspectives in a subsequent pregnancy after gestational diabetes","volume":"37","author":"Darwin Z","year":"2019","journal-title":"J Reprod Infant Psychol"},{"issue":"3","key":"e_1_2_13_26_1","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1080\/03630242.2024.2322130","article-title":"The effect of the training provided to primiparous pregnant women based on the model on pregnancy risk perception and health literacy","volume":"64","author":"\u015eenol DK","year":"2024","journal-title":"Women Health"},{"issue":"8","key":"e_1_2_13_27_1","doi-asserted-by":"crossref","first-page":"1062","DOI":"10.1080\/08870446.2018.1458983","article-title":"Self\u2010efficacy and planning strategies can improve physical activity levels in women with a recent history of gestational diabetes mellitus","volume":"33","author":"Pinidiyapathirage J","year":"2018","journal-title":"Psychol Health"},{"issue":"1","key":"e_1_2_13_28_1","doi-asserted-by":"crossref","DOI":"10.1080\/14767058.2022.2155045","article-title":"Attitudes of women with gestational diabetes toward diet and exercise: a qualitative study","volume":"36","author":"Smyth S","year":"2023","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"4","key":"e_1_2_13_29_1","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1007\/s11154-020-09610-4","article-title":"The experiences of pregnant women with gestational diabetes mellitus: a systematic review of qualitative evidence","volume":"22","author":"He J","year":"2021","journal-title":"Rev Endocr Metab Disord"},{"issue":"1","key":"e_1_2_13_30_1","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/s12877-021-02691-z","article-title":"Self\u2010management processes, sedentary behavior, physical activity and dietary self\u2010management behaviors: impact on muscle outcomes in continuing care retirement community residents","volume":"22","author":"Taani MH","year":"2022","journal-title":"BMC Geriatr"},{"issue":"5","key":"e_1_2_13_31_1","first-page":"96","article-title":"Perceptions and experiences of women with a history of gestational diabetes mellitus: a qualitative evidence synthesis","volume":"27","author":"Elomrani S","year":"2023","journal-title":"Afr J Reprod Health"},{"issue":"2","key":"e_1_2_13_32_1","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1111\/dme.13794","article-title":"A qualitative study exploring women's health behaviours after a pregnancy with gestational diabetes to inform the development of a diabetes prevention strategy","volume":"36","author":"Parsons J","year":"2019","journal-title":"Diabet Med"},{"issue":"3","key":"e_1_2_13_33_1","doi-asserted-by":"crossref","DOI":"10.3390\/nu15030487","article-title":"Supports and barriers to lifestyle interventions in women with gestational diabetes mellitus in Australia: a National Online Survey","volume":"15","author":"Sabag A","year":"2023","journal-title":"Nutrients"},{"issue":"3","key":"e_1_2_13_34_1","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1111\/scs.12655","article-title":"A qualitative study about the experiences of ethnic minority pregnant women with gestational diabetes","volume":"33","author":"Dayyani I","year":"2019","journal-title":"Scand J Caring Sci"},{"issue":"1","key":"e_1_2_13_35_1","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1186\/s12884-021-04089-6","article-title":"Postpartum dietary and physical activity\u2010related beliefs and behaviors among women with recent gestational diabetes mellitus: a qualitative study from Singapore","volume":"21","author":"Teh K","year":"2021","journal-title":"BMC Preg Childbirth"},{"issue":"4","key":"e_1_2_13_36_1","doi-asserted-by":"crossref","DOI":"10.3390\/nu10040408","article-title":"Iodine and pregnancy\u2010a qualitative study focusing on dietary guidance and information","volume":"10","author":"Bouga M","year":"2018","journal-title":"Nutrients"},{"issue":"5","key":"e_1_2_13_37_1","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1188\/14.ONF.545-547","article-title":"The use of triangulation in qualitative research","volume":"41","author":"Carter N","year":"2014","journal-title":"Oncol Nurs Forum"},{"issue":"3","key":"e_1_2_13_38_1","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.ogc.2020.04.002","article-title":"Gestational diabetes: importance of follow\u2010up screening for the benefit of long\u2010term health","volume":"47","author":"Thayer SM","year":"2020","journal-title":"Obstet Gynecol Clin North Am"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.70072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,24]],"date-time":"2025-05-24T07:30:17Z","timestamp":1748071817000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.70072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,24]]},"references-count":37,"alternative-id":["10.1111\/dme.70072"],"URL":"https:\/\/doi.org\/10.1111\/dme.70072","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"type":"print","value":"0742-3071"},{"type":"electronic","value":"1464-5491"}],"subject":[],"published":{"date-parts":[[2025,5,24]]},"assertion":[{"value":"2024-06-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70072"}}