{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T04:49:41Z","timestamp":1788583781091,"version":"build-2803163510"},"reference-count":47,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,7,25]],"date-time":"2024-07-25T00:00:00Z","timestamp":1721865600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100011334","name":"Health Innovation, Investment and Research Office","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011334","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Evidence suggests that modulating the gut microbiota during pregnancy may help prevent gestational diabetes mellitus (GDM). The Healthy Gut Diet study is a complex behaviour change intervention co\u2010designed with women who have a lived experience of GDM. The aim of the study was to describe the development of the behaviour change dietary intervention, the Healthy Gut Diet.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study followed the process for designing behaviour change interventions using the Behaviour Change Wheel. Six researchers and 12 women with lived experience participated in online workshops to co\u2010design the Healthy Gut Diet intervention. This included \u201cdiagnosing\u201d the barriers and enablers to two target behaviours: eating more plant foods and eating less ultra processed\/saturated fat containing foods. Content analysis of the workshop transcripts and activities was undertaken, underpinned by the Capability, Opportunity, Motivation and Behaviour (COM\u2010B) model and the Theoretical Domains Framework (TDF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Barriers and enablers to the target behaviours were described across all six COM\u2010B components and 10 TDF domains. The intervention functions for the Healthy Gut Diet were education, enablement, environmental restructuring, persuasion and incentivisation. Forty behaviour change techniques were integrated into five modes of delivery for the Healthy Gut Diet intervention. The feasibility, acceptability and effectiveness of the Healthy Gut Diet is being tested within a randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Using the Behaviour Change Wheel process in partnership with consumers resulted in a clearly described complex intervention targeting barriers and enablers of dietary behaviour change to improve the gut microbiota diversity in pregnant women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.13355","type":"journal-article","created":{"date-parts":[[2024,7,26]],"date-time":"2024-07-26T02:18:37Z","timestamp":1721960317000},"page":"1391-1406","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Designing a behaviour change intervention using COM\u2010B and the Behaviour Change Wheel: Co\u2010designing the Healthy Gut Diet for preventing gestational diabetes"],"prefix":"10.1111","volume":"37","author":[{"given":"Nina","family":"Meloncelli","sequence":"first","affiliation":[{"name":"Centre for Health Services Research, Faculty of Medicine, The University of Queensland Brisbane QLD Australia"},{"name":"Office of the Chief Allied Health Practitioner, Metro North Health Herston QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Centre for Health Services Research, Faculty of Medicine, The University of Queensland Brisbane QLD Australia"},{"name":"Dietetics and Foodservices Royal Brisbane and Women's Hospital, Metro North Health Herston QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"de Jersey","sequence":"additional","affiliation":[{"name":"Centre for Health Services Research, Faculty of Medicine, The University of Queensland Brisbane QLD Australia"},{"name":"Dietetics and Foodservices Royal Brisbane and Women's Hospital, Metro North Health Herston QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alita","family":"Rushton","sequence":"additional","affiliation":[{"name":"Office of the Chief Allied Health Practitioner, Metro North Health Herston QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey","family":"Pateman","sequence":"additional","affiliation":[{"name":"Centre for Allied Health Research, Royal Brisbane and Women's Hospital Herston QLD Australia"},{"name":"School of Dentistry, The University of Queensland Herston QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Gallaher","sequence":"additional","affiliation":[{"name":"Sunshine Coast QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Kearney","sequence":"additional","affiliation":[{"name":"School of Nursing, Midwifery and Social Work, The University of Queensland Brisbane QLD Australia"},{"name":"Women's and Newborn Service Group, Royal Brisbane and Women's Hospital Herston QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Department of Obstetric Medicine Mater Mothers Hospitals South Brisbane QLD Australia"},{"name":"School of Pharmacy, Faculty of Health and Behavioural Sciences, The University of Queensland Brisbane QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,25]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"World Health Organization.Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy.2013. 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