{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T02:01:11Z","timestamp":1784685671091,"version":"3.55.0"},"reference-count":51,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["72204064"],"award-info":[{"award-number":["72204064"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing &amp; Health Sciences"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Women with gestational diabetes mellitus (GDM) face significant challenges in adopting health\u2010promoting behaviors, yet the factors influencing these behaviors remain poorly understood. This study examined how e\u2010health literacy and social support affect health\u2010promoting behaviors in women with GDM, with particular attention to the mediating role of health locus of control. We conducted a cross\u2010sectional survey of 550 pregnant women with GDM recruited from two tertiary hospitals. Participants completed validated measures assessing e\u2010health literacy, social support, health locus of control, and health\u2010promoting behaviors. Data were analyzed using structural equation modeling. Both e\u2010health literacy and social support significantly influenced health\u2010promoting behaviors through both direct and indirect pathways. Health locus of control served as an important mediator in these relationships. These findings suggest that interventions combining e\u2010health literacy training, social support enhancement, and strategies to strengthen internal health locus of control may effectively promote healthy behaviors in women with GDM.<\/jats:p>","DOI":"10.1111\/nhs.70265","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T07:24:03Z","timestamp":1764055443000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Determinants of Gestational Diabetes Mellitus Pregnant Women's Health Promotion Behaviors Based on the Capability, Opportunity, Motivation\u2010Behavior Model"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4599-8885","authenticated-orcid":false,"given":"Zhang","family":"Jiayuan","sequence":"first","affiliation":[{"name":"Department of Psychological Nursing Harbin Medical University  Daqing Heilongjiang Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luo","family":"Xiaoxi","sequence":"additional","affiliation":[{"name":"Department of Psychological Nursing Harbin Medical University  Daqing Heilongjiang Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Yajing","sequence":"additional","affiliation":[{"name":"Department of Obstetrics Daqing People's Hospital  Daqing Heilongjiang Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3951-8213","authenticated-orcid":false,"given":"Zhou","family":"Yuqiu","sequence":"additional","affiliation":[{"name":"Department of Psychological Nursing Harbin Medical University  Daqing Heilongjiang Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000002501"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010023\u201017621\u20104"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012048.pub2"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12333"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19148309"},{"issue":"3","key":"e_1_2_11_7_1","first-page":"286","article-title":"Development and Performance Test of the Chinese Version of HPLP\u2010II Health Promotion Lifestyle Scale","volume":"20","author":"Cao Wenjun G. 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