{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T02:18:11Z","timestamp":1783477091954,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T00:00:00Z","timestamp":1757203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T00:00:00Z","timestamp":1757203200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100012165","name":"Key Technologies Research and Development Program","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012165","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017594","name":"Medical Science and Technology Project of Zhejiang Province","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100017594","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2026,1]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n To evaluate the effects of a Health Belief Model\u2010based oral health management program on self\u2010efficacy, oral health behaviors, and three periodontal clinical indicators among pregnant women.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n \n A randomized controlled trial was conducted with 65 participants randomly allocated to the intervention (\n n<\/jats:italic>\n \u2009=\u200939) and control (\n n<\/jats:italic>\n \u2009=\u200926) groups. The intervention included one face\u2010to\u2010face education, three video calls, two online lectures, and regular follow\u2010up supervision in 1\u2009month, while the control group received one face\u2010to\u2010face education. Self\u2010efficacy for oral self\u2010care, three periodontal clinical indicators, and oral health behaviors were measured at baseline (T\n 0<\/jats:sub>\n ), post\u2010intervention (T\n 1<\/jats:sub>\n ), and 2\u2010month follow\u2010up (T\n 2<\/jats:sub>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The total and three domains' scores on the Self\u2010efficacy Scale for Self\u2010care in the intervention group increased appreciably (\n p<\/jats:italic>\n \u2009<\u20090.001). Oral health behaviors among the intervention group exhibited more remarkable improvement than the control group did at the two post\u2010baseline times (all\n p<\/jats:italic>\n \u2009<\u20090.05). The intervention group showed significantly higher scores in gingival index (\n p<\/jats:italic>\n \u2009=\u20090.021) and plaque index (\n p<\/jats:italic>\n \u2009=\u20090.001) than the control group at T\n 1<\/jats:sub>\n , while only plaque index scores were significantly different between the two groups at T\n 2<\/jats:sub>\n (\n p<\/jats:italic>\n \u2009<\u20090.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The findings demonstrated an effective educational strategy to promote self\u2010efficacy, oral health behaviors, and oral health status in pregnant women.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/odi.70076","type":"journal-article","created":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T19:09:29Z","timestamp":1757272169000},"page":"240-250","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effects of an Oral Health Management Program During Pregnancy: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"32","author":[{"given":"Piaopiao","family":"Chen","sequence":"first","affiliation":[{"name":"Otolaryngology & Head and Neck Center, Cancer Center, Department of Head and Neck Surgery Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College Hangzhou Zhejiang China"},{"name":"Department of Nursing Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College Hangzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mao","family":"Li","sequence":"additional","affiliation":[{"name":"Obstetrics Department The First Affiliated Hospital of Wenzhou Medical University Wenzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College Hangzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minxia","family":"Qiu","sequence":"additional","affiliation":[{"name":"Shangtang Street Community Health Service Center Hangzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6879-042X","authenticated-orcid":false,"given":"Xuefen","family":"Yu","sequence":"additional","affiliation":[{"name":"Stomatology Hospital, School of Stomatology Zhejiang, University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University Hangzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,9,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14703"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/idh.12564"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.19082\/5506"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.34172\/jrhs.2023.119"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms222111831"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.18332\/ejm\/172881"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bj.2018.12.001"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jped.2013.03.014"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2022.104253"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/2380084417731097"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12903-018-0681-5"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12188"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.13486"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/odi.12928"},{"key":"e_1_2_11_16_1","volume-title":"Health 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