{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T09:14:24Z","timestamp":1777886064941,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007225","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["MOST 109\u20102410\u2010H\u2010715\u2010003\u2010MY2"],"award-info":[{"award-number":["MOST 109\u20102410\u2010H\u2010715\u2010003\u2010MY2"]}],"id":[{"id":"10.13039\/100007225","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Worldviews Ev Based Nurs"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Women with overweight or obesity tend to engage in low levels of exercise and face challenges in initiating and maintaining exercise throughout pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effectiveness of a peer\u2010led walking and mobile health (mHealth) app intervention on self\u2010efficacy and change in exercise behavior stage, based on the transtheoretical model (TTM), of women with overweight or obesity from pregnancy to one month postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The study was a randomized controlled trial with an experimental design. A total of 114 pregnant women (BMI \u2265\u200924\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      and gestation &lt;\u200916\u2009weeks) were recruited from prenatal clinics in Taiwan from July 2021 to May 2022. The intervention group (IG) received the peer\u2010led walking program with mHealth support, while the control group (CG) received standard antenatal care. Follow\u2010ups were conducted at 24\u201328\u2009weeks (T2), 36\u201340\u2009weeks (T3), and one month postpartum (T4).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The IG had significantly higher exercise self\u2010efficacy scores from T1 to T3 compared to the CG. IG participants showed notable progress in exercise behavior stages, transitioning from the contemplation stage at T1 to preparation and action stages at T2 (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200913.208,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), with some reaching the maintenance stage by T3 (20.9%,\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20099.49,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). In contrast, most of the CG participants remained at the contemplation stage throughout pregnancy to early postpartum.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Linking Evidence to Action<\/jats:title>\n                    <jats:p>The peer\u2010led walking intervention with mHealth has the potential to enhance self\u2010efficacy and promote sustained exercise behavior of women with overweight or obesity during and after pregnancy and is a valuable approach to establishing long\u2010term exercise behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      : NCT 05022680\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/wvn.70100","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T05:20:02Z","timestamp":1771564802000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Peer\u2010Led Walking With\n                    <scp>mHealth<\/scp>\n                    Technology on Exercise Behavior of Women With Overweight and Obesity From Pregnancy to Early Postpartum: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"23","author":[{"given":"Jian\u2010Pei","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Mackay Memorial Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7972-3495","authenticated-orcid":false,"given":"Hung Hui","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Medicine, National Taiwan University  Taipei Taiwan"},{"name":"Department of Nursing National Taiwan University Hospital, Hsin\u2010Chu Branch  Hsinchu Taiwan"},{"name":"College of Medicine National Taiwan University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1965-1909","authenticated-orcid":false,"given":"Ching\u2010Fang","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Nursing Mackay Medical University  New Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7985-5719","authenticated-orcid":false,"given":"Li\u2010Kang","family":"Chi","sequence":"additional","affiliation":[{"name":"Department of Physical Education National Taiwan Normal University  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4567-1014","authenticated-orcid":false,"given":"Jung\u2010 Mei","family":"Tsai","sequence":"additional","affiliation":[{"name":"School of Nursing Mackay Medical University  New Taipei Taiwan"},{"name":"Nursing Department MacKay Memorial Hospital  Taipei Taiwan"},{"name":"Department of Nursing MacKay Junior College of Medicine, Nursing, and Management  New Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pao\u2010Jen","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Dianthus MFM Clinic Minquan  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,19]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2019.00938"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0166254"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2024.1372062"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0137742"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2024.104143"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12813"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.7081\/nr.200006.0301"},{"key":"e_1_2_11_9_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005768\u2010199606000\u201000010"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010018\u20101816\u2010z"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/193170"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010023\u201003684\u20107"},{"key":"e_1_2_11_14_1","unstructured":"Health Promotion Administration M. 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