{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T16:56:33Z","timestamp":1777913793147,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["West J Nurs Res"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>High-risk pregnancy requires effective self-management strategies to prevent adverse outcomes. Understanding the heterogeneity in pregnant women\u2019s self-management behaviors through latent profile analysis (LPA) may inform targeted interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>We sought to identify latent profiles of self-management behaviors among women with high-risk pregnancies and examine their associations with adverse pregnancy outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among high-risk pregnant women recruited from 2 tertiary maternal and child health hospitals in Heilongjiang, China. A total of 503 eligible participants completed questionnaires assessing demographic characteristics, clinical features, self-management behaviors, and preconception health behaviors. LPA was performed to identify distinct self-management patterns. Logistic regression analysis examined the influencing factors of profiles, and chi-squared tests were applied to examine differences in adverse pregnancy outcomes across profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Three distinct latent profiles were identified: \u201chigh-engagement type\u201d (38.6%), \u201ccompliant executors\u201d (36.4%), and \u201clow-engagement type\u201d (25.0%). Factors associated with class membership included preconception health behaviors, residential location, educational level, and history of chronic diseases. High-engagement type demonstrated significantly lower rates of adverse pregnancy outcomes than other classes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Women with high-risk pregnancies exhibit distinct patterns of self-management behaviors. Women classified as high-engagement type show superior pregnancy outcomes, suggesting the importance of comprehensive self-management interventions targeting all behavioral dimensions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01939459261420513","type":"journal-article","created":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T07:06:58Z","timestamp":1772262418000},"page":"529-538","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Latent Profile Analysis of Prenatal Self-Management Among High-Risk Pregnant Women and Its Association With Adverse Pregnancy Outcomes"],"prefix":"10.1177","volume":"48","author":[{"given":"Chen","family":"Dan","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Oilfield Hospital of Daqing, Heilongjiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wang","family":"Jinming","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Oilfield Hospital of Daqing, Heilongjiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Yajing","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Daqing People\u2019s Hospital, Heilongjiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liu","family":"He","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Daqing People\u2019s Hospital, Heilongjiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qin","family":"Tingting","sequence":"additional","affiliation":[{"name":"Department of Nursing, Harbin Medical University, Daqing, Heilongjiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4599-8885","authenticated-orcid":false,"given":"Zhang","family":"Jiayuan","sequence":"additional","affiliation":[{"name":"Department of Nursing, Harbin Medical University, Daqing, Heilongjiang Province, China"},{"name":"Key Laboratory of Basic Research and Health Management on Chronic Diseases in Heilongjiang Province, Harbin Medical University, Daqing, Heilongjiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2024.0276"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnur.2018.01.010"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103556"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000003891"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8860"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.8401"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2105\/ajph.2014.302041"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2021.103883"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2022.107579"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-023-05542-4"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2023.2254800"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.2147\/ijwh.S504365"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1017\/s1463423622000706"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-017-0575-4"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/nnr.0000000000000597"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/ccm.0000000000004710"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-068713"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.2147\/ijwh.S283216"},{"key":"e_1_3_3_20_2","unstructured":"Li J. 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