{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:06:45Z","timestamp":1777385205521,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,2,4]],"date-time":"2023-02-04T00:00:00Z","timestamp":1675468800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["NHLBI 1K23HL133604"],"award-info":[{"award-number":["NHLBI 1K23HL133604"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000030","name":"Centers of Disease Control and Prevention","doi-asserted-by":"crossref","award":["HHSD2002013M53968B"],"award-info":[{"award-number":["HHSD2002013M53968B"]}],"id":[{"id":"10.13039\/100000030","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000098","name":"NIH Clinical Center","doi-asserted-by":"publisher","award":["Colorado CTSA UL1 TR001082"],"award-info":[{"award-number":["Colorado CTSA UL1 TR001082"]}],"id":[{"id":"10.13039\/100000098","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000098","name":"NIH Clinical Center","doi-asserted-by":"publisher","award":["Harvard CTSA UL1TR002541"],"award-info":[{"award-number":["Harvard CTSA UL1TR002541"]}],"id":[{"id":"10.13039\/100000098","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Lifestyle Medicine"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    Few evidence-based programs exist to help women with a history of gestational diabetes reduce their risk of developing type 2 diabetes. In secondary analyses from a randomized clinical trial of a web-based lifestyle intervention program for postpartum women with recent gestational diabetes, we studied changes in self-efficacy for diet and physical activity and readiness to change health behaviors. Women were randomized at \u223c6\u00a0weeks postpartum and completed questionnaires at 6\u00a0weeks and 6, 12, 18, and 24\u00a0months. Our study included 181 women (mean age 32.4 \u00b1 5.2\u00a0years; 48% White, 19% Asian, 14% Black or African American, 17% other\/mixed race; 34% Hispanic). In a linear mixed effects model, women in the intervention had significantly greater improvement in overall self-efficacy scores for physical activity compared with the control group at 24\u00a0months (difference in change scores between groups .35, 95% CI: .03 to .67,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = .03). The intervention group also demonstrated significantly greater improvement in self-efficacy scores for both physical activity subdomains, specifically \u201csticking to it\u201d at 24\u00a0months and \u201cmaking time\u201d at 12\u00a0months. Participants in the intervention did not experience a significant difference in change in self-efficacy for diet or readiness to change compared with those in the control arm.\n                  <\/jats:p>","DOI":"10.1177\/15598276231155147","type":"journal-article","created":{"date-parts":[[2023,2,4]],"date-time":"2023-02-04T06:29:31Z","timestamp":1675492171000},"page":"385-395","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Self-Efficacy and Readiness to Change Among Women with Recent Gestational Diabetes Engaging in a Web-Based Lifestyle Intervention: The Balance After Baby Intervention Trial"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4840-0121","authenticated-orcid":false,"given":"Cara E.","family":"Saxon","sequence":"first","affiliation":[{"name":"University of Colorado"},{"name":"Brigham and Women\u2019s Hospital"},{"name":"University of Colorado School 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Medicine"},{"name":"Denver Health and Hospital Authority"},{"name":"Brigham and Women\u2019s Hospital"},{"name":"University of Colorado School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krithika","family":"Suresh","sequence":"additional","affiliation":[{"name":"University of Colorado"},{"name":"Brigham and Women\u2019s Hospital"},{"name":"University of Colorado School of Medicine"},{"name":"University of Colorado School of Medicine"},{"name":"Denver Health and Hospital Authority"},{"name":"Brigham and Women\u2019s Hospital"},{"name":"University of Colorado School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geraldine","family":"Skurnik","sequence":"additional","affiliation":[{"name":"University of Colorado"},{"name":"Brigham and Women\u2019s Hospital"},{"name":"University of Colorado School of Medicine"},{"name":"University of Colorado School of Medicine"},{"name":"Denver Health and Hospital Authority"},{"name":"Brigham 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