{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:35:01Z","timestamp":1777944901518,"version":"3.51.4"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"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":["Womens Health (Lond Engl)"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Continuous educational programs based on the PRECEDE-PROCEED model are recommended for women with gestational diabetes to improve their knowledge and awareness of the condition. These programs should address individual, organizational, and healthcare-related factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This research aimed to evaluate the effect of a nursing approach based on the PRECEDE-PROCEED model on health behaviors and sleep quality among women with gestational diabetes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>This study is a quasi-experimental research (pre-posttest design for control and study groups).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study includes a purposive sample of 90 pregnant women. This study was carried out in obstetrics and gynecology outpatient clinic at Al-Basheer hospital in Jordan. Data were collected through face-to-face interviews using a structured questionnaire, the questionnaire incorporated constructs from the PRECEDE-PROCEED model, along with the health-promoting lifestyle profile-II and Pittsburgh sleep quality index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Following the intervention, participants in the study group achieved higher overall health-promoting lifestyle scores than those in the control group. The mean score in the intervention group was 97.02\u2009\u00b1\u200915.27, compared with 77.71\u2009\u00b1\u200911.55 in the control group, indicating a statistically significant difference. Significant improvements were also observed in key lifestyle domains, including nutrition (28.04\u2009\u00b1\u20095.52), physical activity (17.08\u2009\u00b1\u20093.34), and stress management (18.46\u2009\u00b1\u20092.69). In addition, sleep quality improved in the intervention group, as reflected by a reduction in the mean sleep disturbance score to 8.20\u2009\u00b1\u20092.65 compared with 11.24\u2009\u00b1\u20095.32 in the control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The PRECEDE-PROCEED model was effective in improving knowledge, attitude, sleep quality, and health behaviors among pregnant women diagnosed with gestational diabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261442707","type":"journal-article","created":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T11:19:58Z","timestamp":1777115998000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Maintaining a healthy lifestyle behaviors and quality of sleep based on the PRECEDE-PROCEED model among women with gestational diabetes in Jordan: A quasi-experimental study"],"prefix":"10.1177","volume":"22","author":[{"given":"Fatima Kamal","family":"Ali","sequence":"first","affiliation":[{"name":"Faculty of Nursing, Philadelphia University, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amira Mohamed Abdelfatah","family":"Abdelfatah","sequence":"additional","affiliation":[{"name":"College of Pharmacy, Nursing &amp; Medical Sciences, Riyadh Elm University, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5963-824X","authenticated-orcid":false,"given":"Rabia Hani","family":"Haddad","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Philadelphia University, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talal Bani","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Philadelphia University, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fathia Mahmoud AbdElmenim","family":"Sayed","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Port-Said University, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nashwa Saber","family":"Atia","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, Middle East University, Amman-Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9437-3304","authenticated-orcid":false,"given":"Ashraf Jehad","family":"Abuejheisheh","sequence":"additional","affiliation":[{"name":"Nursing Department, Faculty of Health Professions, Al-Quds University, Jerusalem, Palestine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4093\/dmj.2022.0348"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-024-06378-2"},{"key":"e_1_3_3_4_2","doi-asserted-by":"crossref","unstructured":"D\u0142uski DF Rusza\u0142a M Rudzi\u0144ski G et al. 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