{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T16:58:49Z","timestamp":1781715529112,"version":"3.54.5"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"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":["Women's Health Reports"],"published-print":{"date-parts":[[2025,4,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effectiveness of the information\u2013motivation\u2013behavioral skills (IMB) model-based nursing intervention in improving maternal and neonatal outcomes in patients with gestational diabetes mellitus (GDM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 240 pregnant women with GDM were enrolled and randomly assigned to either the IMB group or the traditional health education group between June 2023 and May 2024. The IMB group received a 6-week intervention incorporating information support, motivational enhancement, and behavioral skill development. The control group received standard health education. Outcomes assessed included fasting plasma glucose (FPG), glycosylated hemoglobin (HbA1c), insulin treatment rates, adverse delivery outcomes, and postpartum glucose metabolism abnormalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The IMB group showed a significant reduction in FPG from 8.05 mmol\/L (145.05 mg\/dL) to 4.95 mmol\/L (89.19 mg\/dL) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) and HbA1c from 6.60% to 4.98% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) postintervention, compared with the control group\u2019s reduction to 6.00 mmol\/L (108.11 mg\/dL) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) and 5.78% (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001), respectively. The rate of insulin treatment was 2.5% in the IMB group versus 13.3% in the control group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.003). The IMB group had a lower cesarean section rate (15.0% vs. 40.0%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) and neonatal respiratory distress syndrome incidence (1.67% vs. 10.0%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.007). Postpartum, the IMB group exhibited a lower total incidence of abnormal glucose metabolism (12.5%) compared to the control group (25.0%,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The IMB model-based nursing intervention was more effective in managing blood glucose levels, reducing the need for insulin therapy, and improving both maternal and neonatal outcomes compared to traditional health education. This intervention may offer a promising approach to enhance the care of women with GDM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26884844251380133","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T08:24:56Z","timestamp":1758875096000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of the Information\u2013Motivation\u2013Behavioral Skills Model-Based Nursing Intervention on Maternal and Neonatal Outcomes in Women with Gestational Diabetes Mellitus: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"6","author":[{"given":"Caihua","family":"Shao","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Aksu First People\u2019s Hospital, Aksu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunlian","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Aksu First People\u2019s Hospital, Aksu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xia","family":"Liu","sequence":"additional","affiliation":[{"name":"Cadre Health Care Department, Aksu First People\u2019s Hospital, Xinjiang, Aksu City, Aksu, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopha.2021.112183"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41574-022-00734-y"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-022-04712-0"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11356-022-24454-y"},{"key":"e_1_3_3_6_2","unstructured":"L\u00f3pez de Moragas L. 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A Comprehensive Review of Gestational Diabetes Mellitus: Impacts on Maternal Health, Fetal Development, Childhood Outcomes, and Long-Term Treatment Strategies. Cureus, 2023; 15(10):e47500.","journal-title":"Cureus"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.advnut.2024.100330"},{"issue":"6","key":"e_1_3_3_12_2","first-page":"284","article-title":"Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes","volume":"36","author":"Yen PH","year":"2019","unstructured":"Yen PH, , Leasure AR. Use and Effectiveness of the Teach-Back Method in Patient Education and Health Outcomes. 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