{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T19:23:32Z","timestamp":1740425012201,"version":"3.37.3"},"reference-count":56,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T00:00:00Z","timestamp":1740355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012246","name":"Priority Academic Program Development of Jiangsu Higher Education Institutions","doi-asserted-by":"publisher","award":["2018, No. 87"],"award-info":[{"award-number":["2018, No. 87"]}],"id":[{"id":"10.13039\/501100012246","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008832","name":"Nanjing Municipal Health Bureau","doi-asserted-by":"publisher","award":["YKK2214"],"award-info":[{"award-number":["YKK2214"]}],"id":[{"id":"10.13039\/501100008832","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec033\">\n<jats:title>Aims<\/jats:title>\n<jats:p>To develop and initially validate message framing materials for promoting healthy dietary decisions in GDM populations.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec034\">\n<jats:title>Methods<\/jats:title>\n<jats:p>The Delphi survey involved 17 experts, and consensus was obtained after two rounds. In Pre-survey I, 30 participants randomly selected one material (gain framing vs. loss framing) and complete a manipulation check item to ensure that the stimulus material manipulation was valid. Pre-survey II involved 60 participants who rated all messages using a Likert 5 rating questionnaire, a Wilcoxon signed rank sum test was used to examine the message framing effects.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec035\">\n<jats:title>Results<\/jats:title>\n<jats:p>After two rounds of Delphi surveys, experts reached consensus on the final materials, which contained two message framings, each containing 11 entries. The manipulation test for materials achieved 100% validity. The findings indicated significant message framing effects on healthy eating decisions among GDM populations, with loss-framed messages proving more persuasive.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec036\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Scientifically valid message framing materials were developed and initially applied, providing an empirical basis and direction for future related research.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0319416","type":"journal-article","created":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T18:29:38Z","timestamp":1740421778000},"page":"e0319416","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Message framing materials applied to healthy eating decision-making for pregnant women with gestational diabetes mellitus: An exploratory study"],"prefix":"10.1371","volume":"20","author":[{"given":"Xia","family":"Han","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuo","family":"Xu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sijing","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingjing","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6168-515X","authenticated-orcid":true,"given":"Ping","family":"Gu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,2,24]]},"reference":[{"issue":"5","key":"pone.0319416.ref001","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1210\/endrev\/bnac003","article-title":"A clinical update on gestational diabetes mellitus","volume":"43","author":"A Sweeting","year":"2022","journal-title":"Endocr Rev"},{"issue":"10","key":"pone.0319416.ref002","doi-asserted-by":"crossref","first-page":"3050","DOI":"10.3390\/nu12103050","article-title":"Diet and healthy lifestyle in the management of gestational diabetes mellitus","volume":"12","author":"L Rasmussen","year":"2020","journal-title":"Nutrients"},{"issue":"6","key":"pone.0319416.ref003","doi-asserted-by":"crossref","first-page":"1274","DOI":"10.3390\/nu14061274","article-title":"Adherence to clinical practice guideline recommendations in women with gestational diabetes and associations with maternal and infant health-a cohort study","volume":"14","author":"ST Mustafa","year":"2022","journal-title":"Nutrients"},{"key":"pone.0319416.ref004","first-page":"291","article-title":"Current status and influencing factors of self-management for gestational diabetes mellitus","volume":"39","author":"X Cheng","year":"2017","journal-title":"Zhejiang Med"},{"issue":"Suppl 1","key":"pone.0319416.ref005","doi-asserted-by":"crossref","first-page":"S23","DOI":"10.2337\/dc16-S006","article-title":"3. 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