{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T11:17:33Z","timestamp":1785151053048,"version":"3.55.0"},"reference-count":64,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:00:00Z","timestamp":1694044800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Aarhus University"},{"name":"Steno Diabetes Center Copenhagen"},{"name":"Face-it study"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Promoting diet and physical activity is important for women with recent gestational diabetes mellitus (GDM) and their partners to reduce the risk of future type 2 diabetes (T2D). The study aimed to understand how motivation for changing diet and physical activity behaviors among women with recent GDM and their partners was experienced after participation in the Danish Face-it intervention. Fourteen couples\u2019 interviews were conducted. Data analysis followed a reflexive thematic analysis. Guided by self-determination theory and interdependence theory, we identified four themes affecting couples\u2019 motivation for health behavior change: (1) The need to feel understood after delivery; (2) adjusting health expectations; (3) individual and mutual preferences for health behaviors; and (4) the health threat of future T2D as a cue to action. We found that couples in general perceived the Face-it intervention as useful and motivating. Using couple interviews increased our understanding of how the women and partners influenced each other\u2019s perspectives after a GDM-affected pregnancy and thus how targeting couples as opposed to women alone may motivate health behavior change.<\/jats:p>","DOI":"10.3390\/nu15183906","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T07:57:17Z","timestamp":1694159837000},"page":"3906","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Motivation for Behavior Change among Women with Recent Gestational Diabetes and Their Partners\u2014A Qualitative Investigation among Participants in the Face-It Intervention"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2156-7407","authenticated-orcid":false,"given":"Anne","family":"Timm","sequence":"first","affiliation":[{"name":"Health Promotion Research, Copenhagen University Hospital\u2014Steno Diabetes Center Copenhagen, 2730 Herlev, Denmark"},{"name":"Department of Public Health, Aarhus University, 8000 Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4058-0615","authenticated-orcid":false,"given":"Karoline","family":"Kragelund Nielsen","sequence":"additional","affiliation":[{"name":"Health Promotion Research, Copenhagen University Hospital\u2014Steno Diabetes Center Copenhagen, 2730 Herlev, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6109-7203","authenticated-orcid":false,"given":"Helle M\u00f6lsted","family":"Alvesson","sequence":"additional","affiliation":[{"name":"Department of Global Public Health, Karolinska Institutet, 17177 Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorte M\u00f8ller","family":"Jensen","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Odense, Odense University Hospital, 5000 Odense, Denmark"},{"name":"Department of Gynaecology and Obstetrics, Odense University Hospital, 5000 Odense, Denmark"},{"name":"Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, 5000 Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0525-7254","authenticated-orcid":false,"given":"Helle Terkildsen","family":"Maindal","sequence":"additional","affiliation":[{"name":"Health Promotion Research, Copenhagen University Hospital\u2014Steno Diabetes Center Copenhagen, 2730 Herlev, Denmark"},{"name":"Department of Public Health, Aarhus University, 8000 Aarhus, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,9,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"109119","DOI":"10.1016\/j.diabres.2021.109119","article-title":"IDF Diabetes Atlas: Global, Regional and Country-Level Diabetes Prevalence Estimates for 2021 and Projections for 2045","volume":"183","author":"Sun","year":"2021","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1038\/s41572-019-0098-8","article-title":"Gestational Diabetes Mellitus","volume":"5","author":"McIntyre","year":"2019","journal-title":"Nat. Rev. Dis. Prim."},{"key":"ref_3","unstructured":"(2021, July 26). Registry DMB F\u00f8dte og F\u00f8dsler. Available online: https:\/\/www.esundhed.dk\/Emner\/Graviditet-foedsler-og-boern\/Nyfoedte-og-foedsler-1997-."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1111\/obr.12645","article-title":"Long-Term Risk of Diabetes in Women at Varying Durations after Gestational Diabetes: A Systematic Review and Meta-Analysis with More than 2 Million Women","volume":"19","author":"Song","year":"2018","journal-title":"Obes. Rev."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Egan, A.M., Enninga, E.A.L., Alrahmani, L., Weaver, A.L., Sarras, M.P., and Ruano, R. (2021). Recurrent Gestational Diabetes Mellitus: A Narrative Review and Single-Center Experience. J. Clin. Med., 10.","DOI":"10.3390\/jcm10040569"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"340","DOI":"10.2337\/dc07-1596","article-title":"High Prevalence of Type 2 Diabetes and Pre-Diabetes in Adult Offspring of Women with Gestational Diabetes Mellitus or Type 1 Diabetes: The Role of Intrauterine Hyperglycemia","volume":"31","author":"Clausen","year":"2008","journal-title":"Diabetes Care"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"108625","DOI":"10.1016\/j.diabres.2020.108625","article-title":"The Absolute and Relative Risk of Type 2 Diabetes after Gestational Diabetes: A Systematic Review and Meta-Analysis of 129 Studies","volume":"171","author":"Dennison","year":"2021","journal-title":"Diabetes Res. Clin. Pract."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e130","DOI":"10.2337\/dc15-0855","article-title":"Gestational Diabetes Mellitus in Mothers as a Diabetes Predictor in Fathers: A Retrospective Cohort Analysis","volume":"38","author":"Dasgupta","year":"2015","journal-title":"Diabetes Care"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1111\/dme.12382","article-title":"Maternal Outcomes and Follow-up after Gestational Diabetes Mellitus","volume":"31","author":"Kim","year":"2014","journal-title":"Diabet Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"583","DOI":"10.3389\/fendo.2018.00583","article-title":"Lifestyle Intervention for the Prevention of Diabetes in Women with Previous Gestational Diabetes Mellitus: A Systematic Review and Meta-Analysis","volume":"9","author":"Goveia","year":"2018","journal-title":"Front. Endocrinol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e13122","DOI":"10.1111\/obr.13122","article-title":"Effects of Lifestyle Intervention on Long-Term Risk of Diabetes in Women with Prior Gestational Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","volume":"22","author":"Li","year":"2021","journal-title":"Obes. Rev."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1646","DOI":"10.1210\/jc.2014-3761","article-title":"The Effect of Lifestyle Intervention and Metformin on Preventing or Delaying Diabetes Among Women with and without Gestational Diabetes: The Diabetes Prevention Program Outcomes Study 10-Year Follow-Up","volume":"100","author":"Aroda","year":"2015","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1055\/s-0040-1722315","article-title":"Preventing Type 2 Diabetes in Women with Previous Gestational Diabetes: Reviewing the Implementation Gaps for Health Behavior Change Programs","volume":"38","author":"Lim","year":"2020","journal-title":"Semin. Reprod. Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1080\/17437199.2020.1718529","article-title":"A Meta-Analysis of Self-Determination Theory-Informed Intervention Studies in the Health Domain: Effects on Motivation, Health Behavior, Physical, and Psychological Health","volume":"15","author":"Ntoumanis","year":"2021","journal-title":"Health Psychol. Rev."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1080\/17437199.2016.1151372","article-title":"Theoretical Explanations for Maintenance of Behaviour Change: A Systematic Review of Behaviour Theories","volume":"10","author":"Kwasnicka","year":"2016","journal-title":"Health Psychol. Rev."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"h1258","DOI":"10.1136\/bmj.h1258","article-title":"Process Evaluation of Complex Interventions: Medical Research Council Guidance","volume":"350","author":"Moore","year":"2015","journal-title":"BMJ"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/dme.14081","article-title":"Women\u2019s Views on Screening for Type 2 Diabetes after Gestational Diabetes: A Systematic Review, Qualitative Synthesis and Recommendations for Increasing Uptake","volume":"37","author":"Dennison","year":"2020","journal-title":"Diabet. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e00248","DOI":"10.1002\/edm2.248","article-title":"Women\u2019s Perspectives on Motivational Factors for Lifestyle Changes after Gestational Diabetes and Implications for Diabetes Prevention Interventions","volume":"4","author":"Krogh","year":"2021","journal-title":"Endocrinol. Diabetes Metab."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.1177\/0890117117738210","article-title":"Translating Healthy Living Messages to Postpartum Women and Their Partners After Gestational Diabetes (GDM): Body Habitus, A1C, Lifestyle Habits, and Program Engagement Results from the Families Defeating Diabetes (FDD) Randomized Trial","volume":"32","author":"McManus","year":"2017","journal-title":"Am. J. Health Promot."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Brazeau, A.-S., Meltzer, S.J., Pace, R., Garfield, N., Godbout, A., Meissner, L., Rahme, E., Da Costa, D., and Dasgupta, K. (2018). Health Behaviour Changes in Partners of Women with Recent Gestational Diabetes: A Phase IIa Trial. BMC Public Health, 18.","DOI":"10.1186\/s12889-018-5490-x"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2297","DOI":"10.1016\/j.socscimed.2007.02.007","article-title":"Health Concordance within Couples: A Systematic Review","volume":"64","author":"Meyler","year":"2007","journal-title":"Soc. Sci. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1016\/S0277-9536(01)00253-2","article-title":"The Health Capital of Families: An Investigation of the Inter-Spousal Correlation in Health Status","volume":"55","author":"Wilson","year":"2002","journal-title":"Soc. Sci. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.atherosclerosis.2019.07.016","article-title":"Gestational Diabetes Mellitus in Mothers and Long Term Cardiovascular Disease in Both Parents: Results of over a Decade Follow-up of the Iranian Population","volume":"288","author":"Kabootari","year":"2019","journal-title":"Atherosclerosis"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1093\/aje\/kwx263","article-title":"Conjoint Associations of Gestational Diabetes and Hypertension with Diabetes, Hypertension, and Cardiovascular Disease in Parents: A Retrospective Cohort Study","volume":"186","author":"Pace","year":"2017","journal-title":"Am. J. Epidemiol."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Almli, I., Haugdahl, H.S., Sands\u00e6ter, H.L., Rich-Edwards, J.W., and Horn, J. (2020). Implementing a Healthy Postpartum Lifestyle after Gestational Diabetes or Preeclampsia: A Qualitative Study of the Partner\u2019s Role. BMC Pregnancy Childbirth, 20.","DOI":"10.1186\/s12884-020-2769-6"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1007\/s12160-010-9170-z","article-title":"MobileMums: A Randomized Controlled Trial of an SMS-Based Physical Activity Intervention","volume":"39","author":"Fjeldsoe","year":"2010","journal-title":"Ann. Behav. Med."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"McGirr, C., Rooney, C., Gallagher, D., Dombrowski, S.U., Anderson, A.S., Cardwell, C.R., Free, C., Hoddinott, P., Holmes, V.A., and McIntosh, E. (2020). Text Messaging to Help Women with Overweight or Obesity Lose Weight after Childbirth: The Intervention Adaptation and SMS Feasibility RCT, NIHR Journals Library. Public Health Research.","DOI":"10.3310\/phr08040"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"767","DOI":"10.3389\/fendo.2019.00767","article-title":"Health Professionals\u2019 and Postpartum Women\u2019s Perspectives on Digital Health Interventions for Lifestyle Management in the Postpartum Period: A Systematic Review of Qualitative Studies","volume":"10","author":"Lim","year":"2019","journal-title":"Front. Endocrinol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1186\/s13063-020-4062-4","article-title":"Protocol for a Randomised Controlled Trial of a Co-Produced, Complex, Health Promotion Intervention for Women with Prior Gestational Diabetes and Their Families: The Face-It Study","volume":"21","author":"Nielsen","year":"2020","journal-title":"Trials"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Maindal, H.T., Timm, A., Dahl-Petersen, I.K., Davidsen, E., Hillersdal, L., Jensen, N.H., Th\u00f8gersen, M., Jensen, D.M., Ovesen, P., and Damm, P. (2021). Systematically Developing a Family-Based Health Promotion Intervention for Women with Prior Gestational Diabetes Based on Evidence, Theory and Co-Production: The Face-It Study. BMC Public Health, 21.","DOI":"10.1186\/s12889-021-11655-2"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e19172","DOI":"10.2196\/19172","article-title":"Evaluation of the Clinical and Economic Effects of a Primary Care Anchored, Collaborative, Electronic Health Lifestyle Coaching Program in Denmark: Protocol for a Two-Year Randomized Controlled Trial","volume":"9","author":"Brandt","year":"2020","journal-title":"JMIR Res. Protoc."},{"key":"ref_32","unstructured":"Jensen, N.H., Kragelund Nielsen, K., Dahl-Petersen, I.K., Timm, A., O\u2019Reilly, S., Maindal, H.T., and On behalf of the core investigator group Fidelity of the Face-It Health Promotion Intervention for Women with Recent Gestational Diabetes and Their Partners, unpublished."},{"key":"ref_33","unstructured":"Rootman, I., Goodstadt, M., Hyndman, B., McQueen, D.V., Potvin, L., Springett, J., and Ziglio, E. (2001). Evaluation in Health Promotion: Principles and Perspectives, Regional Office for Europe."},{"key":"ref_34","first-page":"168","article-title":"The Use of Theory in Process Evaluations Conducted alongside Randomized Trials of Implementation Interventions: A Systematic Review","volume":"10","author":"McIntyre","year":"2018","journal-title":"Transl. Behav. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1037\/0003-066X.55.1.68","article-title":"Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social Development, and Well-Being","volume":"55","author":"Ryan","year":"2000","journal-title":"Am. Psychol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1016\/j.socscimed.2005.08.006","article-title":"Understanding Health Behavior Change among Couples: An Interdependence and Communal Coping Approach","volume":"62","author":"Lewis","year":"2006","journal-title":"Soc. Sci. Med."},{"key":"ref_37","first-page":"6","article-title":"Gestational Diabetes Mellitus (GDM)","volume":"1","author":"Damm","year":"2014","journal-title":"Screen. Diagn."},{"key":"ref_38","unstructured":"World Health Organization (2013). WHO Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy."},{"key":"ref_39","unstructured":"Damm, P., Ovesen, P., Andersen, L., M\u00f8ller, M., Fischer, L., and Mathiesen, E. (2010). Clinical Guidelines for Gestational Diabetes Mellitus (GDM), Screening, Diagnosis Criteria, Treatment and Control and Follow-Up after Birth."},{"key":"ref_40","unstructured":"(2021). The Danish Health Auhority Recommendations for Maternity Care [Anbefalinger for Svangreomsorgen]."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Olesen, C.R., Nielsen, J.H., Mortensen, R.N., B\u00f8ggild, H., Torp-Pedersen, C., and Overgaard, C. (2014). Associations between Follow-up Screening after Gestational Diabetes and Early Detection of Diabetes\u2014A Register Based Study. BMC Public Health, 14.","DOI":"10.1186\/1471-2458-14-841"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1046\/j.1365-2648.2001.01845.x","article-title":"Methodological Issues in Interviewing Families in Family Nursing Research","volume":"35","author":"Paavilainen","year":"2001","journal-title":"J. Adv. Nurs."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e15110","DOI":"10.1111\/dme.15110","article-title":"Acceptability and Adoption of the Face-It Health Promotion Intervention Targeting Women with Prior Gestational Diabetes and Their Partners: A Qualitative Study of the Perspectives of Healthcare Professionals","volume":"40","author":"Timm","year":"2023","journal-title":"Diabet. Med."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","article-title":"Reflecting on Reflexive Thematic Analysis","volume":"11","author":"Braun","year":"2019","journal-title":"Qual. Res. Sport Exerc. Health"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1177\/0735275112457914","article-title":"Theory Construction in Qualitative Research: From Grounded Theory to Abductive Analysis","volume":"30","author":"Timmermans","year":"2012","journal-title":"Sociol. Theory"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1186\/s40900-018-0136-9","article-title":"Framework, Principles and Recommendations for Utilising Participatory Methodologies in the Co-Creation and Evaluation of Public Health Interventions","volume":"5","author":"Leask","year":"2019","journal-title":"Res. Involv. Engagem."},{"key":"ref_47","unstructured":"QSR International Pty Ltd (2021, July 26). NVivo; 2020. Available online: https:\/\/www.qsrinternational.com\/nvivo-qualitative-data-analysis-software\/home."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1177\/1468794112459671","article-title":"\u2018Am I Rambling?\u2019 On the Advantages of Interviewing Couples Together","volume":"14","author":"Farstad","year":"2014","journal-title":"Qual. Res."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated Criteria for Reporting Qualitative Research (COREQ): A 32-Item Checklist for Interviews and Focus Groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"100877","DOI":"10.1016\/j.pmedr.2019.100877","article-title":"Exploring the Effectiveness of Physical Activity Interventions in Women with Previous Gestational Diabetes: A Systematic Review of Quantitative and Qualitative Studies","volume":"14","author":"Buelo","year":"2019","journal-title":"Prev. Med. Rep."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"e13359","DOI":"10.1111\/obr.13359","article-title":"Strategies to Promote Health Behaviors in Parents with Small Children\u2014A Systematic Review and Realist Synthesis of Behavioral Interventions","volume":"23","author":"Timm","year":"2022","journal-title":"Obes. Rev."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"e14945","DOI":"10.1111\/dme.14945","article-title":"Barriers to and Enablers of Postpartum Health Behaviours among Women from Diverse Cultural Backgrounds with Prior Gestational Diabetes: A Systematic Review and Qualitative Synthesis Applying the Theoretical Domains Framework","volume":"39","author":"Neven","year":"2022","journal-title":"Diabet. Med."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1002\/hpja.668","article-title":"Informing a Healthy Eating and Physical Activity Program to Decrease Postnatal Weight Retention: What Are Women Experiencing and What Type of Program Do They Want?","volume":"34","author":"Wilkinson","year":"2023","journal-title":"Health Promot. J. Austr."},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Greenhalgh, T., Wherton, J., Papoutsi, C., Lynch, J., Hughes, G., A\u2019Court, C., Hinder, S., Procter, R., and Shaw, S. (2018). Analysing the Role of Complexity in Explaining the Fortunes of Technology Programmes: Empirical Application of the NASSS Framework. BMC Med., 16.","DOI":"10.1186\/s12916-018-1050-6"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"100424","DOI":"10.1016\/j.obmed.2022.100424","article-title":"Predictors of Online vs. in-Person Preference for Lifestyle Change Programs among Women with a History of Gestational Diabetes Mellitus (GDM)","volume":"33","author":"Golob","year":"2022","journal-title":"Obes. Med."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1111\/dme.13926","article-title":"Women\u2019s Views on Lifestyle Changes to Reduce the Risk of Developing Type 2 Diabetes after Gestational Diabetes: A Systematic Review, Qualitative Synthesis and Recommendations for Practice","volume":"36","author":"Dennison","year":"2019","journal-title":"Diabet. Med."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/S0749-3797(02)00484-1","article-title":"Mediators of Physical Activity Behavior Change among Women with Young Children","volume":"23","author":"Miller","year":"2002","journal-title":"Am. J. Prev. Med."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"335","DOI":"10.2337\/ds21-0056","article-title":"Association of Type 2 Diabetes Risk Perception with Interest in Diabetes Prevention Strategies Among Women with a History of Gestational Diabetes","volume":"35","author":"Vu","year":"2022","journal-title":"Diabetes Spectr."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"2281","DOI":"10.2337\/dc07-0618","article-title":"Risk Perception for Diabetes Among Women with Histories of Gestational Diabetes Mellitus","volume":"30","author":"Kim","year":"2007","journal-title":"Diabetes Care"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1111\/dme.13794","article-title":"A Qualitative Study Exploring Women\u2019s Health Behaviours after a Pregnancy with Gestational Diabetes to Inform the Development of a Diabetes Prevention Strategy","volume":"36","author":"Parsons","year":"2019","journal-title":"Diabet. Med."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1111\/1467-9566.00262","article-title":"Normality, Risk and the Future: Implicit Communication of Threat in Health Surveillance","volume":"23","author":"Sachs","year":"2001","journal-title":"Sociol. Health Illn."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1016\/j.socscimed.2012.04.019","article-title":"The Promotion of Unhealthy Habits in Gay, Lesbian, and Straight Intimate Partnerships","volume":"75","author":"Reczek","year":"2012","journal-title":"Soc. Sci. Med."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1177\/1049732303255686","article-title":"Validation of Qualitative Research in the \u201cReal World\u201d","volume":"13","author":"Pyett","year":"2003","journal-title":"Qual. Health Res."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1080\/08870446.2010.540664","article-title":"A Refined Taxonomy of Behaviour Change Techniques to Help People Change Their Physical Activity and Healthy Eating Behaviours: The CALO-RE Taxonomy","volume":"26","author":"Michie","year":"2011","journal-title":"Psychol. 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