{"doi":"10.1177/15598276231155147","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","abstract":"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 ∼6 weeks postpartum and completed questionnaires at 6 weeks and 6, 12, 18, and 24 months. Our study included 181 women (mean age 32.4 ± 5.2 years; 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 months (difference in change scores between groups .35, 95% CI: .03 to .67, P = .03). The intervention group also demonstrated significantly greater improvement in self-efficacy scores for both physical activity subdomains, specifically “sticking to it” at 24 months and “making time” at 12 months. 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.","journal":"American Journal of Lifestyle Medicine","year":2023,"id":355495,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9514,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":374385,"name":"Ellen W. Seely","orcid":"0000-0002-4425-1878","position":1,"is_corresponding":false},{"id":1103882,"name":"Kaitlyn B. Bertin","orcid":null,"position":2,"is_corresponding":false},{"id":494289,"name":"Krithika Suresh","orcid":"0000-0001-7785-3536","position":3,"is_corresponding":false},{"id":1037392,"name":"Geraldine Skurnik","orcid":null,"position":4,"is_corresponding":false},{"id":995911,"name":"Andrea T. Roche","orcid":null,"position":5,"is_corresponding":false},{"id":969712,"name":"Claire Schultz","orcid":null,"position":6,"is_corresponding":false},{"id":785822,"name":"Rachel Blair","orcid":"0000-0002-1456-3336","position":7,"is_corresponding":false},{"id":502706,"name":"Jacinda M. Nicklas","orcid":"0000-0003-4418-5919","position":8,"is_corresponding":false},{"id":1103447,"name":"Cara E. Saxon","orcid":"0000-0002-4840-0121","position":0,"is_corresponding":true}],"reference_count":22,"raw_metadata":null,"created_at":"2026-07-19T01:13:16.394812Z","pmid":"41640988","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}