<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1645-0086</journal-id>
<journal-title><![CDATA[Psicologia, Saúde & Doenças]]></journal-title>
<abbrev-journal-title><![CDATA[Psic., Saúde & Doenças]]></abbrev-journal-title>
<issn>1645-0086</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Psicologia da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1645-00862022000200441</article-id>
<article-id pub-id-type="doi">10.15309/22psd230212</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Obstáculos à adesão ao tratamento da diabetes tipo 1 - revisão sistemática]]></article-title>
<article-title xml:lang="en"><![CDATA[Obstacles to adherence to treatment of type 1 diabetes - systematic review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[Telma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Fernando Pessoa  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>23</volume>
<numero>2</numero>
<fpage>441</fpage>
<lpage>448</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1645-00862022000200441&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1645-00862022000200441&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1645-00862022000200441&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A diabetes é atualmente um dos principais problemas de saúde pública, dado ser uma das doenças crónicas mais frequentes no mundo. A presente revisão sistemática da literatura tem como objetivo identificar os obstáculos e os facilitadores à adesão ao tratamento recomendado em adultos com diabetes tipo 1. Método: A base de dados eletrónica consultada foi a B-on, com a seguinte combinação de descritores: &#8220;type 1 diabetes&#8221; AND &#8220;adults&#8221; AND &#8220;obstacles or difficulties or barriers&#8221; AND &#8220;self-care or self-management&#8221;. Resultados: Foram selecionados 9 artigos, relativos a estudos observacionais transversais, com adoção de métodos quantitativos e/ou qualitativos, publicados entre 2013 e 2020. Os estudos revelam que as atividades de autocuidado em relação às quais os adultos com diabetes tipo 1 referem mais frequentemente a presença de obstáculos são os domínios da alimentação e do exercício físico. Os facilitadores da adesão ao tratamento identificados são a acessibilidade, fatores ambientais, hábitos comportamentais, fatores individuais, vontade de prevenir o desenvolvimento de complicações e uso de dispositivos tecnológicos. Discussão: Um conhecimento mais alargado acerca dos obstáculos e facilitadores da adesão ao tratamento permitirá o planeamento de intervenções mais específicas e contribuirá para a implementação de melhorias nos serviços de saúde.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Diabetes is currently one of the main public health issues, as it is one of the most frequent chronic diseases around the world. This systematic bibliographical review aims to identify the obstacles and facilitators to adherence to the recommended treatment in adults with type 1 diabetes. Method: The electronic database consulted was b-on, with the following combination of descriptors: &#8220;type 1 diabetes&#8221; AND &#8220;adults&#8221; AND &#8220;obstacles, difficulties, or barriers&#8221; AND &#8220;self-care or self-management&#8221;. Results: 9 articles were selected, related to cross-sectional observational studies, with the adoption of quantitative and/or qualitative methods, published between 2013 and 2020. Studies reveal that the self-care activities in which adults with type 1 diabetes most frequently report the presence of obstacles are the domains of nutrition and physical exercise. The facilitators of treatment adherence identified are accessibility, environmental factors, behavioral habits, individual factors, desire to prevent the development of complications and use of technological devices. Discussion: A broader knowledge about the obstacles and facilitators of adherence to treatment will allow the planning of more specific interventions and will contribute to the implementation of improvements in health services.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Diabetes tipo 1]]></kwd>
<kwd lng="pt"><![CDATA[Adultos]]></kwd>
<kwd lng="pt"><![CDATA[Obstáculos]]></kwd>
<kwd lng="pt"><![CDATA[Tratamento]]></kwd>
<kwd lng="pt"><![CDATA[Adesão]]></kwd>
<kwd lng="en"><![CDATA[Type 1 diabetes]]></kwd>
<kwd lng="en"><![CDATA[Adults]]></kwd>
<kwd lng="en"><![CDATA[Obstacles]]></kwd>
<kwd lng="en"><![CDATA[Treatment]]></kwd>
<kwd lng="en"><![CDATA[Adherence]]></kwd>
</kwd-group>
</article-meta>
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