<?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>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732022000100061</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v38i1.13064</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Intervenções educacionais baseadas na família para a autogestão da diabetes em adultos: revisão baseada na evidência]]></article-title>
<article-title xml:lang="en"><![CDATA[Family-based diabetes self-management education in adults: evidence-based review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Joaquim]]></surname>
<given-names><![CDATA[Natércia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[Tiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[Rui]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Algarve III - Sotavento USF Balsa ]]></institution>
<addr-line><![CDATA[Tavira ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade do Algarve Faculdade de Medicina e Ciências Biomédicas ]]></institution>
<addr-line><![CDATA[Faro ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,ACeS Algarve I - Central USF Mirante ]]></institution>
<addr-line><![CDATA[Olhão ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,ACeS Algarve III - Sotavento USF Balsa ]]></institution>
<addr-line><![CDATA[Tavira ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>28</day>
<month>02</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>28</day>
<month>02</month>
<year>2022</year>
</pub-date>
<volume>38</volume>
<numero>1</numero>
<fpage>61</fpage>
<lpage>72</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732022000100061&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732022000100061&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732022000100061&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo:  Nos últimos anos assistiu-se à mudança da abordagem da diabetes para uma estratégia que coloca o paciente e a sua família no centro da gestão dos cuidados. As intervenções educacionais são fundamentais para capacitar o diabético para o autocuidado adequado. Apesar de diversos estudos terem demonstrado impacto positivo da inclusão da família na gestão das doenças crónicas, pouca relevância tem sido dada às intervenções educacionais baseadas na família. Assim, o objetivo deste trabalho é fazer uma atualização da evidência sobre intervenções educacionais baseadas na família na autogestão da diabetes em adultos.  Métodos:  Efetuou-se uma pesquisa de artigos publicados entre janeiro de 2010 e dezembro de 2019 em língua inglesa, portuguesa ou espanhola, utilizando os termos Diabetes, Family-based Intervention e Self-care ou Self-management nas bases de dados de medicina baseada na evidência. Foram selecionados e analisados os artigos que avaliavam a efetividade de intervenções educacionais baseadas na família na autogestão da diabetes em populações adultas. A Strength Of Recommendation Taxonomy (SORT) foi utilizada para classificar a qualidade dos estudos e atribuir a força de recomendação.  Resultados:  Selecionaram-se três revisões sistemáticas, uma meta-análise e quatro ensaios clínicos aleatorizados, cujos resultados apontam para o facto de que, de modo geral, as intervenções baseadas na família apresentam benefícios em outcomes biológicos/clínicos, comportamentais e psicossociais. No entanto, estes estudos incluem uma grande diversidade de níveis de envolvimento da família, do modelo das intervenções educacionais e dos resultados avaliados.  Conclusões:  Apesar da evidência disponível ser ainda limitada, os estudos incluídos nesta revisão demonstraram benefícios das intervenções educacionais baseadas na família em outcomes de saúde. Assim, recomenda-se (SORT B) a participação dos doentes com as suas famílias em programas educacionais para a promoção da autogestão da diabetes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective:  In recent years, there has been a shift in diabetes approach to a strategy that places the patient and their family at the centre of care management. Educational interventions are essential to enable diabetic patients to practice appropriate self-care. Although several studies have shown a positive impact of family inclusion in the management of chronic diseases, little emphasis has been given to family-based educational interventions. Thus, this work aims to update the evidence on family-based diabetes self-management education in adult populations.  Methods:  We conducted a search for articles published between January 2010 and December 2019 in English, Portuguese or Spanish, using the terms diabetes, family-based interventions and self-care or self-management, in the evidence-based medicine databases. Articles that assessed the effectiveness of family-based diabetes self-management education in adult populations were selected and analysed. The Strength of Recommendation Taxonomy (SORT) was used to classify the studies&#8217; quality and assign the recommendations&#8217; strength.  Results:  Three systematic reviews, one meta-analysis and four randomized clinical trials were selected. In general, the results indicate that family-based diabetes interventions have benefits in biological/clinical, behavioural, and psychosocial outcomes. However, these studies include a wide range of levels of family involvement, model of educational interventions and results assessed.  Conclusions:  Although the available evidence is still limited, the studies included in this review show benefits of the family-based diabetes interventions in health outcomes. Therefore, we recommend patients&#8217; participation with their families in family-based diabetes self-management education programs (SORT B).]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Diabetes]]></kwd>
<kwd lng="pt"><![CDATA[Autogestão]]></kwd>
<kwd lng="pt"><![CDATA[Intervenções baseadas na família.]]></kwd>
<kwd lng="en"><![CDATA[Diabetes]]></kwd>
<kwd lng="en"><![CDATA[Self-management]]></kwd>
<kwd lng="en"><![CDATA[Family-based interventions.]]></kwd>
</kwd-group>
</article-meta>
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