<?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>S2182-51732025000400326</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v41i4.14002</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Adaptação e validação do instrumento Attitudes About Complex Therapy Scale para o Português Europeu]]></article-title>
<article-title xml:lang="en"><![CDATA[Cultural adaptation and validation of the attitudes about complex therapy scale to European Portuguese]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pacheco]]></surname>
<given-names><![CDATA[Joana Cirne]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda]]></surname>
<given-names><![CDATA[Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santiago]]></surname>
<given-names><![CDATA[Luiz Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade de Coimbra  Faculdade de Medicina]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,ULS Baixo Mondego USF VitaSaurim ]]></institution>
<addr-line><![CDATA[Soure ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade de Coimbra Centro de Estudos e Investigação em Saúde ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina Clínica Universitária e Medicina Geral e Familiar]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>41</volume>
<numero>4</numero>
<fpage>326</fpage>
<lpage>336</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732025000400326&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732025000400326&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732025000400326&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivos: Adaptação cultural da escala Attitudes about Complex Therapy Scale (ACTS) para o Português Europeu - escala Atitudes Perante Terapêutica Complexa (APTC) - e validação convergente com a escalaProblems Areas in Diabetes-5(PAID-5).  Métodos: Tradução para o Português Europeu, verificação linguística e retrotradução para a versão inglesa, seguindo-se a análise de consistência interna, de compreensibilidade e de fiabilidade. Realizou-se validação convergente com a escala PAID-5 e variáveis de contexto, como sexo, grupo etário e Socio-Economic Deprivation Index (SEDI). Realizou-se análise estatística descritiva, fatorial e inferencial.  Resultados: Na adaptação cultural, com 17 pessoas (52,9% do sexo feminino e 64,7% com idade &#8805;64 anos), não houve necessidade de alterações linguísticas nem diferenças significativas em teste-reteste (p=0,066). Na fase de validação, com 222 doentes (53,6% do sexo masculino e 71,1% com 65 anos ou mais), a APTC revelou boa confiabilidade (&#945; deCronbach, 0,743) e coeficiente de correlação intraclasse de 0,716, quatro componentes representando 60,7% da variância total. Na validação convergente verificou-se correlação moderada positiva e significativa da APTC com a PAID-5 (&#961;=0,300, p&lt;0,001), correlação negativa, muito fraca e não significativa (&#961;=-0,113, p=0,092) entre o somatório APTC e o valor de SEDI. O somatório APTC não variou significativamente segundo o sexo (p=0,377), tipologia familiar (p=0,242), rendimento mensal (p=0,064) e formação académica (p=0,518). Foi significativamente diferente o somatório APTC (p=0,023) e o de SEDI (p=0,026) segundo o grupo etário, ambos com valores superiores nas idades &#8804;64 anos.  Discussão: A APTC incita à conversação entre o médico de medicina geral e familiar e o doente acerca das crenças, atitudes e dificuldades perante a gestão da múltipla medicação do doente com multimorbilidade, sendo diabético.  Conclusão: Foi possível adaptar e validar o questionário ACTS para o Português Europeu, o APTC, com boas qualidades psicométricas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objectives:  To perform the cultural adaptation of the Attitudes about Complex Therapy Scale (ACTS) to European spoken Portuguese as a scale of Atitudes Perante Terapêutica Complexa (APTC) and convergent validation with the Problems Areas in Diabetes-5 (PAID-5) scale.  Methods:  Translation into European Portuguese, linguistic verification, and back-translation into English, followed by an internal consistency analysis, comprehensibility, and reliability. Convergent validation was performed using the PAID-5 scale and context variables, including sex, age group, and Socio-Economic Deprivation Index (SEDI). Descriptive, factorial, and inferential statistical analyses were conducted.  Results:  In the cultural adaptation, involving 17 participants (52.9% female and 64.7% aged &#8805;64 years), there was no need for linguistic changes, nor was there a significant difference in test-retest reliability, p=0.066. In the validation study, involving 222 patients (53.6% male and 71.1% aged 65 or older), the APTC demonstrated good reliability (Cronbach&#8217;s &#945;=0.743) and an intra-class correlation coefficient of 0.716, with four components accounting for 60.7% of the total variance. In the convergent validation, a moderate positive and significant correlation of APTC with PAID-5 was found (&#961;=0.300, p&lt;0.001), and a very weak and non-significant negative correlation (&#961;=-0.113, p=0.092) between the APTC sum and the SEDI value. The APTC total did not vary significantly according to sex (p=0.377), family type (p=0.242), monthly income (p=0.064), and academic background (p=0.518). The APTC score (p=0.023) and the SEDI score (p=0.026) were significantly different according to age group, both with higher values in those &#8804;64 years.  Discussion:  The APTC encourages conversation between the general and family medicine doctors and the patient about the patient&#8217;s beliefs, attitudes, and difficulties regarding the management of multiple medications for a patient with multimorbidity, specifically diabetes.  Conclusion:  It was possible to adapt and validate the ACTS questionnaire for European Portuguese, the APTC, with good psychometric qualities.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Diabetes mellitus tipo 2]]></kwd>
<kwd lng="pt"><![CDATA[Polifarmacoterapia]]></kwd>
<kwd lng="pt"><![CDATA[Gestão]]></kwd>
<kwd lng="pt"><![CDATA[Terapêutica]]></kwd>
<kwd lng="pt"><![CDATA[Adesão]]></kwd>
<kwd lng="en"><![CDATA[Diabetes mellitus, Type 2]]></kwd>
<kwd lng="en"><![CDATA[Polypharmacy]]></kwd>
<kwd lng="en"><![CDATA[Therapeutics]]></kwd>
<kwd lng="en"><![CDATA[Management]]></kwd>
<kwd lng="en"><![CDATA[Adherence]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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