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Developing a family-centered psychoeducational program to support adults with diabetes: A theory-driven approach
Vânia Lídia Soares1, Maria do Céu Barbieri-Figueiredo2, Carlos Alberto Sequeira2
1Abel Salazar Medical Sciences Institute, University of Porto, Rua Jorge Viterbo Ferreira 228, Porto 4050-313, Portugal; RISE:HEALTH, R. Dr. Plácido da Costa, Porto 4200-450, Portugal.
Patient Education and Counseling
|May 15, 2026
Summary
This study developed a family-centered psychoeducational intervention for diabetes management, enhancing health literacy and self-management skills for adults and their families. The adaptable program supports diverse healthcare settings and improves patient outcomes.
Area of Science:
- Public Health
- Family Medicine
- Health Psychology
Background:
- Diabetes mellitus presents a significant global health challenge impacting individuals, families, and healthcare systems.
- Effective diabetes management necessitates a holistic approach that extends beyond the individual to include the family unit.
Purpose of the Study:
- To develop and validate Juntos com a Família + Capazes, a family-centered psychoeducational intervention for adults with diabetes and their families.
- To create a flexible and adaptable program applicable across various healthcare contexts.
Main Methods:
- Intervention design utilized the Calgary Family Assessment and Intervention Model and the Medical Research Council Framework for Complex Interventions.
- Development involved an umbrella review, systematic review of assessment tools, and extensive stakeholder engagement (adults with diabetes, families, healthcare professionals).
- Transparent reporting was guided by CReDECI 2 and TIDieR checklists.
Main Results:
- The six-month intervention includes 7-12 group sessions (60-120 min each) for up to 10 participants.
- Seven modules cover diabetes knowledge, lifestyle, family communication, and self-management, with a modular design for adaptability.
- Conceptual validation confirmed the intervention's acceptability, clarity, and applicability among professionals and families.
Conclusions:
- The theory-driven intervention systematically integrates families into diabetes care, enhancing health literacy, self-management, and shared responsibility.
- Its modular and adaptable nature, supported by validated tools, facilitates implementation and promotes sustainable clinical, psychosocial, and family improvements.
- The program provides a replicable framework for healthcare professionals, strengthening support networks, improving adherence, and potentially reducing healthcare costs and inequalities.
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