Amorim, Érico GurgelDiniz, Vitória Livia Linhares2026-03-052026-03-050026-02-27DINIZ, Vitória Livia Linhares. Educação em saúde na atenção primária e seus efeitos no autocuidado e na tomada de decisão compartilhada em pessoas com diabetes mellitus: revisão integrativa. Orientador: Érico Gurgel Amorim. 2026. 150 f. Monografia (Especialização) - Universidade Federal do Rio Grande do Norte, Centro de Ciências da Saúde, Programa de Residência Médica em Medicina de Família e Comunidade, Caicó, RN, 2026.https://repositorio.ufrn.br/handle/123456789/68407Introduction: This study examined, based on the scientific literature, how health education interventions in Primary Health Care (PHC) contribute to strengthening self-care and shared decision-making (SDM) between service users and health professionals. PHC was considered the main setting for the longitudinal management of chronic conditions, and structured health education was expected to go beyond information provision by developing self-care competencies, self-efficacy, and shared responsibility. SDM, although frequently cited within person-centred care, was assumed to require explicit implementation and appropriate measurement. Methods: An integrative literature review was conducted, reported in accordance with PRISMA 2020 and performed through systematic steps (question formulation, search, selection, data extraction, and synthesis). Searches were carried out in indexed databases and a complementary source, including full-text publications from 2021 to 2025 in Portuguese, English, or Spanish. Eligible studies involved adults (≥18 years) with type 1 and/or type 2 diabetes managed in PHC and exposed to structured health education interventions. Methodological quality was appraised using the Mixed Methods Appraisal Tool (MMAT, 2018). Results: A total of 6,420 records were identified, and 116 studies were included (115 entries in the synthesis matrix after merging multiple reports). Hybrid interventions predominated (n=72), followed by community/territory-based interventions with home visits and/or community health workers (CHW) (n=20), face-to-face group interventions (n=14), digital/remote interventions (n=4), and individual face-to-face interventions (n=5). Outcomes were mainly clinical–metabolic and self-care-related, while explicit SDM measurement was less frequent (n=17). Discussion: Findings indicated that structured, continuous interventions integrated into longitudinal follow-up tended to yield more consistent self-care outcomes, particularly when combining personalisation, reinforcement, and human support. In contrast, SDM was often treated as an implicit assumption of person-centred care, but rarely operationalised and measured as a deliberative component, limiting inferences about improvements in decision quality and shared responsibility. Final considerations: Recent evidence supports the effectiveness of PHC-based health education interventions to strengthen self-care and, partly, clinical outcomes; however, the limited operationalisation and measurement of SDM highlight the need for interventions that explicitly address options, trade-offs, values, and preferences, as well as pragmatic studies and implementation evaluations in contexts aligned with the Brazilian Unified Health System (SUS) and the Family Health Strategy (ESF). Keywords: Primary Health Care; Diabetes Mellitus; Health Education; Self-Care; Shared Decision-Making.pt-BRAtenção Primária à SaúdeDiabetes MellitusEducação em SaúdeAutocuidadoTomada de decisão compartilhada.Primary Health CareHealth EducationSelf-CareShared Decision-Making.masterThesisCIENCIAS BIOLOGICAS