Cancer survivors’ self-efficacy to self-manage in the year following primary treatment
Foster, Claire; Breckons, Matthew; Cotterell, P.; Barbosa, D.; Calman, Lynn; Corner, Jessica; Fenlon, Deborah; Foster, R.; Grimmett, Chloe; Richardson, Alison; Smith, P.W.
Professor Dame JESSICA CORNER JESSICA.CORNER@NOTTINGHAM.AC.UK
Pro-Vice Chancellor, research and Knowledge Exchange
Cancer survivors are increasingly expected to manage the consequences of cancer and its treatment for themselves. There is evidence that self-efficacy is important for successful self-management and that this can be enhanced with support. The purpose of this study was to assess self-efficacy to manage problems in the year following primary treatment.
This cross-sectional online survey included cancer survivors who had completed their treatment within the past 12 months. Self-efficacy was assessed and variables expected to be associated with self-efficacy were measured using validated scales including quality of life, well-being, illness perceptions, depression and social support.
One hundred eighty-two respondents (mean age 50; 81 % female) completed the survey. They had been treated for a range of cancers; most commonly breast (45 %). Self-efficacy scores varied between individuals and according to the illness-related task to be managed. Respondents were least confident in managing fatigue and most confident in accessing information about their cancer. Individuals most likely to report low self-efficacy were women, those experiencing higher levels of pain and/or depression, lower well-being scores, lower socio-economic status, low levels of social support, or a more negative perception of cancer.
Self-efficacy to self-manage problems faced as a consequence of cancer and its treatment can vary widely in the year following treatment. Fatigue may be particularly difficult to manage.
IMPLICATIONS FOR CANCER SURVIVORS
Variations in self-efficacy highlight the importance of assessing specific problems faced and people's confidence to manage them in order to tailor appropriate self-management support.
|Journal Article Type||Article|
|Publication Date||Jul 16, 2014|
|Journal||Journal of Cancer Survivorship|
|Peer Reviewed||Peer Reviewed|
|APA6 Citation||Foster, C., Breckons, M., Cotterell, P., Barbosa, D., Calman, L., Corner, J., …Smith, P. (2014). Cancer survivors’ self-efficacy to self-manage in the year following primary treatment. Journal of Cancer Survivorship, 9(1), doi:10.1007/s11764-014-0384-0|
|Keywords||self-management, cancer survivors, self-efficacy, confidence, neoplasms|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0|
Foster Online survey J Cancer Survivorship 2014.pdf
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0
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