{"doi":"10.1007/s00520-025-09905-9","title":"Self-efficacy for cancer self-management in the context of COVID-19: a cross-sectional survey study","abstract":"PURPOSE: For cancer survivors, self-efficacy is needed to manage the disease and the effects of treatment. The COVID-19 pandemic disrupted cancer-related healthcare, which may have impacted self-management self-efficacy. We investigated self-efficacy reported by cancer survivors during COVID-19, including associations with healthcare disruptions, distress, and general health. METHODS: Between 2020 and 2021, 1902 individuals aged 18-80 years with a recent cancer diagnosis completed a survey regarding the effects of COVID-19 on healthcare, self-efficacy for managing cancer and social interactions, cancer-related distress, and perceived general health. Linear and logistic models estimated odds ratios and 95% confidence intervals (CIs) between self-efficacy scores, healthcare disruptions, significant distress, and general health. RESULTS: Mean self-efficacy for managing cancer was 7.58 out of 10. Greater self-efficacy was associated with lower odds for distress (OR 0.18 [95% CI 0.13-0.26], quartile 4 vs. 1) and for worse general health (0.05 [0.03-0.09]). Participants with disruptions to cancer-related healthcare had lower self-efficacy for managing cancer compared to those without (6.62 vs. 7.09, respectively, P < 0.001) and higher odds for distress (1.70 [1.36-2.14]), but not worse general health (1.13 [0.39-1.44]). Lower self-efficacy mediated 27% of the association between healthcare disruptions and increased distress (15-47%). Associations with self-efficacy for managing social interactions trended in the same direction. CONCLUSIONS: During COVID-19, disruptions to cancer-related healthcare were associated with lower self-efficacy, increased distress, and worse general health. Psychosocial interventions designed to overcome barriers and target self-efficacy may be important for enhancing outcomes among cancer survivors experiencing disruptions in healthcare access.","journal":"Supportive Care in Cancer","year":2025,"id":542270,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9409,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":943148,"name":"Kristine L. Kwekkeboom","orcid":"0000-0003-2459-0896","position":1,"is_corresponding":false},{"id":763252,"name":"Shaneda Warren Andersen","orcid":"0000-0001-7581-7224","position":2,"is_corresponding":false},{"id":304210,"name":"Ajay K. Sethi","orcid":"0000-0002-5537-9586","position":3,"is_corresponding":false},{"id":280773,"name":"Amyé Tevaarwerk","orcid":"0000-0002-8087-5119","position":4,"is_corresponding":false},{"id":812499,"name":"Kristin Litzelman","orcid":"0000-0002-5542-6434","position":5,"is_corresponding":false},{"id":536887,"name":"Priyanka A. Pophali","orcid":"0000-0002-2410-9540","position":6,"is_corresponding":false},{"id":283093,"name":"Ronald E. Gangnon","orcid":"0000-0003-2587-6714","position":7,"is_corresponding":false},{"id":443931,"name":"John M. Hampton","orcid":"0000-0003-0037-6211","position":8,"is_corresponding":false},{"id":564669,"name":"Noelle K. LoConte","orcid":"0000-0002-3883-4153","position":9,"is_corresponding":false},{"id":299775,"name":"Amy Trentham‐Dietz","orcid":"0000-0002-5971-4660","position":10,"is_corresponding":false},{"id":428391,"name":"Thomas P. Lawler","orcid":"0000-0002-7532-0389","position":0,"is_corresponding":true}],"reference_count":45,"raw_metadata":null,"created_at":"2026-07-19T02:52:55.809501Z","pmid":"40928529","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}