Self-efficacy for cancer self-management in the context of COVID-19: a cross-sectional survey study.

Self-efficacy for cancer self-management in the context of COVID-19: a cross-sectional survey study.

Publication date: Sep 10, 2025

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. 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. 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 

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Concepts Keywords
Cancer Adolescent
Healthcare Adult
Management Aged
Pandemic Aged, 80 and over
Cancer
Cancer Survivors
COVID-19
COVID-19
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Neoplasms
Neoplasms
Self Efficacy
Self-efficacy
Self-Management
Self-management
Surveys and Questionnaires
Young Adult

Semantics

Type Source Name
disease MESH cancer
disease MESH COVID-19
disease MESH general health
disease MESH Long Covid

Original Article

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