Navegando por Autor "Fenlon, D."
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Artigo Cancer survivors’ self-efficacy to self-manage in the year following primary treatment(Springer, 2014-07) Foster, C.; Breckons, M.; Cotterell, P.; Barbosa, Denize Araújo; Calman, L.; Corner, J.; Fenlon, D.; Foster, R.; Grimmett, C.; Richardson, A.; Smith, P. W.Purpose 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. Methods 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. Results 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 %). Selfefficacy scores varied between individuals and according to the illness-related task to be managed. Respondents were least confident in managingfatigue and most confident inaccessing 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. Conclusions 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.