Self-efficacy in managing post-treatment care among oral and oropharyngeal cancer survivors

Sharon L. Manne, Shawna V. Hudson, Deborah A. Kashy, Matin Imanguli, Morgan Pesanelli, Sara Frederick, Janet Van Cleave

Research output: Contribution to journalArticlepeer-review


Objective: Physical and psychosocial effects of oral cancer result in long-term self-management needs. Little attention has been paid to survivors' self-efficacy in managing their care. Study goals were to characterise self-care self-efficacy and evaluate socio-demographics, disease, attitudinal factors and psychological correlates of self-efficacy and engagement in head and neck self-exams. Methods: Two hundred thirty-two oral cancer survivors completed measures of socio-demographics, self-care self-efficacy, head and neck self-exams and attitudinal and psychological measures. Descriptive statistics characterised self-efficacy. Hierarchical regressions evaluated predictors of self-efficacy. Results: Survivors felt moderately confident in the ability to manage self-care (M = 4.04, SD = 0.75). Survivors with more comorbidities (β = −0.125), less preparedness (β = 0.241), greater information (β = −0.191), greater support needs (β = −0.224) and higher depression (β = −0.291) reported significantly lower self-efficacy. Head and neck self-exam engagement (44% past month) was relatively low. Higher preparedness (OR = 2.075) and self-exam self-efficacy (OR = 2.606) were associated with more engagement in self-exams. Conclusion: Many survivors report low confidence in their ability to engage in important self-care practices. Addressing unmet information and support needs, reducing depressive symptoms and providing skill training and support may boost confidence in managing self-care and optimise regular self-exams.

Original languageEnglish (US)
Article numbere13710
JournalEuropean Journal of Cancer Care
Issue number6
StatePublished - Nov 2022


  • oral cancer
  • self-efficacy
  • survivorship care

ASJC Scopus subject areas

  • Oncology


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