Evidence map›Paper›PMID 28822053›Full record

ArticleJournal of cancer survivorship : research and practice2017

Colorectal cancer patient's self-efficacy for managing illness-related problems in the first 2 years after diagnosis, results from the ColoREctal Well-being (CREW) study.

Chloe Grimmett, Joanne Haviland, Jane Winter, Lynn Calman, Amy Din, Alison Richardson, Peter W F Smith, Claire Foster

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cancer survivorship : research and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04159363 (The Effectiveness of an Interactive Colorectal Cancer Self-Management Enhancement Smartphone-based Psychosocial Intervention Programme), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04159363 naunknown statusnot on this mapstarted 2020, after this paper: background citation

The Effectiveness of an Interactive Colorectal Cancer Self-Management Enhancement Smartphone-based Psychosocial Intervention Programme (iCanManage) on Outcomes of Patients With Colorectal Cancer and Their Family Caregivers

TypeinterventionalSponsorSingapore Cancer SocietyRan2020 to 2021Enrolled200ConditionsColorectal CancerArmsAn interactive Colorectal Cancer self-Management enhancement smartphone-based psychosocial intervention programme (iCanManage)
3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Factors associated with physical and psychological health in non-Hodgkin's lymphoma patients: a prospective longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  3. Effect of self-efficacy on self-management ability for colorectal cancer patients with stoma: a path analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  4. Assessment of the psychometric properties of the traditional Chinese version of the cancer survivors' self-efficacy scale.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2024
    Article
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  11. A Structural Model of Quality of Life in Patients after Colorectal Cancer Surgery.International journal of environmental research and public health · 2022
    Article
  12. Colorectal cancer survival: prevalence of psychosocial distress and unmet supportive care needs.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  13. Article
  14. Article
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  18. Longitudinal course and predictors of communication and affect management self-efficacy among women newly diagnosed with gynecological cancers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Chloe GrimmettMacmillan Survivorship Research Group, Faculty of Health Sciences, University of Southampton, Southampton, SO17 1BJ, UK.
Joanne HavilandThe Institute of Cancer Research, 15 Cotswold Road, Sutton, London, SW7 3RP, UK.
Jane WinterMacmillan Survivorship Research Group, Faculty of Health Sciences, University of Southampton, Southampton, SO17 1BJ, UK.
Lynn CalmanMacmillan Survivorship Research Group, Faculty of Health Sciences, University of Southampton, Southampton, SO17 1BJ, UK.
Amy DinMacmillan Survivorship Research Group, Faculty of Health Sciences, University of Southampton, Southampton, SO17 1BJ, UK.
Alison RichardsonUniversity Hospital Southampton NHS Foundation Trust, Southampton, SO16 6YD, UK.
Peter W F SmithSocial Statistics and Demography, Social Sciences, University of Southampton, Southampton, SO17 1BJ, UK.
Claire FosterMacmillan Survivorship Research Group, Faculty of Health Sciences, University of Southampton, Southampton, SO17 1BJ, UK. C.L.Foster@soton.ac.uk.

Funding

Cancer Research UK 15955Department of Health PDF-2016-09-025
6 · The paper itself

Abstract

purposeThere is a growing emphasis on self-management of cancer aftercare. Little is known about patient's self-efficacy (confidence) to manage illness-related problems and how this changes over time. This paper describes the patterns of self-efficacy for managing illness-related problems amongst colorectal cancer patients in the 2 years following diagnosis.

methodsIn this prospective cohort study, questionnaires were administered at baseline (pre-surgery), 3, 9, 15 and 24 months to 872 colorectal cancer patients. Self-efficacy (confidence to manage illness-related problems), anxiety, social support, affect, socio-demographics, physical symptoms and clinical and treatment characteristics were assessed. Group-based trajectory analysis identified trajectories of self-efficacy up to 24 months and predictors.

resultsFour trajectories of self-efficacy were identified: group 1 (very confident) 16.0% (95% confidence interval (CI) 10.7-21.3%), group 2 (confident) 45.6% (95% CI 40.3-51.0%), group 3 (moderately confident) 29.5% (95% CI 25.1-33.8%) and group 4 (low confidence) 8.9% (95% CI 6.4-11.4%). Greater deprivation, domestic status, more co-morbidities, worse fatigue and pain, lower positivity and greater negativity were significantly associated with lower self-efficacy. There was an increase in mean scores for self-efficacy over time for the whole sample, but this did not reach the cut-off for minimally important differences. At 2 years, the lowest level of confidence to manage was for symptoms or health problems.

conclusionAround 40% of patients had suboptimal levels of confidence to manage illness-related problems with little change from the time of diagnosis across the four groups. IMPLICATIONS FOR CANCER SURVIVORS: Screening for self-efficacy at diagnosis would enable targeted, early intervention which could in turn enhance health-related quality of life.

Indexed as

AftercareColorectal NeoplasmsFemaleHumansMaleMiddle AgedProspective StudiesQuality of LifeSelf EfficacySelf-ManagementSurvivorsTime FactorsCancerColorectalSelf-efficacySelf-management

Identifiers

PMID28822053
PMCPMC5602065

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.