ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021
Patient competence in the context of cancer: its dimensions and their relationships with coping, coping self-efficacy, fear of progression, and depression.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Social support and self-efficacy mediate the link between health literacy and fear of disease progression in Chinese lung cancer patients.Scientific reports · 2026Article
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- Exploring perceptual disparities: A study on the level of understanding of colorectal cancer care among patients and healthcare professionals.International journal of colorectal disease · 2026Article
- The German 12-Item Brief Form of the Cancer Behavior Inventory (CBI-B-D-12): Factor Structure, Reliability, and Criterion Validity.Psycho-oncology · 2025Article
- Cancer health literacy in Kenya - A scoping review on evidence, concept and a situational analysis of interventions.Frontiers in public health · 2025Article
- Validity and Reliability of the Basic Psychological Need Satisfaction and Frustration Scale Among Cancer Survivors in Korean Healthcare Contexts.Healthcare (Basel, Switzerland) · 2024Article
- Changes in health-related quality of life, depression, and fear of progression during oncological inpatient rehabilitation and beyond: a longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Article
- The association between fear of progression and medical coping strategies among people living with HIV: a cross-sectional study.BMC public health · 2024Article
- Cancer survival stories: Perception, creation, and potential use case.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Evaluating Work Impairment as a Source of Financial Toxicity in Cancer Healthcare and Negative Impacts on Health Status.Cancer research communications · 2023Article
- Couples coping with advanced prostate cancer: an explorative study on decision-making preferences, self-efficacy and fear of progression.World journal of urology · 2023Article
- Predicting Innovative Work Behaviour in an Interactive Mechanism.Behavioral sciences (Basel, Switzerland) · 2022Article
- Influence of Social Workers' Empathy Ability on Suicidal Ideation of Cancer Patients.Frontiers in public health · 2022Article
- Transfer of the presence seminar concept "Peer-support and Patient Competence" with participation of patients sharing their experience into a virtual teaching format.GMS journal for medical education · 2020Article
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2 authors.
Funding
Abstract
purposeInfluenced in part by research on coping, patient empowerment and self-efficacy, and by patient self-help initiatives, the construct of patient competencies (PC) has been elaborated and later integrated into Germany's National Cancer Plan. As a self-report measure of PC, the Patient Competence Questionnaire 57 (PCQ-57) has only rarely been evaluated psychometrically. Therefore, we aimed to re-examine its dimensionality and its relationships with related constructs and potential psychosocial cancer outcomes.
methodsWe surveyed 424 breast, colorectal, and prostate cancer patients from clinics for oncological rehabilitation and private oncology practices who completed the PCQ-57 and self-report measures of coping, coping self-efficacy, fear of progression, and depression. Patients' PCQ-57 responses were submitted to principal axis factor analyses. Using the original scoring keys, we computed internal consistencies (Cronbach's α) and Pearson correlations between all measures.
resultsFactor analyses suggested 5 of the 8 original PCQ-57 dimensions to replicate satisfactorily, their internal consistencies ranging from 0.74 to 0.88. The competency of managing distress correlated significantly, highly, and negatively with fear of progression and depression (|r's| ≥ 0.43) and positively with coping self-efficacy (r = 0.58).
conclusionThe results support the reliability and validity of 5 of the 8 original PCQ-57 scales while suggesting refinement of the others. The replicated scales may help identify patients in need of support for dealing with the multiple tasks of adjusting to cancer. Further research should clarify the conceptual and empirical relationships between PC, health literacy, and patient activation as well as potential effects of PC on psychosocial cancer outcomes.
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