Social support, self-efficacy for decision-making, and follow-up care use in long-term cancer survivors

Content Provider	Scilit
Author	Forsythe, Laura P. Alfano, Catherine M. Kent, Erin E. Weaver, Kathryn E. Bellizzi, Keith Arora, Neeraj Aziz, Noreen Keel, Gretchen Rowland, Julia H.
Copyright Year	2014
Description	Journal: Psycho‐Oncology Cancer survivors play an important role in coordinating their follow-up care and making treatment-related decisions. Little is known about how modifiable factors such as social support are associated with active participation in follow-up care. This study tests associations between social support, cancer-related follow-up care use, and self-efficacy for participation in decision-making related to follow-up care (SEDM). We also identified sociodemographic and clinical factors associated with social support among long-term survivors. The FOllow-up Care Use among Survivors study is a cross-sectional, population-based survey of breast, prostate, colon, and gynecologic cancer survivors (n=1522) 4-14 years post-diagnosis. Multivariable regression models were used to test associations between perceived social support (tangible and emotional/informational support modeled separately), follow-up care use (past 2 years), and SEDM, as well as to identify factors associated with perceived support. Neither support type was associated with follow-up care use (all p>0.05), although marital status was uniquely, positively associated with follow-up care use (p<0.05). Both tangible support (B for a standard deviation increase (SE)=9.75(3.15), p<0.05) and emotional/informational support (B(SE)=12.61(3.05), p<0.001) were modestly associated with SEDM. Being married, having adequate financial resources, history of recurrence, and better perceived health status were associated with higher perceived tangible and emotional support (all p<0.05). While perceived social support may facilitate survivor efficacy for participation in decision-making during cancer follow-up care, other factors, including marital satisfaction, appear to influence follow-up care use. Marital status and social support may be important factors to consider in survivorship care planning.
Related Links	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4082440/pdf
Ending Page	796
Page Count	9
Starting Page	788
e-ISSN	10991611
DOI	10.1002/pon.3480
Journal	Psycho‐Oncology
Issue Number	7
Volume Number	23
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2014-01-30
Access Restriction	Open
Subject Keyword	Journal: Psycho‐Oncology Medical Informatics
Content Type	Text
Resource Type	Article