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Mediation Effect of Self-Efficacy on the Relationship between Perceived Self-Management Support and Health-Related Quality of Life among Cancer Survivors
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Bo Gyeong Lee, Tae Sook Lee, Soo Hyun Kim
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J Korean Acad Nurs 2019;49(3):298-306. Published online January 15, 2019
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DOI: https://doi.org/10.4040/jkan.2019.49.3.298
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- Abstract
Purpose
This study aimed to examine the levels of perceived self-management support, self-efficacy for self-management, and health-related quality of life (HRQoL) in cancer survivors, and to identify the mediating effect of self-efficacy in the relationship between perceived self-management support and HRQoL.
Methods
This study used a descriptive correlational design. Two hundred and four cancer survivors who had completed treatment participated in the study. Measurements included the Patient Assessment of Chronic Illness Care Scale, the Korean version of the Cancer Survivors’ Self-Efficacy Scale, and the Medical Outcomes Study Short Form-36. Data were analyzed using descriptive statistics, Pearson's correlation coefficient analysis, and multiple regression analysis using Baron and Kenny's method for mediation.
Results
The mean score for perceived self-management support was 3.35 out of 5 points, self-efficacy was 7.26 out of 10 points, and HRQoL was 65.90 out of 100 points. Perceived self-management support was significantly positively correlated with self-efficacy (r=.29, p<.001) and HRQoL (r=.27, p<.001). Self-efficacy was also significantly correlated with HRQoL (r=.59, p<.001). Furthermore, self-efficacy (β=.55, p<.001) had a complete mediating effect on the relationship between perceived self-management support and HRQoL (Z=3.88, p<.001).
Conclusion
The impact of perceived self-management support on HRQoL in cancer survivors was mediated by self-efficacy for self-management. This suggests that strategies for enhancing self-efficacy in cancer survivors should be considered when developing self-management interventions for improving their HRQoL.
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Citations
Citations to this article as recorded by  - Factors Associated With Quality of Life Among Posttreatment Cancer Survivors in Korea
Soo Hyun Kim, Yu Hyeon Choe, Jingyeong Choi, Ji Young Park, Eun Yi
Cancer Nursing.2025; 48(1): E47. CrossRef - Effects of Symptom Burden, Self-Efficacy, and Stigma on Cancer Coping in Patients with primary Non-Small Cell Lung Cancer Undergoing Chemotherapy
Ah-Reum Han, Euna Park
Asian Oncology Nursing.2025; 25(3): 158. CrossRef - Mediating Effect of Self-Efficacy on the Relationship between Symptom Experience and Health-Related Quality of Life in Patients with Chronic Obstructive Pulmonary Disease
Enhee Jo, Ju-Young Park, Young Jun Jang
Journal of Korean Academy of Fundamentals of Nursing.2024; 31(3): 315. CrossRef - An Integrated Review of Health Care in Child and Adolescent Cancer Survivors Based on Roy’s Adaptation Model
Hye Jin Kim, Eunjoo Lee
Asian Oncology Nursing.2024; 24(2): 82. CrossRef - Trajectories of quality of life in breast cancer survivors during the first year after treatment: a longitudinal study
Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae
BMC Women's Health.2023;[Epub] CrossRef - Effect of perceived chronic illness management support, health literacy, and social support on the care burden of families caring for older people with multiple chronic conditions at home: A cross-sectional study
Eun Sil Lee, Mi Young Kim
Journal of Korean Gerontological Nursing.2023; 25(1): 76. CrossRef - Effects of Uncertainty, Appraisal of Uncertainty, and Self-Efficacy on the Quality of Life of Elderly Patients with Lung Cancer Receiving Chemotherapy: Based on Mishel’s Theory of Uncertainty
Min-Kyung Hwang, Hee-Kyung Kim, Ki-Hyeong Lee
Medicina.2023; 59(6): 1051. CrossRef - Between Personality Traits and Postpartum Depression: The Mediated Role of Maternal Self-Efficacy
Lingli Han, Ji Zhang, Jingxuan Yang, Xiaoyu Yang, Hua Bai
Neuropsychiatric Disease and Treatment.2022; Volume 18: 597. CrossRef - A Structural Model of Quality of Life in Patients after Colorectal Cancer Surgery
Jeong Won Yeom, Yeon Ok Suh
International Journal of Environmental Research and Public Health.2022; 19(5): 2564. CrossRef - The influence of Digital Informatization Level, Self-efficacy, and Social Support on Digital Health Literacy in the Elderly with Cancer
Hye Su Kim, Ji Hyun Sung
Asian Oncology Nursing.2022; 22(4): 255. CrossRef - The Correlation Between Quality of Life and Positive Psychological Resources in Cancer Patients: A Meta-Analysis
Xinxin Zhao, Siqi Tong, Ye Yang
Frontiers in Psychology.2022;[Epub] CrossRef - Integrated, cross-sectoral psycho-oncology (isPO): a new form of care for newly diagnosed cancer patients in Germany
Michael Kusch, Hildegard Labouvie, Vera Schiewer, Natalie Talalaev, Jan C. Cwik, Sonja Bussmann, Lusine Vaganian, Alexander L. Gerlach, Antje Dresen, Natalia Cecon, Sandra Salm, Theresia Krieger, Holger Pfaff, Clarissa Lemmen, Lisa Derendorf, Stephanie St
BMC Health Services Research.2022;[Epub] CrossRef - Self-efficacy, post-traumatic growth, and quality of life of pediatric cancer survivors: A cross-sectional study
Yeunhee Kwak, Yoonjung Kim, Eun Seok Choi, Ho Joon Im
European Journal of Oncology Nursing.2021; 54: 102019. CrossRef - Determinants of quality of life in women immediately following the completion of primary treatment of breast cancer: A cross-sectional study
Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae, Ka Ming Chow
PLOS ONE.2021; 16(10): e0258447. CrossRef - Psychometric evaluation of patient assessment of chronic illness care among Korean cancer survivors
Soo Hyun Kim, Bo Gyeong Lee, Yu Hyeon Choe, Francesca Chiesi
PLOS ONE.2021; 16(8): e0256119. CrossRef - Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
International Journal of Environmental Research and Public Health.2020; 17(20): 7532. CrossRef
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Multilevel Analysis of Health Care Service Utilization among Medical Aid Beneficiaries in Korea
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Yang Heui Ahn, Ok Kyung Ham, Soo Hyun Kim, Chang Gi Park
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J Korean Acad Nurs 2012;42(7):928-935. Published online December 12, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.7.928
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Abstract
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- Abstract
Purpose
The current study was done to identify individual- and group-level factors associated with health care service utilization among Korean medical aid beneficiaries by applying multilevel modeling.
Methods
Secondary data analysis was performed using data on health care service reimbursement and medical aid case management progress from 15,948 beneficiaries, and data from 229 regions were included in the analysis.
Results
Results of multilevel analysis showed an estimated intraclass correlation coefficient (ICC) of 18.1%, indicating that the group level accounted for 18.1% of the total variance in health care service utilization, and that beneficiaries within the region are more likely to share common features with regard to health care service utilization. At the individual level, existence of disability and types of medical aid beneficiaries showed a significant association, while, at the group level, social deprivation index, and the number of beneficiaries and case managers within the region showed a significant association with health care service utilization.
Conclusion
The significant influence of group level variables in health care service utilization found in this study indicate a need for group level approaches, such as policy change and/ or promotion of community awareness.
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Citations
Citations to this article as recorded by - Exploring the role of social representations in micro-health insurance scheme enrolment and retainment in sub-Saharan Africa: a scoping review
Albino Kalolo, Lara Gautier, Manuela De Allegri
Health Policy and Planning.2022; 37(7): 915. CrossRef - Factors Influencing Emergency Department Nurses’ Compliance with Standard Precautions Using Multilevel Analysis
Su Jung Kim, Eun Ju Lee
International Journal of Environmental Research and Public Health.2021; 18(11): 6149. CrossRef - Factors Affecting Emotional · Behavioral Problems in Early Adolescence: A Multilevel Model Study
Hee Young Park, Yeon Hee Choi
Journal of Korean Academy of Community Health Nursing.2017; 28(4): 482. CrossRef - Equity of access under Korean national long-term care insurance: implications for long-term care reform
Ju Moon Park
International Journal for Equity in Health.2015;[Epub] CrossRef - Ecological Correlates of Cardiovascular Disease Risk in Korean Blue-collar Workers: A Multi-level Study
Won Ju Hwang, Yunhee Park
Journal of Korean Academy of Nursing.2015; 45(6): 857. CrossRef - Prevalence and Predictors of Polypharmacy among Korean Elderly
Hong-Ah Kim, Ju-Young Shin, Mi-Hee Kim, Byung-Joo Park, Terence J. Quinn
PLoS ONE.2014; 9(6): e98043. CrossRef
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Validation of a Needs Assessment Tool for Case Management in Korean Medical Aid Beneficiaries
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Yang Heui Ahn, Eui Sook Kim, Ok Kyung Ham, Soo Hyun Kim, Soon Ok Kim, Myung Kyung Song
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J Korean Acad Nurs 2012;42(4):549-558. Published online August 31, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.4.549
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Abstract
PDF
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Purpose
The purpose of this study was to validate the Needs Assessment Tool for Case Management (NATCM) for use with Korean medical aid beneficiaries.
Methods
Psychometric testing was performed with a sample of 645 Korean medical aid beneficiaries, which included 41 beneficiaries who were selected using proportional sampling method, to examine intraclass correlation coefficients (ICC). Data were evaluated using item analyses, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's alpha, and ICC.
Results
Through psychometric testing the final version of NATCM was found to consist of two subscales: 1) Appropriateness of Health Care Utilization (5 items) and 2) Self Care Ability (6 items). The two subscale model was validated by CFA (RMSEA=.08, GFI=.97, and CFI=.93). Internal consistency measured by Cronbach's alpha was .82, and subscale reliability ranged from .79 to .84. The ICC of the NATCM between case managers was .73 and between case managers and health care professionals. .82.
Conclusion
This study suggests that the final version of NATCM is a brief, reliable, and valid instrument to measure needs of Korean medical aid beneficiaries. Therefore, the NATCM can be effectively utilized as an important needs assessment as well as outcome evaluation tool for case management programs in Korea.
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Citations
Citations to this article as recorded by - Trends of Research on the Case Management of Medicaid Beneficiaries in Korea
Soon Ock Kim, Jeonghyun Cho
Journal of Korean Public Health Nursing.2015; 29(3): 412. CrossRef - Comparing the Needs of Case Management between Medical Aid Beneficiaries with Simple and Multiple Chronic Diseases
Yang Heui Ahn, Yeonok Suh, Ok Kyung Ham, Hee Kyung Kim
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 98. CrossRef
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614
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Development and Validation of Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B)
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Ran Lee, Soo Hyun Kim, Keun Sook Lee, Myung Kyung Seo
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J Korean Acad Nurs 2012;42(3):385-395. Published online June 12, 2012
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DOI: https://doi.org/10.4040/jkan.2012.42.3.385
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Abstract
PDF
- Abstract
Purpose
This purpose of this study was to develop and validate a Self-Efficacy Scale for Self-Management of Breast Cancer (SESSM-B).
Methods
The SESSM-B was developed and validated as follows: Item generation, pilot study, and tests of validity and reliability. Twenty-one items were developed through evaluation by 10 experts and 13 items were finally confirmed through item analysis and factor analysis. Psychometric testing was performed with a convenience sample of 303 women with breast cancer. Data were analyzed using factor analysis, Pearson correlation coefficients, and Cronbach’s alpha.
Results
Five factors evolved from the factor analysis, which explained 69.8% of the total variance. The first factor ‘coping with psycho-informational demand’ explained 17.2%, 2nd factor ‘maintenance of healthy lifestyle’ 14.5%. 3rd factor ‘management of side-effects' 13.3%, 4th factor ‘therapeutic compliance’ 12.8%, and 5th factor ‘sexual life’ 11.9%. SESSM-B also demonstrated a concurrent validity with health-related quality of life scale, EORTC QLQ-C30 & BR23. The internal consistency, Cronbach’s alpha, was .78, and reliability of the subscales ranged from .61 to .79.
Conclusion
The results of this study suggest that the SESSM-B is an easy, reliable, and valid instrument to measure self-efficacy for self-management of breast cancer.
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Citations
Citations to this article as recorded by - Effect of depression and empowerment on medication adherence in patients with breast cancer: a descriptive survey
Sookyung Jeong, Eun Jeong Kim
BMC Nursing.2025;[Epub] CrossRef - Categorising Subjective Perceptions of Middle-Aged Breast Cancer Patients Using Q Methodology
Min-Jeung Shim, Song-Yi Lee, Oh-Sun Ha
Healthcare.2024; 12(18): 1873. CrossRef - Factors influencing resilience among breast cancer survivors: Implications for evidence‐based practice
Myeongshin Kim, Sohyune Sok
Worldviews on Evidence-Based Nursing.2024; 21(1): 87. CrossRef - A systematic review of qualitative research on the self‐management experience of breast cancer patients
Xi‐Bo Sun, He‐Peng Su, He Jiang, Bing Wang, Shuai Lu, Jin‐Xiu Qu, Xiang‐Qi Li, Ben‐Qiang Rao
The International Journal of Health Planning and Management.2024; 39(4): 1131. CrossRef - Predictive Factors for Medication Adherence in Patients with Breast Cancer on Hormone Therapy
Hee-jung Jung, Su-Jin Lim
Asian Oncology Nursing.2023; 23(4): 216. CrossRef - Trajectories of quality of life in breast cancer survivors during the first year after treatment: a longitudinal study
Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae
BMC Women's Health.2023;[Epub] CrossRef - Mobile web‐based self‐management program for breast cancer patients with chemotherapy‐induced amenorrhoea: A quasi‐experimental study
Jin‐Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae
Nursing Open.2022; 9(1): 655. CrossRef - Determinants of quality of life in women immediately following the completion of primary treatment of breast cancer: A cross-sectional study
Jin-Hee Park, Yong Sik Jung, Ji Young Kim, Sun Hyoung Bae, Ka Ming Chow
PLOS ONE.2021; 16(10): e0258447. CrossRef - Psychometric Evaluation of a Korean Version of the Cancer Survivors' Self-efficacy Scale
Soo Hyun Kim, Bo Gyeong Lee, Ji Yeon Lee, Sei Joong Kim, Min Hee Hur, Moon Hee Lee, Mi Sook Han
Cancer Nursing.2019; 42(6): 509. CrossRef - International Trends on Patient-Reported Outcome Measures for Improving Care Quality and Its Implication for South Korea: Focus on OECD PaRIS
Ji-Suk Choi, Young-Shin Park, Jee-Ae Kim, Choon-Seon Park
Quality Improvement in Health Care.2019; 25(1): 11. CrossRef - The study on developing the self care tool for the elderly cancer patient undergoing hemotherapy : Focusing on the effect of Health Monitoring Diary
Yeon Ok Lim, Yojin Kim, Hyunsook Yoon, Dae Young Zang, Dae Ro Choi, Kyoungwon Choi
Korean Journal of Health Education and Promotion.2018; 35(2): 73. CrossRef - Psychometric properties and performance of existing self-efficacy instruments in cancer populations: a systematic review
Fei-Fei Huang, Qing Yang, An-ni Wang, Jing-Ping Zhang
Health and Quality of Life Outcomes.2018;[Epub] CrossRef - Development and Psychometric Evaluation of the Transcultural Self-efficacy Scale for Nurses
Won-Oak Oh, Eun Sook Park, Min Hyun Suk, Yeo Jin Im
Journal of Korean Academy of Nursing.2016; 46(2): 293. CrossRef - Development and Validation of Nurse's Character Scale for Care in Clinical Settings
Jeong Hye Park
The Journal of Korean Academic Society of Nursing Education.2016; 22(2): 137. CrossRef - Development of a Self-Care Performance Scale for Patients with Stomach Cancer after Gastrectomy
Min Kyung Jeon, Geum Ja Park
Asian Oncology Nursing.2016; 16(2): 67. CrossRef - The Effects of Fatigue and Distress on Self-efficacy among Breast Cancer Survivors
Mi Hye Seo, Kyung Hee Lim
Korean Journal of Adult Nursing.2016; 28(4): 378. CrossRef - Development and Preliminary Evaluation of Psychometric Properties of Symptom-Management Self-Efficacy Scale for Breast Cancer Related to Chemotherapy
Shu-Yuan Liang, Wei-Wen Wu, Chiu-Ya Kuo, Yu-Ying Lu
Asian Nursing Research.2015; 9(4): 312. CrossRef - Development and Validation of the Empowerment Scale for Woman with Breast Cancer
Sun Hwa Shin, Hyojung Park
Journal of Korean Academy of Nursing.2015; 45(4): 613. CrossRef - Changes of Self-efficacy, Depression, and Posttraumatic Growth in Survivors with Breast Cancer Participating Breast Cancer Prevention Volunteering
Myungsun Yi, Jieun Cha, Youngmi Ryu
The Journal of the Korea Contents Association.2014; 14(4): 256. CrossRef - Development of Health Dieting Competency Scale for College Students
Jeongsoo Kim, Yumi Lee
Korean Journal of Adult Nursing.2014; 26(3): 300. CrossRef - A Randomized Trial of Dyadic Peer Support Intervention for Newly Diagnosed Breast Cancer Patients in Korea
Ran Lee, Keon Suk Lee, Eui-Geum Oh, Soo Hyun Kim
Cancer Nursing.2013; 36(3): E15. CrossRef - Self-care, Self-efficacy and Social Support of Patients Receiving Radioactive Iodine Therapy
Ji-Sook Kim, Ji-Soo Kim
The Journal of the Korea Contents Association.2013; 13(11): 261. CrossRef
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The Analysis of Intervention Studies for Patients with Metabolic Syndrome
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Eui Geum Oh, Soo Hyun Kim, Sa Sang Hyun, Myung Sook Kang, So Youn Bang
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Journal of Korean Academy of Nursing 2007;37(1):72-80. Published online February 28, 2007
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DOI: https://doi.org/10.4040/jkan.2007.37.1.72
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Abstract
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Purpose
This study was to analyze the trend of research on intervention for patients with metabolic syndrome.
Method
Using Pubmed, Medline, and CINAHL search engines, a randomized controlled trial(RCT) researching titles such as “metabolic syndrome”, “intervention”, “lifestyle modification”, or “community-based” were collected. A total of 16 researches were analyzed based on the guidelines of the National Cholesterol Education Program-Adult Treatment Panel(NCEP-ATP III).
Results
1) The total period of the intervention was from 12 to 24 weeks, the frequency was 3 to 5 times per week, and the duration of each session was from 45 to 60 minutes. The types of intervention included exercise, diet, and medication. Among these types, diet was performed most frequently. 2) The outcomes of the intervention was measured with physical aspects such as anthropometric measures, body composition, or biological markers. No studies have evaluated psychosocial outcomes such as quality of life. 3) In terms of effectiveness of the intervention, anthropometric indicators, body composition, or serological markers showed positive effects, whereas results on endothelial or urine indicators were inconsistent.
Conclusion
Methodological research developing comprehensive therapeutic lifestyle modification programs and intervention studies are needed for patients with metabolic syndrome. In addition, effects should be evaluated with multidimensional perspectives.
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Citations
Citations to this article as recorded by - Routine Screening and Consultation Facilitate Improvement of Metabolic Syndrome
Nan-He Yoon, Seunghyun Yoo, Hyekyeong Kim, Yoonjung Han
Journal of Korean Medical Science.2015; 30(8): 1092. CrossRef - Effectiveness of lifestyle interventions to prevent diabetes and cardiovascular diseases in a health promoting hospital
Hyekyeong Kim, Eunhee Nah
Korean Journal of Health Education and Promotion.2015; 32(4): 37. CrossRef
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Association of Anger Expression Patterns and Health Status in Health Care Workers
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Won Hee Lee, Duck Hee Kang, Jin Hee Park, Soo Hyun Kim, Sung Gil Min, Jae Hun Nho
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Journal of Korean Academy of Nursing 2006;36(5):821-828. Published online August 31, 2006
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DOI: https://doi.org/10.4040/jkan.2006.36.5.821
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Abstract
PDF
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Purpose
The purpose of this study was to examine anger-expression patterns and their association with state and trait anger and physical and psychological health status in health care workers.
Method
Four hundred and forty eight nurses, physicians and technicians from a large medical center completed standardized questionnaires of anger, anger-expression patterns and mood. They also had blood pressure, cholesterol, blood glucose and body mass index measured during their annual physical examinations. Data was analyzed using descriptive statistics, independent t-test, chi-square and ANOVA.
Results
Subjects showed two major clusters of anger-expression patterns: anger-control and anger-in/out. Subjects with the anger-in/out pattern reported higher state and trait anger and more anxiety, depression and fatigue than subjects with the anger-control pattern. Physical health indicators, however, were not significantly different between the two clusters of anger-expression patterns.
Conclusion
Anger-expression patterns are associated with psychological health status but not with physical health status. Anger-expression patterns, however, need to be examined over time to assess their long-term effects on the physical and psychological health status in future studies.
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Citations
Citations to this article as recorded by - Role of Irrational Beliefs and Anger Rumination on Nurses’ Anger Expression Styles
Eun-Mi Ham, Mi-Jin You
Workplace Health & Safety.2018; 66(5): 223. CrossRef - The Convergence Study of Interpersonal Caring Behaviors on Anger, Job Stress and Social Support in Nurses
Jin-Ah Han, Mi-Jin Kim
Journal of the Korea Convergence Society.2016; 7(3): 87. CrossRef
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