How important it is to feel self-efficacious – an exploratory analysis of pediatric and adolescent childhood cancer survivors during long-term follow-up care

Our findings suggest that SE has a potentially important role, being positively associated with HRQoL and acting as a key mediator in the relationship between HL and HRQoL in childhood cancer survivors. Given the modest sample size and preliminary nature of this study, we recommend that future research further investigate SE's mediating role in larger cohorts. Screening for low SE and the development of SE-targeted interventions may be promising strategies to support survivors' abilities and promote autonomous health care, but these should be considered as exploratory suggestions pending further validation.