Effectiveness of problem-solving skills training on the self-efficacy and self-concept of the adolescent with cancer

Self-efficacy and self-concept can be negatively affected by developmental crises (such as the onset of adolescence) and acquired crises (such as disease). This study aimed to assess the effectiveness of problem-solving skills training on the self-efficacy and self-concept of adolescents diagnosed with cancer.

This randomized clinical trial involved 60 adolescents with cancer at Dr. Sheikh hospital in Mashhad. The intervention group participated in seven sessions of problem-solving skills training. Adolescents in two groups (intervention = 30 and routine care = 30) completed the Muris self-efficacy questionnaire and Piers-Harris self-concept scale at baseline and one month later.

The findings revealed significant differences in the changes in self-efficacy and self-concept scores between the two groups after the intervention (p < 0.001). The improvement in self-efficacy and self-concept scores in the intervention group was statistically significant.

Problem-solving skills training can enhance self-efficacy and self-concept, thereby improving the mental health of adolescents with cancer by fostering empowerment, increasing positive mood, and enhancing cognitive understanding of their challenges. Nurses can implement this training as a straightforward and cost-effective supportive care strategy for adolescents affected by cancer.