{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:56:32Z","timestamp":1790618192847,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:00:00Z","timestamp":1787702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["R01 CA240344"],"award-info":[{"award-number":["R01 CA240344"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Oral and oropharyngeal cancer survivors experience debilitating physical and psychosocial challenges. Little knowledge exists on the efficacy of interventions to enhance self\u2010efficacy in managing these challenges, increase survivorship preparedness, and improve health\u2010related quality of life (HRQoL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Individuals (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0643) diagnosed with oral or oropharyngeal cancer diagnosed within past 3\u00a0years were randomized to a digital intervention, Empowered Survivor (ES) or a Generic Online Intervention (GO). Primary (self\u2010efficacy, preparedness, HRQoL) and secondary outcomes (self\u2010care activities) were measured at Baseline, 2\u2010months, and 6\u2010months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants assigned to ES reported greater self\u2010efficacy and increased self\u2010care activities of oral self\u2010exams, swallowing, and mobility exercises than those assigned to GO (self\u2010efficacy: 2\u00a0months,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.003, 6\u2010months,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001; self\u2010care activities).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The ES enhanced self\u2010efficacy and increased self\u2010care activities. Further examinations of survivorship preparedness and HRQoL in oral and oropharyngeal cancer are warranted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Registered on clinicaltrials. gov as NCT04713449<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70579","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:22:38Z","timestamp":1787808158000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing Self Care Among Oral Cancer Survivors Using a Digital Approach: The Empowered Survivor Trial"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9304-7822","authenticated-orcid":false,"given":"Sharon L.","family":"Manne","sequence":"first","affiliation":[{"name":"Rutgers Cancer Institute  New Brunswick New Jersey 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