{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:44:04Z","timestamp":1785545044572,"version":"3.56.0"},"reference-count":58,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The number of cancer survivors in Switzerland is increasing. Many individuals face challenges in dealing with health-related information and navigating the health care system. Digitalization offers new care and support opportunities, but its effective use requires digital and navigational health literacy (HL) and self-management skills.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to assess the competencies of cancer survivors in Switzerland, compare them with those of the general population, and identify vulnerable subgroups.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A cross-sectional online survey was conducted using validated scales from the Health Literacy Survey 2019\u20102021 (HLS\n 19<\/jats:sub>\n ), measuring digital HL, interaction with digital devices, frequency of use of digital resources, and navigational HL. Self-management skills were assessed with the Health Education Impact Questionnaire (heiQ). HLS\n 19<\/jats:sub>\n scores were compared to data from the general Swiss population and a subpopulation with chronic diseases provided by the Federal Office of Public Health, using Mann-Whitney\n U<\/jats:italic>\n tests, chi-square tests, and independent\n t<\/jats:italic>\n tests. Regression analyses identified associations of sociodemographic and clinical factors with digital and navigational HL and self-management skills.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 131 cancer survivors (74.8% female, 41% with breast cancer) completed the survey. Only 30% reported high digital HL, while self-management skills were generally high, particularly in \u201chealth service navigation\u201d (median 3.6, IQR 0.8 on a 4-point Likert scale) and \u201cconstructive attitudes\u201d (median 3.6, IQR 1). Compared to the general population, cancer survivors had significantly higher scores in digital interaction and digital resource use (\n P<\/jats:italic>\n \u2264.002), while no differences were observed in digital or navigational HL. Digital and navigational HL, as well as self-management, were consistently associated with education level, social support, and financial deprivation.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Cancer survivors in Switzerland report low digital and navigational HL, comparable to the general population, while self-management skills were strong overall. Support strategies should simultaneously target individual and systemic factors to improve cancer survivors\u2019 ability to access and use digital health resources. Future research should include a more representative sample to validate these findings.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/84228","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T18:56:40Z","timestamp":1779735400000},"page":"e84228-e84228","source":"Crossref","is-referenced-by-count":0,"title":["Digital and Navigational Health Literacy in Swiss Cancer Survivors Compared With the General Population: Cross-Sectional Questionnaire Study"],"prefix":"10.2196","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2038-0261","authenticated-orcid":false,"given":"Julia","family":"Seinsche","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8656-9825","authenticated-orcid":false,"given":"Elena","family":"Alder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7768-4838","authenticated-orcid":false,"given":"Tami","family":"Wehrmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8309-445X","authenticated-orcid":false,"given":"J\u00f6rg","family":"Haslbeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4724-1197","authenticated-orcid":false,"given":"Karin","family":"Ribi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7992-7209","authenticated-orcid":false,"given":"Saskia Maria","family":"De Gani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"issue":"5","key":"R1","doi-asserted-by":"publisher","first-page":"409","DOI":"10.3322\/caac.21731","article-title":"Cancer treatment and survivorship statistics, 2022","volume":"72","author":"Miller","journal-title":"CA Cancer J Clin"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","first-page":"7","DOI":"10.3322\/caac.21708","article-title":"Cancer statistics, 2022","volume":"72","author":"Siegel","journal-title":"CA A Cancer J Clinicians"},{"key":"R3","unstructured":"Cirillo P Feller A Ho\u0161ek M et al. 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