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health literacy skills vital cancer caregivers helping cancer survivors navigate diagnosis treatment recovery little known study explored health literacy ehealth literacy among cancer caregivers relationship health literacyehealth literacy potential associated factors informal caregivers cared individual cancer completed survey collected demographic data measured caregiver health literacy ehealth literacy selfefficacy burden distress seven percent caregivers inadequate health literacy caregivers scored lowest health literacy domains related caregiver social support information seeking understanding care recipient preferences ehealth literacy associated selfefficacy burden different health literacy domains associated burden understanding care recipient needs preferences selfefficacy cancerrelated communication care recipient understanding care recipients needs preferences distress proactivity determination seek information understanding care recipient needs preferences understanding healthcare system findings highlight key areas need regarding cancer caregiver health literacy future research target given observed relationship aspects health literacy burden distress selfefficacy future work could carried alleviate high levels burden distress enhance selfefficacy among cancer caregivers addressing health literacy skills findings study inform development health literacy interventions support caregivers build health literacy skills enable group better support cancer survivors result