Authors
Ada Chen, Jing Tao, Lidian Chen
Published in
Journal of rehabilitation medicine. Volume 58. Pages jrm46071. Oct 29, 2026. Epub Oct 29, 2026.
Abstract
To examine whether community participation mediates the disability-life satisfaction association in working-age cancer survivors, and whether contextual factors moderate this pathway.
Cross-sectional online survey.
2,999 working-age US cancer survivors, employed or seeking employment (mean age 42.8 years; 53.1% male; 75.7% in remission).
Disability (World Health Organization Disability Assessment Schedule 2.0), perceived community participation (5-item Wisconsin Community Participation Scale), and life satisfaction (Satisfaction With Life Scale) were assessed. A single-mediator model was estimated with bias-corrected bootstrap; 7 moderators were tested with false-discovery-rate correction.
Disability was associated with lower participation (β = -0.14) and life satisfaction (β = -0.12); participation with greater life satisfaction (β = 0.57). The indirect association (β = -0.08, 95% CI -0.10 to -0.06) accounted for 39.8% of the modest total association, but for only 13.0% when the full 12-item participation scale was used. At high instrumental support the conditional indirect association was indistinguishable from zero; at high self-efficacy and hope it reversed in sign.
In this cross-sectional study, community participation statistically accounted for a measure-dependent part of the disability-life satisfaction association, and contextual factors were associated with differential attenuation across pathway segments. These hypothesis-generating findings require longitudinal confirmation before informing practice.
PMID:
42952150
Bibliographic data and abstract were imported from PubMed on 29 Oct 2026.
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