{
  "abstract": "Objective: To examine whether community participation mediates the disability–life satisfaction association in working-age cancer survivors, and whether contextual factors moderate this pathway.\n\nDesign: Cross-sectional online survey.\n\nSubjects: 2,999 working-age US cancer survivors, employed or seeking employment (mean age 42.8 years; 53.1% male; 75.7% in remission).\n\nMethods: 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.\n\nResults: 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.\n\nConclusion: 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.",
  "abstract_shown": true,
  "affiliations": [
    "Kessler Foundation, East Hanover, NJ, USA",
    "Fujian University of Traditional Chinese Medicine, Fuzhou, China"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ada CHEN"
    },
    {
      "affs": [
        1
      ],
      "name": "Jing TAO"
    },
    {
      "affs": [
        1
      ],
      "name": "Lidian CHEN"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bs2kydrj0bnah.bib",
  "cited_by": 0,
  "doi": "10.2340/jrm.v58.46071",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13723030/",
  "id": "bs2kydrj0bnah",
  "issns": [
    "1650-1977",
    "1651-2081"
  ],
  "landing_url": "https://doi.org/10.2340/jrm.v58.46071",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Report"
    ],
    [
      "openalex",
      "2730|Cancer survivorship and care"
    ]
  ],
  "openalex": "W7224209778",
  "pdf_url": "https://medicaljournalssweden.se/jrm/article/download/46071/55988",
  "pmcid": "PMC13723030",
  "pmid": "42952150",
  "published": "2026-10-29",
  "publisher": "MJS Publishing",
  "ris": "https://research.draconitic.com/paper/bs2kydrj0bnah.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T12:21:42Z",
      "native_id": "PMC13723030",
      "source": "pmc",
      "url": "https://doi.org/10.2340/jrm.v58.46071"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2730|Cancer survivorship and care",
      "subfield": "oncology"
    }
  ],
  "title": "DISABILITY, COMMUNITY PARTICIPATION, AND LIFE SATISFACTION IN WORKING-AGE CANCER SURVIVORS",
  "title_text": "DISABILITY, COMMUNITY PARTICIPATION, AND LIFE SATISFACTION IN WORKING-AGE CANCER SURVIVORS",
  "type": "peer-reviewed",
  "updated_at": "2026-11-04T12:21:42Z",
  "url": "https://research.draconitic.com/paper/bs2kydrj0bnah",
  "venue": "Journal of Rehabilitation Medicine",
  "versions": []
}