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Peer-reviewedCC BY 4.0Journal of Rehabilitation Medicine

DISABILITY, COMMUNITY PARTICIPATION, AND LIFE SATISFACTION IN WORKING-AGE CANCER SURVIVORS

  • Ada CHEN1
  • Jing TAO2
  • Lidian CHEN2
  1. 1Kessler Foundation, East Hanover, NJ, USA
  2. 2Fujian University of Traditional Chinese Medicine, Fuzhou, China
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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.

Design: Cross-sectional online survey.

Subjects: 2,999 working-age US cancer survivors, employed or seeking employment (mean age 42.8 years; 53.1% male; 75.7% in remission).

Methods: 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.

Results: 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.

Conclusion: 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.

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Cite

BibTeXRIS
BibTeX
@article{chen2026disability,
  title = {{DISABILITY, COMMUNITY PARTICIPATION, AND LIFE SATISFACTION IN WORKING-AGE CANCER SURVIVORS}},
  author = {Ada CHEN and Jing TAO and Lidian CHEN},
  journal = {Journal of Rehabilitation Medicine},
  year = {2026},
  month = oct,
  doi = {10.2340/jrm.v58.46071},
  url = {https://doi.org/10.2340/jrm.v58.46071},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - DISABILITY, COMMUNITY PARTICIPATION, AND LIFE SATISFACTION IN WORKING-AGE CANCER SURVIVORS
AU  - Ada CHEN
AU  - Jing TAO
AU  - Lidian CHEN
PY  - 2026
DA  - 2026/10/29
JO  - Journal of Rehabilitation Medicine
DO  - 10.2340/jrm.v58.46071
UR  - https://doi.org/10.2340/jrm.v58.46071
AB  - Objective: To examine whether community participation mediates the disability–life satisfaction association in working-age cancer survivors, and whether contextual factors moderate this pathway.  Design: Cross-sectional online survey.  Subjects: 2,999 working-age US cancer survivors, employed or seeking employment (mean age 42.8 years; 53.1% male; 75.7% in remission).  Methods: 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.  Results: 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.  Conclusion: 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.
SN  - 1650-1977
SN  - 1651-2081
ER  -