Social connectedness and health‐related quality of life among patients with cancer undergoing chemotherapy: A mixed method approach using structural equation modelling and photo‐elicitation
Open accessAbstract
Objective: To develop and test the model of association of social connectedness and health‐related quality of life (HRQoL) among patients with cancer undergoing chemotherapy and to describe their social connectedness through photo‐elicitation. Background: Social connectedness has been empirically associated with several well‐being outcomes. However, little is known on the association of social connectedness among patients with cancer undergoing chemotherapy. Methods: Employing a mixed‐methods design following the good reporting of a mixed methods study guideline, the quantitative approach involved 230 consecutively‐selected patients with cancer undergoing chemotherapy who answered a three‐part survey. From these patients, six informants participated in the photo‐elicitation and key informant interview sessions. Gathered data were quantitatively analyzed using structural equation modelling and qualitatively processed using polytextual thematic analysis. Results and Findings: Social connectedness had a positive influence on social well‐being (β = .22, p = .008) and emotional well‐being (β = .20, p = .023); however, it had a negative effect on functional well‐being (β = −.20, p = .007). The overall model revealed good model indices: χ 2/df = .82, RMSEA = .01, GFI = 1.00. Qualitative analysis culled from photo‐elicitation uncovered five interconnected themes yielding the Honeycomb model of social connectedness which was composed of correspondence, cohesion, constitution, convergence and corroboration. Conclusion: HRQoL among patients with cancer undergoing chemotherapy is a multi‐factorial health construct affected by social connectedness. The presented model emphasises the importance of social connectedness and paves way for the development of appropriate strategies to promote social connectedness among patients with cancer undergoing chemotherapy. Relevance to Clinical Practice: The findings provide impetus in the modification and development of appropriate practices, policies and strategies in promoting social connectedness. These approaches are geared towards patient–family empowerment and health education techniques to ascertain that assistance from significant others is provided without limiting the patient's autonomy or independence.
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Feeling connected and understood in cancer patients is important and sometimes cannot be met by family and friends not affected by cancer.
“This matches previous research highlighting the importance of feeling connected and understood in cancer patients 102,103 which sometimes cannot be met by family and friends not affected by cancer. 102-104”
From How do mindfulness-based interventions promote coping and self-efficacy in patients with cancer: A systematic review of qualitative and quantitative data (2024) · cites this paper as [104]
The Discussion (page unavailable) reports that social connectedness positively influenced emotional and social well-being in patients with cancer undergoing chemotherapy. The paper does not say that family or friends who have not had cancer sometimes cannot meet patients’ need to feel understood; its Honeycomb model section instead includes patients’ accounts of support from family. (LLM, conf=0.86)
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- Authors
- Salazar, S. M. D. C., Dino, M. J. S., & Macindo, J. R. B.
- Affiliations
- University of Santo Tomas (PH)
- Our Lady of Fatima University Valenzuela City Philippines
- University of the Philippines Open University (PH)
- Corresponding author
- Macindo, John Rey B.
- ORCID
- Macindo, John Rey B.
- Venue
- Journal of Clinical Nursing
- Publisher
- Wiley
- Published
- 2023-03-09
- Volume
- 32
- Issue
- 17-18
- Pages
- 6298-6309
- ISSN
- 0962-1067 (ISSN-L)
- 1365-2702
- OpenAlex
- W4323654373
- Cited by
- 11
- References
- 44
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 1
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- social connectedness, health-related quality of life, cancer patients, chemotherapy, photo-elicitation, social cohesion, health education, patient autonomy
- MeSH terms
- Latent Class Analysis, Emotions, Humans, Neoplasms, Quality of Life
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