ArticleFrontiers in public health2026
Chain mediating effects of self-efficacy and social support on the relationship between engagement in an internet-based traditional Chinese medicine nursing program and quality of life among lung cancer patients: a cross-sectional questionnaire study.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- eHealth Literacy and Quality of Life in Patients: A Narrative Review of Mediating Effecting.Patient preference and adherence · 2026Review
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6 authors.
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Abstract
Background: Internet-based Traditional Chinese Medicine (TCM) nursing programs may support continuous symptom management and psychosocial adaptation in lung cancer patients; however, potential pathways linking program engagement to quality of life (QOL) remain unclear. Objective: This study aimed to examine the association between engagement in an Internet-based TCM nursing program and QOL in lung cancer patients, and to test whether social support and self-efficacy sequentially mediate this relationship. Methods: We conducted a cross-sectional questionnaire study among lung cancer patients treated at the First Affiliated Hospital of Heilongjiang University of Chinese Medicine (March 2022-March 2023). QOL was assessed using the EORTC QLQ-C30, social support using the Social Support Rating Scale (SSRS), and self-efficacy using the Strategies Used by People to Promote Health (SUPPH) questionnaire. Program engagement was quantified using a prespecified implementation and evaluation score derived from platform logs and caregiver feedback. Multivariable linear regression examined associations between program engagement and QOL. Chain mediation was tested using structural equation modeling (lavaan) with bias-corrected bootstrap confidence intervals. Results: A total of 120 patients were included. In multivariable regression, higher program engagement was associated with better QOL (Model A: Conclusion: Greater engagement in an Internet-based TCM nursing program was associated with better QOL among lung cancer patients, and the association was consistent with a chain pathway involving social support and self-efficacy. Prospective and randomized studies are warranted to confirm temporal ordering and causal mechanisms.
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