Testing a Preliminary Live with Love Conceptual Framework for cancer couple dyads: A mixed-methods study.
OBJECTIVE
The purpose of this study was to test the previous proposed Preliminary Live with Love Conceptual Framework (P-LLCF) that focuses on spousal caregiver-patient couples in their journey of coping with cancer as dyads.


METHODS
A mixed-methods study that included qualitative and quantitative approaches was conducted. Methods of concept and theory analysis, and structural equation modeling (SEM) were applied in testing the P-LLCF.


RESULTS
In the qualitative approach in testing the concepts included in the P-LLCF, a comparison was made between the P-LLCF with a preliminary conceptual framework derived from focus group interviews among Chinese couples' coping with cancer. The comparison showed that the concepts identified in the P-LLCF are relevant to the phenomenon under scrutiny, and attributes of the concepts are consistent with those identified among Chinese cancer couple dyads. In the quantitative study, 117 cancer couples were recruited. The findings showed that inter-relationships exist among the components included in the P-LLCF: event situation, dyadic mediators, dyadic appraisal, dyadic coping, and dyadic outcomes. In that the event situation will impact the dyadic outcomes directly or indirectly through Dyadic Mediators. The dyadic mediators, dyadic appraisal, and dyadic coping are interrelated and work together to benefit the dyadic outcomes.


CONCLUSIONS
This study provides evidence that supports the interlinked components and the relationship included in the P-LLCF. The findings of this study are important in that they provide healthcare professionals with guidance and directions according to the P-LLCF on how to plan supportive programs for couples coping with cancer.
Wuxi Medical School, Jiangnan University, Wuxi, Jiangsu Province, China; School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon Hong Kong, China.
Qiuping
Q
Li
Wuxi People's Hospital, Wuxi, Jiangsu Province, China.
Yinghua
Y
Xu
Wuxi People's Hospital, Wuxi, Jiangsu Province, China.
Huiya
H
Zhou
School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon Hong Kong, China. Electronic address: alice.yuen.loke@polyu.edu.hk.
Alice Yuen
AY
Loke
D000328:Adult; D000367:Age Factors; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D003210:Concept Formation; D003662:Decision Theory; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D006723:Hong Kong; D006801:Humans; D007398:Interpersonal Relations; D008149:Love; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis / Q000451:nursing* / Q000523:psychology*; D036301:Qualitative Research; D012737:Sex Factors; D012959:Socioeconomic Factors; D018454:Spouses / Q000523:psychology*; D013315:Stress, Psychological
Cancer; Cancer couple dyads; Concept analysis; Conceptual framework testing; Oncology; Statement testing; Theory testing