title: Re-affirmation of a Preliminary Live with Love Conceptual Framework for cancer couple dyads: A couple-based complex intervention study.
abstract: OBJECTIVE
  The relational dynamics of couples may be under great strain due to the diagnosis and treatment of cancer. A complex "Caring for Couples Coping with Cancer" (4Cs) intervention program, guided by a Preliminary Live with Love Conceptual Framework (P-LLCF) for Cancer Couple Dyads, was developed to support couples going through such hardship. The purpose of this paper is to present a re-analysis of the results of the 4Cs intervention program to determine whether the findings provide evidence to support the constructs in the P-LLCF.
  
  
  METHODS
  The 4Cs intervention was provided to support cancer patients and their spousal caregivers. The pre- and post-intervention findings of the 4Cs intervention program were re-analyzed using descriptive-correlational analysis and structural equation modeling (SEM) to test whether the findings provide evidence to support the constructs in the P-LLCF.
  
  
  RESULTS
  A total of 92 out of the 117 dyads at baseline (T0) were successfully followed-up at 6 weeks (T1). The re-analysis of the findings from the 4Cs program (T1 outcomes) showed inter-relationships among the components included in the P-LLCF: dyadic mediators, dyadic coping, dyadic appraisal, and dyadic outcomes. The SEM of all six models resulted in convergence and showed goodness of fit to the data and variables, which is supportive of the constructs in the P-LLCF.
  
  
  CONCLUSIONS
  The present analysis of the T1 outcome measures of the 4Cs program provides evidence to support the constructs in the P-LLCF. Multiple mutual effects existed between couples in the process of living and coping with cancer as dyads.
authors.affiliation: Wuxi Medical School, Jiangnan University, Wuxi, Jiangsu Province, China; School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China.
authors.forename: Qiuping
authors.initials: Q
authors.lastname: Li
authors.affiliation: Wuxi People's Hospital, Wuxi, Jiangsu Province, China.
authors.forename: Yinghua
authors.initials: Y
authors.lastname: Xu
authors.affiliation: Wuxi People's Hospital, Wuxi, Jiangsu Province, China.
authors.forename: Huiya
authors.initials: H
authors.lastname: Zhou
authors.affiliation: School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China. Electronic address: alice.yuen.loke@polyu.edu.hk.
authors.forename: Alice Yuen
authors.initials: AY
authors.lastname: Loke
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D002681:China; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008149:Love; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D018454:Spouses / Q000523:psychology*
keywords: Cancer; Cancer couple dyads; Caring for couples coping with cancer; Complex intervention; Oncology; Structural equation modeling