{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T11:15:07Z","timestamp":1790248507479,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>While surgery is considered a standard treatment for patients diagnosed with early\u2010stage lung cancer, it often brings significant challenges for patients including functional limitations and post\u2010operative symptoms. Family caregivers play a critical role in care coordination, post\u2010operative management, and addressing emotional distress often with limited preparation and support. Despite their importance, few studies have assessed the interrelationship between patient and caregiver outcomes during the peri\u2010operative period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study is a secondary analysis of data from a randomized controlled trial involving 190 patient\u2010caregiver dyads who participated in a dyadic multimedia self\u2010management intervention. Structural equation modeling (SEM) was used to evaluate the impact of various sociodemographic variables and psychosocial mediators on dyadic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Self\u2010efficacy was a consistent predictor, with positive effects on preparedness and quality of life (QOL) and negative effects on psychological distress. While activation and knowledge were positively associated with self\u2010efficacy and preparedness, they showed minimal effects on caregiver burden and distress. When evaluating the interdependent relationship, higher patient QOL was associated with improved caregiver preparedness and reduced burden. Caregiver distress significantly predicted greater patient distress and lower patient QOL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results of this study support the interdependent, bi\u2010directional associations of patient and caregiver well\u2010being. Further multi\u2010media interventions in the peri\u2010operative period focused on self\u2010efficacy and promoting emotional resilience among caregivers may substantially improve post\u2010operative outcomes for both members of the dyad.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70378","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T17:35:53Z","timestamp":1767807353000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Interrelationship Between Patient and Family Caregiver Outcomes Following Lung Cancer Surgery: A Secondary Analysis of a Randomized Controlled Trial"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2270-915X","authenticated-orcid":false,"given":"Mandisa L.","family":"Keswa","sequence":"first","affiliation":[{"name":"Kaiser Permanente Bernard J. Tyson School of Medicine  Pasadena California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwatimilehin","family":"Okunowo","sequence":"additional","affiliation":[{"name":"Division of Biostatistics Department of Computational and Quantitative Medicine City of Hope  Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joycelynne","family":"Palmer","sequence":"additional","affiliation":[{"name":"Division of Biostatistics Department of Computational and Quantitative Medicine City of Hope  Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Raz","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Department of Surgery City of Hope  Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loretta","family":"Erhunmwunsee","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Department of Surgery City of Hope  Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0061-5235","authenticated-orcid":false,"given":"Betty","family":"Ferrell","sequence":"additional","affiliation":[{"name":"Department of Population Sciences City of Hope  Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3905-5976","authenticated-orcid":false,"given":"Jae Y.","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery Department of Surgery City of Hope  Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Population Sciences City of Hope  Duarte California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Cancer Facts & Figures 2024","year":"2024"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21820"},{"key":"e_1_2_9_4_1","volume-title":"Lung Cancer Statistics | How Common is Lung Cancer?","year":"2025"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2022.05.016"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000019629"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.11.004"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/rapm\u20102020\u2010101292"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12893\u2010021\u201001305\u20100"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010018\u201004900\u20100"},{"key":"e_1_2_9_11_1","unstructured":"10.National Alliance for Caregiving (NAC) and AARP Report. 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