{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T04:59:34Z","timestamp":1769144374207,"version":"3.49.0"},"reference-count":45,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"National Key Research and Development Program of China","award":["2022YFC2503101"],"award-info":[{"award-number":["2022YFC2503101"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["No.82473744"],"award-info":[{"award-number":["No.82473744"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Qual Life Res"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1007\/s11136-025-04126-3","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T13:26:40Z","timestamp":1766755600000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Latent class analysis of quality of life among patients with Kashin\u2013Beck disease and its association with health literacy and social support"],"prefix":"10.1007","volume":"35","author":[{"given":"Haoyu","family":"Du","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Songyao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fang","family":"Qi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chenxi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaxin","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Yu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"issue":"9","key":"4126_CR1","first-page":"42","volume":"23","author":"EN Kalinovskaia","year":"1958","unstructured":"Kalinovskaia, E. N. (1958). Certain features of the clinical picture of Kaschin-Beck disease in endemic foci; data of the Urov scientific research station AMH USSR 1952\u20131954. Pediatriia, 23(9), 42\u201348.","journal-title":"Pediatriia"},{"issue":"05","key":"4126_CR2","first-page":"645","volume":"38","author":"H Huang","year":"2022","unstructured":"Huang, H., Li, F., Chen, H., Li, J., & Yang, X. (2022). Analysis of Sichuan children\u2019s osteoarthritis disease condition surveillance results, 2019\u20132021. Journal of Preventive Medicine Information, 38(05), 645\u2013649 (in Chinese).","journal-title":"Journal of Preventive Medicine Information"},{"issue":"10","key":"4126_CR3","first-page":"5","volume":"39","author":"X Li","year":"2020","unstructured":"Li, X., Fang, H., Yang, L., Yuan, H., Yan, H., & Xue, S. (2020). Life quality and its influencing factors in patients with Kashin-Beck disease. Chinese Journal of Endemiology, 39(10), 5 (in Chinese).","journal-title":"Chinese Journal of Endemiology"},{"issue":"1","key":"4126_CR4","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1186\/s13018-023-03803-8","volume":"18","author":"Z Jin","year":"2023","unstructured":"Jin, Z., Wu, X., Sun, Z., Chen, M., Yang, B., Dong, X., Liu, S., Chang, Y., Xu, C., Yi, Z., & Ling, M. (2023). Health-related quality of life in patients with Kashin-Beck disease is lower than in those with osteoarthritis: A cross-sectional study. J Orthop Surg Res, 18(1), 330. https:\/\/doi.org\/10.1186\/s13018-023-03803-8","journal-title":"J Orthop Surg Res"},{"issue":"9","key":"4126_CR5","doi-asserted-by":"publisher","first-page":"e508","DOI":"10.1016\/S2665-9913(23)00163-7","volume":"5","author":"JD Steinmetz","year":"2023","unstructured":"Steinmetz, J. D., Culbreth, G. T., Haile, L. M., Rafferty, Q., Lo, J., Fukutaki, K. G., Cruz, J. A., Smith, A. E., Vollset, S. E., & Brooks, P. M. (2023). Global, regional, and National burden of osteoarthritis, 1990\u20132020 and projections to 2050: A systematic analysis for the global burden of disease study 2021. The Lancet Rheumatology, 5(9), e508\u2013e522.","journal-title":"The Lancet Rheumatology"},{"issue":"4","key":"4126_CR6","doi-asserted-by":"publisher","first-page":"869","DOI":"10.1002\/ejhf.3243","volume":"26","author":"N Patel","year":"2024","unstructured":"Patel, N., & Yeboah, J. (2024). Multimorbidity in the era of increasing life expectancy and aging population. European Journal of Heart Failure, 26(4), 869\u2013870. https:\/\/doi.org\/10.1002\/ejhf.3243","journal-title":"European Journal of Heart Failure"},{"issue":"1","key":"4126_CR7","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1186\/s12955-018-1031-7","volume":"16","author":"M Zheng","year":"2018","unstructured":"Zheng, M., Jin, H., Shi, N., Duan, C., Wang, D., Yu, X., & Li, X. (2018). The relationship between health literacy and quality of life: A systematic review and meta-analysis. Health and Quality of Life Outcomes, 16(1), 201. https:\/\/doi.org\/10.1186\/s12955-018-1031-7","journal-title":"Health and Quality of Life Outcomes"},{"issue":"3","key":"4126_CR8","doi-asserted-by":"publisher","first-page":"444","DOI":"10.1007\/s11606-012-2241-z","volume":"28","author":"F Al Sayah","year":"2013","unstructured":"Al Sayah, F., Majumdar, S. R., Williams, B., Robertson, S., & Johnson, J. A. (2013). Health literacy and health outcomes in diabetes: A systematic review. Journal of General Internal Medicine, 28(3), 444\u2013452. https:\/\/doi.org\/10.1007\/s11606-012-2241-z","journal-title":"Journal of General Internal Medicine"},{"issue":"6","key":"4126_CR9","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1016\/j.jchf.2019.11.007","volume":"8","author":"M Fabbri","year":"2020","unstructured":"Fabbri, M., Murad, M. H., Wennberg, A. M., Turcano, P., Erwin, P. J., Alahdab, F., Berti, A., Manemann, S. M., Yost, K. J., Rutten, F., L. J., & Roger, V. L. (2020). Health literacy and outcomes among patients with heart failure: A systematic review and meta-analysis. JACC Heart Failure, 8(6), 451\u2013460. https:\/\/doi.org\/10.1016\/j.jchf.2019.11.007","journal-title":"JACC Heart Failure"},{"key":"4126_CR10","doi-asserted-by":"publisher","first-page":"1390442","DOI":"10.3389\/fpsyg.2024.1390442","volume":"15","author":"T Liu","year":"2024","unstructured":"Liu, T., Meng, W., Wang, W., Sun, G., Chen, X., Lu, Y., Qin, W., Wang, Y., Zhang, L., & Zheng, S. (2024). A cross-sectional study of predictive factors of health literacy among rheumatoid arthritis patients in China. Frontiers in Psychology, 15, 1390442. https:\/\/doi.org\/10.3389\/fpsyg.2024.1390442","journal-title":"Frontiers in Psychology"},{"issue":"12","key":"4126_CR11","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1007\/s11882-020-00978-6","volume":"20","author":"M Maheswaranathan","year":"2020","unstructured":"Maheswaranathan, M., Cantrell, S., Eudy, A. M., Rogers, J. L., Clowse, M. E. B., Hastings, S. N., & Bailey, S. C. (2020). Investigating health literacy in systemic lupus erythematosus: A descriptive review. Current Allergy and Asthma Reports, 20(12), 79. https:\/\/doi.org\/10.1007\/s11882-020-00978-6","journal-title":"Current Allergy and Asthma Reports"},{"issue":"21","key":"4126_CR12","doi-asserted-by":"publisher","first-page":"4202","DOI":"10.1002\/cncr.31733","volume":"124","author":"JK Papadakos","year":"2018","unstructured":"Papadakos, J. K., Hasan, S. M., Barnsley, J., Berta, W., Fazelzad, R., Papadakos, C. J., Giuliani, M. E., & Howell, D. (2018). Health literacy and cancer self-management behaviors: A scoping review. Cancer, 124(21), 4202\u20134210. https:\/\/doi.org\/10.1002\/cncr.31733","journal-title":"Cancer"},{"issue":"3","key":"4126_CR13","doi-asserted-by":"publisher","first-page":"358","DOI":"10.46497\/ArchRheumatol.2024.10397","volume":"39","author":"J Qian","year":"2024","unstructured":"Qian, J., Yao, X., & Liu, T. (2024). Assessment of electronic health literacy and its association with self-management among gout patients: A cross-sectional study. Arch Rheumatol, 39(3), 358\u2013367. https:\/\/doi.org\/10.46497\/ArchRheumatol.2024.10397","journal-title":"Arch Rheumatol"},{"issue":"6","key":"4126_CR14","doi-asserted-by":"publisher","first-page":"e12165","DOI":"10.2196\/12165","volume":"21","author":"M Stellefson","year":"2019","unstructured":"Stellefson, M., Paige, S. R., Alber, J. M., Chaney, B. H., Chaney, D., Apperson, A., & Mohan, A. (2019). Association between health literacy, electronic health literacy, disease-specific knowledge, and health-related quality of life among adults with chronic obstructive pulmonary disease: Cross-sectional study. Journal of Medical Internet Research, 21(6), e12165. https:\/\/doi.org\/10.2196\/12165","journal-title":"Journal of Medical Internet Research"},{"issue":"1","key":"4126_CR15","doi-asserted-by":"publisher","first-page":"1656","DOI":"10.1186\/s12889-023-16585-9","volume":"23","author":"C Sylwander","year":"2023","unstructured":"Sylwander, C., Wahl, A. K., Andersson, M. L. E., Haglund, E., & Larsson, I. (2023). Health literacy in individuals with knee pain-a mixed methods study. Bmc Public Health, 23(1), 1656. https:\/\/doi.org\/10.1186\/s12889-023-16585-9","journal-title":"Bmc Public Health"},{"issue":"9","key":"4126_CR16","doi-asserted-by":"publisher","first-page":"1545","DOI":"10.1093\/ndt\/gfx293","volume":"33","author":"DM Taylor","year":"2018","unstructured":"Taylor, D. M., Fraser, S., Dudley, C., Oniscu, G. C., Tomson, C., Ravanan, R., & Roderick, P. (2018). Health literacy and patient outcomes in chronic kidney disease: A systematic review. Nephrology, Dialysis, Transplantation, 33(9), 1545\u20131558. https:\/\/doi.org\/10.1093\/ndt\/gfx293","journal-title":"Nephrology, Dialysis, Transplantation"},{"issue":"04","key":"4126_CR17","first-page":"520","volume":"18","author":"C He","year":"2023","unstructured":"He, C., Yang, X., Chen, X., Zhou, H., Lin, L., & Yang, X. (2023). Study on the correlation between health literacy, social support and health status of elderly stroke patients. Journal of Chengdu Medical College, 18(04), 520\u2013524 (in Chinese).","journal-title":"Journal of Chengdu Medical College"},{"key":"4126_CR18","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1146\/annurev-publhealth-090419-102529","volume":"42","author":"D Nutbeam","year":"2021","unstructured":"Nutbeam, D., & Lloyd, J. E. (2021). Understanding and responding to health literacy as a social determinant of health. Annual Review of Public Health, 42, 159\u2013173. https:\/\/doi.org\/10.1146\/annurev-publhealth-090419-102529","journal-title":"Annual Review of Public Health"},{"issue":"1","key":"4126_CR19","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1177\/13623613221081917","volume":"27","author":"RA Charlton","year":"2023","unstructured":"Charlton, R. A., McQuaid, G. A., & Wallace, G. L. (2023). Social support and links to quality of life among middle-aged and older autistic adults. Autism, 27(1), 92\u2013104. https:\/\/doi.org\/10.1177\/13623613221081917","journal-title":"Autism"},{"issue":"1","key":"4126_CR20","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1186\/s12888-024-05526-4","volume":"24","author":"Y Wang","year":"2024","unstructured":"Wang, Y., Qiu, Y., Ren, L., Jiang, H., Chen, M., & Dong, C. (2024). Social support, family resilience and psychological resilience among maintenance hemodialysis patients: A longitudinal study. Bmc Psychiatry, 24(1), 76. https:\/\/doi.org\/10.1186\/s12888-024-05526-4","journal-title":"Bmc Psychiatry"},{"issue":"3","key":"4126_CR21","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1080\/13607860801933323","volume":"12","author":"SE Wilks","year":"2008","unstructured":"Wilks, S. E., & Croom, B. (2008). Perceived stress and resilience in alzheimer\u2019s disease caregivers: Testing moderation and mediation models of social support. Aging & Mental Health, 12(3), 357\u2013365. https:\/\/doi.org\/10.1080\/13607860801933323","journal-title":"Aging & Mental Health"},{"key":"4126_CR22","doi-asserted-by":"publisher","first-page":"339","DOI":"10.2147\/ppa.S58014","volume":"8","author":"JL Ridgeway","year":"2014","unstructured":"Ridgeway, J. L., Egginton, J. S., Tiedje, K., Linzer, M., Boehm, D., Poplau, S., de Oliveira, D. R., Odell, L., Montori, V. M., & Eton, D. T. (2014). Factors that lessen the burden of treatment in complex patients with chronic conditions: A qualitative study. Patient Preference and Adherence, 8, 339\u2013351. https:\/\/doi.org\/10.2147\/ppa.S58014","journal-title":"Patient Preference and Adherence"},{"issue":"4","key":"4126_CR23","first-page":"139","volume":"60","author":"IV Rosin","year":"1988","unstructured":"Rosin, I. V. (1988). Clinical aspects and diagnosis of Kashin-Beck disease. Terapevticheskii Arkhiv, 60(4), 139\u2013141.","journal-title":"Terapevticheskii Arkhiv"},{"issue":"9","key":"4126_CR24","doi-asserted-by":"publisher","first-page":"946","DOI":"10.1093\/abm\/kaac003","volume":"56","author":"SH Min","year":"2022","unstructured":"Min, S. H., Docherty, S. L., Im, E. O., & Yang, Q. (2022). Health behavior profiles among midlife women: Identifying at-risk subgroups for metabolic syndrome using latent class analysis. Annals of Behavioral Medicine, 56(9), 946\u2013958. https:\/\/doi.org\/10.1093\/abm\/kaac003","journal-title":"Annals of Behavioral Medicine"},{"issue":"2","key":"4126_CR25","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1007\/s11121-011-0201-1","volume":"14","author":"ST Lanza","year":"2013","unstructured":"Lanza, S. T., & Rhoades, B. L. (2013). Latent class analysis: An alternative perspective on subgroup analysis in prevention and treatment. Prevention Science, 14(2), 157\u2013168. https:\/\/doi.org\/10.1007\/s11121-011-0201-1","journal-title":"Prevention Science"},{"issue":"3","key":"4126_CR26","doi-asserted-by":"publisher","first-page":"425","DOI":"10.1007\/s11136-010-9820-4","volume":"20","author":"U Farooq","year":"2011","unstructured":"Farooq, U., Guo, X., Chuang, L. H., Fang, H., Zhuang, G., & Xia, C. (2011). Measuring health-related quality of life in Kashin-Beck disease using EQ-5D. Quality of Life Research, 20(3), 425\u2013429. https:\/\/doi.org\/10.1007\/s11136-010-9820-4","journal-title":"Quality of Life Research"},{"key":"4126_CR27","unstructured":"EuroQol.EQ-5D-5L User Guide[EB\/OL].[2025-09-12]. https:\/\/euroqol.org\/information-and-support\/euroqol-instruments\/eq-5d-5l\/"},{"issue":"1","key":"4126_CR28","doi-asserted-by":"publisher","first-page":"9906","DOI":"10.1038\/s41598-022-13910-x","volume":"12","author":"W Hu","year":"2022","unstructured":"Hu, W., Zhou, L., Chu, J., Sun, N., Chen, X., Liu, S., & Shen, Y. (2022). Estimating population norms for the health-related quality of life of adults in Southern Jiangsu Province, China. Scientific Reports, 12(1), 9906. https:\/\/doi.org\/10.1038\/s41598-022-13910-x","journal-title":"Scientific Reports"},{"issue":"1","key":"4126_CR29","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.pec.2009.10.001","volume":"79","author":"JE Jordan","year":"2010","unstructured":"Jordan, J. E., Buchbinder, R., & Osborne, R. H. (2010). Conceptualising health literacy from the patient perspective. Patient Education and Counseling, 79(1), 36\u201342. https:\/\/doi.org\/10.1016\/j.pec.2009.10.001","journal-title":"Patient Education and Counseling"},{"key":"4126_CR30","volume-title":"Development and preliminary application of scale on healthliteracy for patients with chronic disease","author":"H. Sun","year":"2012","unstructured":"Sun, H. (2012). Development and preliminary application of scale on healthliteracy for patients with chronic disease. Fudan University."},{"issue":"2","key":"4126_CR31","first-page":"98","volume":"4","author":"S Xiao","year":"1994","unstructured":"Xiao, S. (1994). Theoretical basis and research applications of the social support rating scale. Journal of Clinical Psychiatry, 4(2), 98\u2013100 (in Chinese).","journal-title":"Journal of Clinical Psychiatry"},{"issue":"3","key":"4126_CR32","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1093\/biomet\/88.3.767","volume":"88","author":"Y Lo","year":"2001","unstructured":"Lo, Y., Mendell, N. R., & Rubin, D. B. (2001). Testing the number of components in a normal mixture. Biometrika, 88(3), 767\u2013778. https:\/\/doi.org\/10.1093\/biomet\/88.3.767","journal-title":"Biometrika"},{"issue":"9","key":"4126_CR33","first-page":"754","volume":"37","author":"P Chen","year":"2018","unstructured":"Chen, P., Dai, H., Shi, Z., Feng, Q., & Yang, P. (2018). Survey and analysis of health-related quality of life of patients with macrosomia in Shaanxi Province. Chinese Journal of Endemiology, 37(9), 754\u2013759 (in Chinese).","journal-title":"Chinese Journal of Endemiology"},{"issue":"04","key":"4126_CR34","first-page":"260","volume":"29","author":"Y Shi","year":"2014","unstructured":"Shi, Y., Huang, Y., Ding, H., Liu, D., & Wang, Z. (2014). Study on the effects of High-Quality nursing and psychological intervention on the mental health of adult patients with Kashin\u2013Beck disease. Chinese Journal of Control of Endemic Diseases, 29(04), 260\u2013261 (in Chinese). http:\/\/dx.doi.org\/Cnki:Sun:Dybf.0.2014-04-009","journal-title":"Chinese Journal of Control of Endemic Diseases"},{"key":"4126_CR35","first-page":"304","volume":"05","author":"B Song","year":"2005","unstructured":"Song, B. (2005). Z. (Ed.), Mental health status and intervention strategies for patients with Kashin\u2013Beck disease. Chinese Journal of Control of Endemic Diseases 05 304\u2013307 (in Chinese). http:\/\/dx.doi.org\/Cnki:Sun:Dybf.0.2005-05-022","journal-title":"Chinese Journal of Control of Endemic Diseases"},{"issue":"7","key":"4126_CR36","doi-asserted-by":"publisher","first-page":"3175","DOI":"10.1007\/s12011-022-03417-x","volume":"201","author":"J Xu","year":"2023","unstructured":"Xu, J., Wang, J., & Zhao, H. (2023). The prevalence of Kashin-Beck disease in china: A systematic review and Meta-analysis. Biological Trace Element Research, 201(7), 3175\u20133184. https:\/\/doi.org\/10.1007\/s12011-022-03417-x","journal-title":"Biological Trace Element Research"},{"issue":"4","key":"4126_CR37","doi-asserted-by":"publisher","first-page":"452","DOI":"10.5606\/tftrd.2024.13546","volume":"70","author":"L Altan","year":"2024","unstructured":"Altan, L., & Akif Cila, M. (2024). Health literacy status and its relationship with physical therapy and rehabilitation applications in patients with knee osteoarthritis. Turkish Journal of Physical Medicine and Rehabilitation, 70(4), 452\u2013459. https:\/\/doi.org\/10.5606\/tftrd.2024.13546","journal-title":"Turkish Journal of Physical Medicine and Rehabilitation"},{"issue":"2","key":"4126_CR38","doi-asserted-by":"publisher","first-page":"321","DOI":"10.1023\/B:QURE.0000018492.40262.d1","volume":"13","author":"O Ethgen","year":"2004","unstructured":"Ethgen, O., Vanparijs, P., Delhalle, S., Rosant, S., Bruy\u00e8re, O., & Reginster, J. Y. (2004). Social support and health-related quality of life in hip and knee osteoarthritis. Quality of Life Research, 13(2), 321\u2013330. https:\/\/doi.org\/10.1023\/B:QURE.0000018492.40262.d1","journal-title":"Quality of Life Research"},{"key":"4126_CR39","unstructured":"Guo Hua, G. H., Wang ZhiLun, W. Z., Qun, C., Gao, C. Q., DaLong, G. D., Wang Zhou, W. Z., Dan, L., HaoJie, L. D. Y., Y. H., & Ma TianYou, M. T. (2013). Epidemiological investigation of impact level on working capacity in adult patients with Kaschin-Beck disease."},{"issue":"10","key":"4126_CR40","doi-asserted-by":"publisher","first-page":"1932","DOI":"10.1016\/j.pec.2019.05.013","volume":"102","author":"K Friis","year":"2019","unstructured":"Friis, K., Lasgaard, M., Pedersen, M. H., Duncan, P., & Maindal, H. T. (2019). Health literacy, multimorbidity, and patient-perceived treatment burden in individuals with cardiovascular disease. A Danish population-based study. Patient Education and Counseling, 102(10), 1932\u20131938. https:\/\/doi.org\/10.1016\/j.pec.2019.05.013","journal-title":"Patient Education and Counseling"},{"key":"4126_CR41","doi-asserted-by":"publisher","first-page":"1435867","DOI":"10.3389\/fpsyg.2024.1435867","volume":"15","author":"Q Xu","year":"2024","unstructured":"Xu, Q., Ma, J., Zhang, Y., & Gan, J. (2024). Family resilience and social support as mediators of caregiver burden and capacity in stroke caregivers: A cross-sectional study. Frontiers in Psychology, 15, 1435867. https:\/\/doi.org\/10.3389\/fpsyg.2024.1435867","journal-title":"Frontiers in Psychology"},{"key":"4126_CR42","doi-asserted-by":"publisher","first-page":"101127","DOI":"10.1016\/j.ijotn.2024.101127","volume":"55","author":"K Athanasopoulou","year":"2024","unstructured":"Athanasopoulou, K., Mentis, M., Vathi-Sarava, P., Nikolaou, G., & Panagiotopoulos, E. (2024). Health literacy of older adults with musculoskeletal problems: A systematic review. International Journal of Orthopaedic and Trauma Nursing, 55, 101127. https:\/\/doi.org\/10.1016\/j.ijotn.2024.101127","journal-title":"International Journal of Orthopaedic and Trauma Nursing"},{"issue":"1","key":"4126_CR43","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1186\/s12877-018-0766-7","volume":"18","author":"B Geboers","year":"2018","unstructured":"Geboers, B., Uiters, E., Reijneveld, S. A., Jansen, C. J. M., Almansa, J., Nooyens, A. C. J., Verschuren, W. M. M., de Winter, A. F., & Picavet, H. S. J. (2018). Health literacy among older adults is associated with their 10-years\u2019 cognitive functioning and decline\u2014The Doetinchem cohort study. Bmc Geriatrics, 18(1), 77. https:\/\/doi.org\/10.1186\/s12877-018-0766-7","journal-title":"Bmc Geriatrics"},{"issue":"1\u20132","key":"4126_CR44","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1080\/00223980.2011.606434","volume":"146","author":"MB Kool","year":"2012","unstructured":"Kool, M. B., & Geenen, R. (2012). Loneliness in patients with rheumatic diseases: The significance of invalidation and lack of social support. Journal of Psychology, 146(1\u20132), 229\u2013241. https:\/\/doi.org\/10.1080\/00223980.2011.606434","journal-title":"Journal of Psychology"},{"issue":"2","key":"4126_CR45","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1016\/j.apnr.2014.10.004","volume":"28","author":"F Fallatah","year":"2015","unstructured":"Fallatah, F., & Edge, D. S. (2015). Social support needs of families: The context of rheumatoid arthritis. Applied Nursing Research, 28(2), 180\u2013185. https:\/\/doi.org\/10.1016\/j.apnr.2014.10.004","journal-title":"Applied Nursing Research"}],"container-title":["Quality of Life Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11136-025-04126-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11136-025-04126-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11136-025-04126-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T14:38:22Z","timestamp":1769092702000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11136-025-04126-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,26]]},"references-count":45,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["4126"],"URL":"https:\/\/doi.org\/10.1007\/s11136-025-04126-3","relation":{},"ISSN":["0962-9343","1573-2649"],"issn-type":[{"value":"0962-9343","type":"print"},{"value":"1573-2649","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,26]]},"assertion":[{"value":"30 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no relevant financial or nonfinancial interests to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"All participants provided written informed consent prior to participation. The study protocol was reviewed and approved by the Ethics Committee of the Endemic Disease Control Center, Harbin Medical University (Approval No.: hrbmuecdc20221102).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}],"article-number":"12"}}