{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T17:28:22Z","timestamp":1787074102776,"version":"build-2736575974"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Disruptions in key functional aspects of social relationships, such as reduced support, social distress, loneliness, and isolation, contribute significantly to negative patient outcomes. An evidence-based program was designed and evaluated using the Delphi technique to enhance social relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>\n                      This developmental mixed-methods study, conducted in Isfahan during 2024\u20132025, designed and validated a program based on the Ewles and Simnett model using a three-round Delphi technique. Healthcare and psychosocial specialists participated, employing structured checklists in all rounds. Needs were prioritized in the first round (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10), operational activities evaluated in the second (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10), and the program validated in the third (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10). Data were analyzed with SPSS 23 using descriptive statistics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>In the first Delphi round, 10 priority needs were selected out of 51, each receiving at least 70% of the total expert scores based on their importance. In the second round, 77 operational activities were selected from 105, meeting \u226580% consensus on importance, feasibility, and cost-effectiveness. In the final round, expert consensus exceeded 90% across all evaluated dimensions, confirming the overall credibility and acceptance of the program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Experts reached consensus through the Delphi technique to develop and validate evidence-based interventions aimed at improving functional social relationships, providing a practical framework to enhance psychosocial well-being, and strengthening supportive care for cancer patients in clinical and research settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jehp.jehp_874_25","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:01:59Z","timestamp":1785484919000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Developing and validating a functional social 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Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossein","family":"Beigi-Harchegani","sequence":"additional","affiliation":[{"name":"Department of Medical Library and Information Sciences, Health Information Technology Research Center, Faculty of Management and Medical Information Sciences, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7]]},"reference":[{"key":"R2-20260818","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/S0277-9536(00)00065-4","article-title":"From social integration to health: Durkheim in the new millennium","volume":"51","author":"Berkman","year":"2000","journal-title":"Soc Sci Med"},{"key":"R3-20260818","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1146\/annurev.so.14.080188.001453","article-title":"Structures and processes of social 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