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September 3, 2026Journal of Korean Academy of Fundamentals of NursingOpen Access

Effects of Activities of Daily Living on Life Satisfaction: The Moderated Mediating Effect of Social Participation by Disability Type

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Authors

NKNagyeong KimChungnam National UniversityYSYoungshin SongChungnam National University

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Implication

Survey study reveals social participation mediates daily living independence and life satisfaction across disability types, indicating a need for tailored community support.

Key Points

  • To evaluate how activities of daily living influence life satisfaction among adults with disabilities, assessing the mediating role of social participation and moderation by disability type.
  • Analyzed data from the 2023 National Survey of Persons with Disabilities using an unweighted sample of n=7,630 (weighted N=2,549,155) with age controlled as a covariate.
  • Conducted mediation and moderated mediation testing using PROCESS Macro Models 4 and 14 across external physical, internal physical, and developmental/mental disability types.
  • Activities of daily living demonstrated a significant positive total effect on life satisfaction (B=0.36, β=0.32, p<0.001), with social participation acting as a partial mediator.
  • Disability type significantly moderated the indirect path between daily living and life satisfaction via social participation (F=8.27, p<0.001).
  • The indirect mediation effect was significantly lower for individuals with developmental and mental disabilities (Index=-0.04, 95% CI [-0.05, -0.02]) relative to external physical disabilities, with no significant moderation for internal physical disabilities.

Cite This Study

Kim et al. (2026) studied this question.

synapsesocial.com/papers/6a9935d8636c6408cfa7e609https://doi.org/10.7739/jkafn.2026.33.3.347
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Active Leisure Participation and Life Satisfaction Among Individuals with Disabilities: The Dual Mediating Roles of Self-Esteem and Disability Acceptance2026
  2. 2The Mediation Effect of Activities of Daily Living and Mobility Upon Moderate Leisure-Time Physical Activity and Life Satisfaction of Older Adults in the United States2025 · 2 citations
  3. 3Disability and life satisfaction: Exploring the role of perceived community belonging2025
  4. 4Effect of Social Activity Participation on Perceived Life Satisfactions of People with Mental Illness through Interpersonal Ability2024
  5. 5Do age, gender, and subjective health-related factors influence health-related life satisfaction in people with disabilities who are physically active?: a secondary analysis2024 · 3 citations