Effectiveness of Self-Assessment, TAilored Information, and Lifestyle Management for Cancer Patients' Returning to Work (START): A Multi-center, Randomized Controlled Trial
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Purpose We developed a comprehensive return to work (RTW) intervention covering physical, psycho-social and practical issues for patients newly diagnosed and evaluated its efficacy in terms of RTW. Materials and Methods A multi-center randomized controlled trial was done to evaluate the efficacy of the intervention conducted at two university-based cancer centers in Korea. The intervention program comprised educational material at diagnosis, a face-to-face educational session at completion of active treatment, and three individualized telephone counseling sessions. The control group received other education at enrollment. Results At 1-month post-intervention (T2), the intervention group was more likely to be working compared to the control group after controlling working status at diagnosis (65.4% vs. 55.9%, p=0.037). Among patients who did not work at baseline, the intervention group was 1.99-times more likely to be working at T2. The mean of knowledge score was higher in the intervention group compared to the control group (7.4 vs. 6.8, p=0.029). At the 1-year follow-up, the intervention group was 65% (95% confidence interval, 0.78 to 3.48) more likely to have higher odds for having work. Conclusion The intervention improved work-related knowledge and was effective in facilitating cancer patients’ RTW.
Abstract
Purpose We developed a comprehensive return to work (RTW) intervention covering physical, psycho-social and practical issues for patients newly diagnosed and evaluated its efficacy in terms of RTW. Materials and Methods A multi-center randomized controlled trial was done to evaluate the efficacy of the intervention conducted at two university-based cancer centers in Korea. The intervention program comprised educational material at diagnosis, a face-to-face educational session at completion of active treatment, and three individualized telephone counseling sessions. The control group received other education at enrollment. Results At 1-month post-intervention (T2), the intervention group was more likely to be working compared to the control group after controlling working status at diagnosis (65.4% vs. 55.9%, p=0.037). Among patients who did not work at baseline, the intervention group was 1.99-times more likely to be working at T2. The mean of knowledge score was higher in the intervention group compared to the control group (7.4 vs. 6.8, p=0.029). At the 1-year follow-up, the intervention group was 65% (95% confidence interval, 0.78 to 3.48) more likely to have higher odds for having work. Conclusion The intervention improved work-related knowledge and was effective in facilitating cancer patients’ RTW.
참고문헌 (24)
- Maddams J, "Projections of cancer prevalence in the United Kingdom, 2010-2040", Br J Cancer, 107, pp.1195~1202 (2012)
- Mehnert A, "Employment and work-related issues in cancer survivors", Crit Rev Oncol Hematol, 77, pp.109~130 (2011)
- Spelten ER, "Factors reported to influence the return to work of cancer survivors : a literature review", Psychooncology, 11, pp.124~131 (2002)
- Tamminga SJ, "Long-term employment status and quality of life after cancer : a longitudinal prospective cohort study from diagnosis up to and including 5 years post diagnosis", Work, 66, pp.901~907 (2020)
- Torp S, "Work experiences during and after treatment among self-employed people with cancer", J Occup Rehabil, 30, pp.49~58 (2020)
- Isaksson J, "Meaning of work and the process of returning after head and neck cancer", Support Care Cancer, 24, pp.205~213 (2016)
- Hubbard G, "Case management vocational rehabilitation for women with breast cancer after surgery : a feasibility study incorporating a pilot randomised controlled trial", Trials, 14, pp.175~ (2013)
- Tamminga SJ, "Effectiveness of a hospital-based work support intervention for female cancer patients : a multi-centre randomised controlled trial", PLoS One, 8, pp.e63271~ (2013)
- Takahashi M, "Job resignation after cancer diagnosis among working survivors in Japan : timing, reasons and change of information needs over time", Jpn J Clin Oncol, 48, pp.43~51 (2018)
- Tamminga SJ, "Two-year follow-up of a multi-centre randomized controlled trial to study effectiveness of a hospital-based work support intervention for cancer patients", J Occup Rehabil, 29, pp.701~710 (2019)
- Zaman A, "Effectiveness of a tailored work-related support intervention for patients diagnosed with gastrointestinal cancer : a multicenter randomized controlled trial", J Occup Rehabil, 31, pp.323~338 (2021)
- Shim S, "Association between cancer stigma and job loss among cancer survivors", Psychooncology, 30, pp.1347~1355 (2021)
- Leensen MC, "Return to work of cancer pati-ents after a multidisciplinary intervention including occu-pational counselling and physical exercise in cancer patients : a prospective study in the Netherlands", BMJ Open, 7, pp.e014746~ (2017)
- Bae KR, "Changes after cancer diagnosis and return to work : experience of Korean cancer patients", BMC Cancer, 21, pp.86~ (2021)
- 권선영, "네트워크 분석을 통한 암 생존자 지식구조 연구", Journal of Korean Academy of Nursing, 46(1), pp.50~58 (2016), 한국간호과학회
- 배가령, "온라인 커뮤니티 게시글의 네트워크 분석을 통한 암환자 직장복귀 경험 연구", Asian Oncology Nursing, 19(1), pp.37~46 (2019), 대한종양간호학회[DOI]
- "Cancer survivorship and work", Psycho-Oncology, 26, pp.3~167 (2017)
- Bae KR, "A return-to-work intervention protocol directed at cancer patients(self-assessment, tailored information & lifestyle management for returning to work among cancer patients, START) : a multi-center, randomized controlled trial", Contemp Clin Trials Commun, 19, pp.100633~ (2020)
- Park JH, "Job loss and re-employment of cancer patients in Korean employees : a nationwide retrospective cohort study", J Clin Oncol, 26, pp.1302~1309 (2008)
- Vargas-Prada S, "Effectiveness of very early workplace interventions to reduce sickness absence : a systematic review of the literature and meta-analysis", Scand J Work Environ Health, 42, pp.261~272 (2016)
- Hoefsmit N, "Intervention characteristics that facilitate return to work after sickness absence : a systematic literature review", J Occup Rehabil, 22, pp.462~477 (2012)
- Blinder VS, "Impact of cancer on employment", J Clin Oncol, 38, pp.302~309 (2020)
- Smith SL, "Survivors of breast cancer : patient perspectives on survivorship care planning", J Cancer Surviv, 5, pp.337~344 (2011)
- Vermeulen SJ, "Cost-effectiveness of a participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders : design of a randomised controlled trial", BMC Musculoskelet Disord, 11, pp.60~ (2010)