Evaluation of a Hospital-Based Return to Work intervention for Breast Cancer Patients
Main Article Content
Abstract
Background: International research indicates that patients’ needs for return-to-work (RTW) support should be addressed and integrated within the curative healthcare process and as early as possible in the treatment process. Using intervention mapping, a hospital based RTW intervention, named BRIDGE (Bridging health care and workspace), was developed with an emphasis on bridging the gap between healthcare and the workplace.
The aims of this evaluation were (a) to determine whether BRIDGE contributes to restoring participation and increasing quality of life for BC patients during their RTW process; and (b) to identify the needs and experiences of patients and healthcare professionals during this transmural intervention process. This paper describes the quantitative and qualitative evaluation of the intervention.
Method: The mixed-method design of this study assessed quantitative outcome measures on patient level (perceived Quality of life), number of days on sick leave, relapse and experience with RTW support; and on healthcare worker level (days of duration of the RTW guided process, perception of satisfaction with RTW support and time spent by the occupational therapist and the multidisciplinary team). Semi structured interviews were used to evaluate qualitative measures on patient level, focus-group discussion was used to collect healthcare providers’ perceptions.
Results: Of all eligible patients (n =179), 79 accepted to participate. Randomisation attributed 43 participants to the intervention group (IG) and 36 to the control group (CG). The outcomes showed that patients felt respected and empowered in their choices and actions regarding their professional career and that health care providers perceive the intervention as valuable support for their patients.
Conclusions: The BRIDGE intervention is highly appreciated both by HCPs and BC patients. Improvements can be made by elaborating the thoughtful follow-up which enables the BCM to stay in touch, to enable indication of the right moment for each patient to engage in the RTW process. It also would reinforce insights for the BCM to provide the type of service that fits patients’ and all other stakeholders’ needs. On the other hand, HCPs are not comfortable with the content as well as the potential impact. More emphasis on the thoughtful follow-up is needed to motivate HCPs to align with the idea of the BRIDGE intervention.
Keywords:
Return to work intervention, breast cancer, hospital based, occupational therapy, evaluation
Article Details
How to Cite
SMEERS, Elke et al.
Evaluation of a Hospital-Based Return to Work intervention for Breast Cancer Patients.
Medical Research Archives, [S.l.], v. 11, n. 1, jan. 2023.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/3448>. Date accessed: 20 apr. 2024.
doi: https://doi.org/10.18103/mra.v11i1.3448.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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2. Hamdi M, Blancquaert L, Luyten A. Twee borsten, de reconstructie van een vrouw. Globe; 2007.
3. Høyer M, Nordin K, Ahlgren J, et al. Change in Working Time in a Population-Based Cohort of Patients With Breast Cancer. journal of clinical oncology. 8/10/2012 2012;30(23):2853-2860. Not in File.
4. Mols F, Vingerhoets AJJM, Coebergh JW, van de Poll-Franse LV. Quality of life among breast cancer survivors: a systematic review. Eur J Cancer. 10/13/2005 2005;2005(41):2613-2619. Not in File.
5. Salonen P, Kellokumpu-Lehtinen PL, Tarkka MT, Koivisto AM, Kaunonen M. Changes in quality of life in patients with breast cancer. Journal of Clinical Nursing. 1/1/2011 2011;20(1-2):255-266. Not in File.
6. Tiedtke C. Survived but feeling vulnerable and insecure: a qualitative study of the mental preparation for RTW after breast cancer treatment. BMC Public Health. 2012 2012;12:538. Not in File. doi:10.1186/1471-2458-12-538
7. Rommel W, Neefs H, Verhaegen H, Desplenter B. Werken na kanker: welke problemen ervaren (ex-)patiënten die het werk hervatten? (Working beyond cancer: what problems do (ex-)patients experience when wanting to get back to work?). 2012. September 2012. 2012.
8. Tiedtke C, de Rijk A, Donceel P, Christiaens MR, Dierckx de Casterlé B. Survived but feeling vulnerable and insecure: a qualitative study of the mental preparation for RTW after breast cancer treatment. BMC Public Health. 7/23/2012 2012;2012(12):538. Not in File.
9. de Jong M, Tamminga SJ, de Boer AG, Frings-Dresen MH. Quality of working life of cancer survivors: development of a cancer-specific questionnaire. J Cancer Surviv. 2015 2015:1-12. Not in File.
10. Désiron H. Return to work in breast cancer patients; development of an occupational therapy intervention to bridge the gap between heath care and work. KULeuven; 2016.
11. Désiron HAM, Knippenberg E, Willems B, Neerinckx E. Occupational therapy for breast cancer survivors: improving quality of life by return-to-work assistance. Journal of Rehabilitation Medicine. 6/2008 2008:135-136. Not in File.
12. Feuerstein M. Cancer survivorship and work. Journal of Occupational Rehabilitation. 3/2005 2005;15(1):1-2. Not in File.
13. Neyt M, Albrecht JA. The long-term evolution of QoL for disease-free breast cancer survivors : A comparative study in Belgium. Journal of psychosocial oncology. 2006 2006;24(3):89-123. Not in File.
14. Pauwels EE, Charlier C, De Bourdeaudhuij I, Lechner L, Van Hoof E. Care needs after primary breast cancer treatment: survivors' associated sociodemographic and medical characteristics. psycho-oncology. 2013 2013;22Not in File.
15. Bains M, Yarker J, Amir Z, Wynn P, Munir F. Helping cancer survivors return to work: what providers tell us about the challenges in assisting cancer patients with work questions. Journal of Occupational Rehabilitation. 2011 2011;22(1):71-77. Not in File.
16. Hoffman B. Cancer survivors at work: a generation of progress. CA Cancer J Clin. 9/2005 2005;55(5):271-280. Not in File.
17. Tiedtke C, Dierckx de Casterlé B, de Rijk A, Christiaens MR, Donceel P. Breast cancer treatment and work disability: patient perspectives. Breast. 2011 2011;20(6):534-538. Not in File.
18. van Zanten-Przybysz I, deBoere AGEM, ten Berge EE, Uitterhoeve ALJ, Bannink M, Gijsen BCM. werkhervatting bij Kanker: wetenschappelijk onderbouwd. tijdschrift voor bedrijfs- en verzekeringsgeneeskunde. 2008 2008;16:285-291. Not in File.
19. Mehnert A, de Boer A, Feuerstein M. Employment challenges for cancer survivors. Cancer. 6/1/2013 2013;119:2151-2159. Not in File.
20. Lundh MH, Lampic C, Nordin K, et al. Changes in health-related quality of life by occupational status among women diagnosed with breast cancer: a population-based cohort study. psycho-oncology. 10/1/2013 2013;22(10):2321-2331. Not in File.
21. Tiedtke C. Return to work experiences after breast cancer. PhD. Leuven University Group Biomedical Sciences; Faculty of Medicine -Department of Public Health and Primary Care, Occupational, Environmental and Insurance Medicine; 2013.
22. Timperi AW, Ergas IJ, Rehkopf DH, Roh JM, Kwan ML, Kushi LH. Employment status and quality of life in recently diagnosed breast cancer survivors. psycho-oncology. 6/1/2013 2013;22(6):1411-1420. Not in File.
23. Tiedtke C, Knops L, Désiron H, Dierckx de Casterlé B, Donceel P, de Rijk A. Supporting Return-to-work in the face of legislation: Stakeholders' Experiences with Return-to-Work after Breast Cancer in Belgium. Journal of Occupational Rehabilitation. 2011 2011;22(2):241-251. Not in File.
24. Kiasuwa Mbengi RL, Nicolaie AM, Goetghebeur E, et al. Assessing factors associated with long-term work disability after cancer in Belgium: a population-based cohort study using competing risks analysis with a 7-year follow-up. BMJ Open. 2018;8(2)doi:10.1136/bmjopen-2016-014094
25. Mairiaux P, Schippers N, Kéfer F, Cornélis S, Donceel P, Somville P-R. Werkhervatting na een langdurige afwezigheid / Retour au travail après une absence de longue durée (HUT/P/MS-BB/PSY15/2): samenvatting van het onderzoeksrapport. 2012. 5/25/2012. http://www.werk.belgie.be/moduleDefault.aspx?id=37079
26. Stergiou-Kita M, Grigorovich A, Tseung V, et al. Qualitative meta-synthesis of survivors’ work experiences and the development of strategies to facilitate return to work. journal article. Journal of Cancer Survivorship. December 01 2014;8(4):657-670. doi:10.1007/s11764-014-0377-z
27. Varekamp I, Verbeek JH, van Dijk FJ. How can we help employees with chronic diseases to stay at work? A review of interventions aimed at job retention and based on an empowerment perspective. Int Arch Occup Environ Health. 2006 2006;80(2):87-97. Not in File. doi:10.1007/s00420-006-0112-9
28. Désiron HA, Crutzen R, Godderis L, Van Hoof E, de Rijk A. Bridging Health Care and the Workplace: Formulation of a Return-to-Work Intervention for Breast Cancer Patients Using an Intervention Mapping Approach. J Occup Rehabil. 2016 2016:1-16. Not in File.
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