A randomised feasibility trial of an employer-based intervention for enhancing successful return to work of cancer survivors (MiLES intervention)

Greidanus, M. A.; Rijk, Angelique E. de; Boer, Angela G. E. M. de; Bos, Monique E.M.M.; Plaisier, P. W.; Smeenk, R.M.; Frings‐Dresen, Monique H. W.; Tamminga, Sietske J.

doi:10.1186/s12889-021-11357-9

Cited by 13 publications

(11 citation statements)

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“…Postponing their decision -and by doing so excluding themselves -might also been caused by the way of communication (posters and flyers) in combination with the duration of the inclusionperiod. Greidanus et al 78 implemented direct contribution of specialists during consult with their patients. This also might improve participation on the right moment for the individual BC patient.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a Hospital-Based Return to Work intervention for Breast Cancer Patients

Smeers

Désiron

Rijk

et al. 2023

MRAJ

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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.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a Hospital-Based Return to Work intervention for Breast Cancer Patients

Smeers

Désiron

Rijk

et al. 2023

MRAJ

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“…15 This approach comes with serious selection bias toward cancer survivor with a proactive attitude and assumedly a good relationship with their manager. 15 These biases do not facilitate the identification of negative elements in the cancer survivor-manager relationship, which are very important for an intervention aimed at improving this relationship. 6 Alternatively, we propose to involve a trustworthy third party (TTP).…”

Section: Methodological Considerationsmentioning

confidence: 99%

“…8 When employing this strategy, we encourage researchers to exclude cancer survivors who have not informed their manager about their diagnosis of cancer yet, so that the study procedures do not put them under unintended pressure to make that disclosure. 15…”

Section: Methodological Considerationsmentioning

confidence: 99%

The cancer survivor—Manager dyad during the return‐to‐work process: An introduction with theoretical, conceptual, and methodological considerations

Greidanus

Porro

2023

Psycho-Oncology

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ObjectiveThere is a need for tailored interventions aimed at promoting the sustainable return to work (RTW) of cancer survivors. As managers have a primary role in supporting cancer survivors to return to work, a better understanding of the “cancer survivor‐manager” dyadic process is much needed. The aim of this paper is to introduce the cancer survivor‐manager dyad in the context of RTW of cancer survivors, and to inform future studies by presenting theoretical, conceptual, and methodological considerations.ConclusionsDifferent theoretical, conceptual, and methodological aspects are addressed that open new perspectives concerning the cancer survivor‐manager dyad. Among the theoretical and conceptual aspects, we highlight the interest of developing dyadic coping models specific to the cancer survivor‐manager dyad. This would allow the conceptualization of their interpersonal dynamics and to frame interventions aimed at supporting cancer survivors and managers. In addition, we encourage to study in more detail the quality of the relationship between the cancer survivor and manager, including its impact on work‐related outcomes of the cancer survivor. Methodologically, the actor‐partner interdependence model could be relevant to identify any interdependence in the cancer survivor‐manager dyad. We also recommend using longitudinal and prospective studies to investigate the cancer survivor‐manager dyad, as these studies are well suited to identify evolutive and dynamic aspects of the cancer survivor‐manager dyad. Lastly, we propose a recruitment strategy of the dyad by involving a trustworthy third party, to respect the ethical framework, and the privacy and voluntary choice of cancer survivors.

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“…BCSs have no legal obligation to precisely specify the reasons for their sick leave to their employer [30]. It is ethically and legally inappropriate for healthcare professionals to directly contact the manager or employer of an employee who has been diagnosed with cancer without the patient's consent [45], even to propose tools to support the sustainable RTW. Such contact should be legally established by the BCS herself, or via the occupational health physician with the consent of the patient, while considering medical privacy.…”

Section: Stage 3-preparationmentioning

confidence: 99%

Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective

Porro

Campone

Moreau

2022

IJERPH

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Promoting the return to work of breast cancer survivors is of major interest to patients, healthcare and occupational health professionals, companies, governments, and researchers worldwide. We previously conducted a French consensus study resulting in a model describing the multifactorial process of the return to work of breast cancer survivors (the REWORK-BC model). Other work has identified the transtheoretical model as a relevant theoretical framework for interventions to promote the return to work of cancer survivors. In this opinion paper, we provide a theoretically-based clinical framework describing how to support breast cancer survivors at each stage of the return-to-work process. This clinical framework considers several essential aspects of supportive care for breast cancer survivors returning to work, such as: (i) helping the patient actively self-manage, by considering her to be the main decision-maker; (ii) respecting and adapting to the patient’s choice of professional project; (iii) respecting the temporality of the patient’s choices; (iv) proposing tailored interventions; (v) implementing simple tools to promote the return to work, shared representation between the patient and a multidisciplinary team, and improvement of working conditions and the knowledge of health and occupational professionals, and managers or employers; and (vi) maintaining certain flexibility aimed at proposing, but never imposing, changes in practices. This clinical framework, specific to breast cancer survivors, could be extrapolated to other tumor types, offering a practical guide for healthcare and occupational health professionals to better understand the return-to-work process of cancer survivors. This clinical framework aims to be a usable tool for any hospital or cancer care center wishing to implement a patient-centered intervention that promotes returning to work, regardless of the country.

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A randomised feasibility trial of an employer-based intervention for enhancing successful return to work of cancer survivors (MiLES intervention)

Cited by 13 publications

References 50 publications

Evaluation of a Hospital-Based Return to Work intervention for Breast Cancer Patients

Evaluation of a Hospital-Based Return to Work intervention for Breast Cancer Patients

The cancer survivor—Manager dyad during the return‐to‐work process: An introduction with theoretical, conceptual, and methodological considerations

Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective

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