Breast Cancer, Breast Neoplasm
Conditions
Keywords
Cancer Survivors, Return to work, Vocational Rehabilitation, Occupational Therapy
Brief summary
In Italy, 50% of new breast cancer (BC) diagnosis occur in female of working age. Although return to work (RTW) is strongly desired by BC patients, cancer survivors are more likely to be unemployed than healthy individuals. Moreover, work difficulties may hindrance this process. Since 2018, the investigators have planned a local social-healthcare pathway which provides a multidisciplinary vocational rehabilitation intervention with the aim to help cancer survivors in their RTW process. To date, the feasibility of the multidisciplinary vocational rehabilitation interventions has not been verified for BC patients.
Detailed description
BC is a public health burden with increasing trends in Western countries. In Italy, 50% of the new BC diagnosis have occurred in female of working age. Even though the return to work (RTW) is strongly desired, cancer survivors are 1.4 times more likely to be unemployed than healthy individuals. Furthermore, work difficulties may occur during this process. To promote the RTW, multidisciplinary interventions have shown moderate quality evidence in cancer survivors. Since 2018, the investigators have planned a local social-healthcare pathway which provides a multidisciplinary vocational rehabilitation intervention with the aim to help cancer survivors in their RTW process. During the implementation of the pathway, BC patients were referred mainly by the physiotherapists of the Physical Medicine and Rehabilitation Unit (PMRU). As standard care, BC patients can participate to an educational group session held by the physiotherapists after surgery. During this session, work difficulties have emerged. Thus, the investigators aim to verify the feasibility of the multidisciplinary vocational rehabilitation intervention for a sample of BC patients whit work difficulties who will participate to an educational group session held by the physiotherapists.
Interventions
OTHERMultidisciplinary vocational rehabilitation intervention
* Information aims to provide tailored information concerning the work law protection (this support is already provided for all patients, regardless the type of disease, and also for citizens); * Occupational therapy aims to facilitate the reintegration in the previous workplace through the development of a rehabilitation intervention to overcome work difficulties in agreement with employee, employer and occupational physician, * Social support aims to find new job opportunities (for those who have lost the employment due to the disease) through the giving of support in job search, curriculum preparation, skill analysis, professional retraining and education.
Sponsors
Azienda USL Reggio Emilia - IRCCS
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 67 Years
Healthy volunteers
No
Inclusion criteria
* breast cancer diagnosis (regardless of stage and treatment) * breast cancer patients in working age * breast cancer patient who will participate to an educational group session held by the physiotherapists of the PMRU * breast cancer patients with work difficulties
Exclusion criteria
* Breast cancer patients with work issues that cannot be addressed by any of the interventions (e.g., patients who would like to change their job)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| interception | 12 months | rate of patients who has been proposed to participate to the feasibility study |
| acceptation | 12 months | rate of patients (who has been proposed to participate to the feasibility study) who accept to participate |
| adherence | 12 months | rate of patients who participate in the scheduled meeting and in the multidisciplinary intervention proposed; rate of patients who agree to receive the intervention at the workplace (for those eligible) |
| lost to follow-up | 12 months | rate of patients who will not attend the scheduled meeting (drop-out rate set ≤ 20%) |
| satisfaction rate | 12 months | rate of patients who perceive the modules of the multidisciplinary intervention as supportive for their RTW or work continuation |
| RTW/work continuation | 12 months | rate of patients who participate in the study and who will RTW or continued to work |
Countries
Italy
Contacts
PRINCIPAL_INVESTIGATORSara Paltrinieri, Msc OT
Azienda USL Reggio Emilia - IRCCS
Outcome results
None listed