Article

Supportive interventions to enhance return to work (RTW) in cancer
survivors hardly showed positive effects so far. Behavioral determinants might
have to be considered in the development of interventions to achieve sustained
employability. This study aimed to explore cancer survivors' perspectives and
experiences regarding behavioral determinants of RTW and continuation of work.
METHODS: In this qualitative study, semi-structured telephone
interviews were held with 28 cancer survivors. All participants were at working
age, 1-2 years after diagnosis and employed at time of diagnosis. Thematic
content analysis was performed. RESULTS: Work turned out to be a meaningful
aspect of cancer survivors' life, and most participants reported a positive
attitude towards their job. Social support to RTW or to continue working was
mainly received from family and friends, but pressure to RTW from the
occupational physician was also experienced. Changes in expectations regarding
work ability from negative to positive during the treatment process were
observed. Those who applied active coping mechanisms felt equipped to deal with
difficulties regarding work. CONCLUSIONS: Behavioral determinants should be taken
into account in the development of future interventions to support cancer
survivors' RTW. However, the causal relationship still has to be determined.
Implications for rehabilitation Factors influencing occupational motivation among
cancer survivors need to be understood in more detail. Previous studies in
non-cancer populations have demonstrated that behavioral determinants, such as a
positive attitude towards work, high social support and self-efficacy may
increase return to work rates or shorten the time to return to work. Addressing
behavioral determinants in future development of work-related interventions for
cancer survivors is essential in achieving sustained employability.

Langue : ANGLAIS