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Feasibility randomised controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the UK

OBJECTIVES: Employment following illness is associated with better physical and psychological functioning. This study aimed to assess the feasibility and acceptability of a theoretically led workbook intervention designed to support patients with cancer returning to work. DESIGN: Parallel-group rand...

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Autores principales: Grunfeld, Elizabeth A, Schumacher, Lauren, Armaou, Maria, Woods, Pernille L, Rolf, Pauline, Sutton, Andrew John, Zarkar, Anjali, Sadhra, Steven S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347862/
https://www.ncbi.nlm.nih.gov/pubmed/30670507
http://dx.doi.org/10.1136/bmjopen-2018-022746
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author Grunfeld, Elizabeth A
Schumacher, Lauren
Armaou, Maria
Woods, Pernille L
Rolf, Pauline
Sutton, Andrew John
Zarkar, Anjali
Sadhra, Steven S
author_facet Grunfeld, Elizabeth A
Schumacher, Lauren
Armaou, Maria
Woods, Pernille L
Rolf, Pauline
Sutton, Andrew John
Zarkar, Anjali
Sadhra, Steven S
author_sort Grunfeld, Elizabeth A
collection PubMed
description OBJECTIVES: Employment following illness is associated with better physical and psychological functioning. This study aimed to assess the feasibility and acceptability of a theoretically led workbook intervention designed to support patients with cancer returning to work. DESIGN: Parallel-group randomised controlled trial with embedded qualitative interviews. SETTING: Oncology clinics within four English National Health Service Trusts. PARTICIPANTS: Patients who had received a diagnosis of breast, gynaecological, prostate or colorectal cancer and who had been receiving treatment for a minimum of two weeks. INTERVENTION: A self-guided WorkPlan workbook designed to support patients with cancer to return to work with fortnightly telephone support calls to discuss progress. The control group received treatment as usual and was offered the workbook at the end of their 12-month follow-up. OUTCOME MEASURES: We assessed aspects of feasibility including eligibility, recruitment, data collection, attrition, feasibility of the methodology, acceptability of the intervention and potential to calculate cost-effectiveness. RESULTS: The recruitment rate of eligible patients was 44%; 68 participants consented and 58 (85%) completed baseline measures. Randomisation procedures were acceptable, data collection methods (including cost-effectiveness data) were feasible and the intervention was acceptable to participants. Retention rates at 6-month and 12-month follow-up were 72% and 69%, respectively. At 6-month follow-up, 30% of the usual care group had returned to full-time or part-time work (including phased return to work) compared with 43% of the intervention group. At 12 months, the percentages were 47% (usual care) and 68% (intervention). CONCLUSIONS: The findings confirm the feasibility of a definitive trial, although further consideration needs to be given to increasing the participation rates among men and black and ethnic minority patients diagnosed with cancer. TRIAL REGISTRATION NUMBER: ISRCTN56342476; Pre-results.
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spelling pubmed-63478622019-02-08 Feasibility randomised controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the UK Grunfeld, Elizabeth A Schumacher, Lauren Armaou, Maria Woods, Pernille L Rolf, Pauline Sutton, Andrew John Zarkar, Anjali Sadhra, Steven S BMJ Open Health Services Research OBJECTIVES: Employment following illness is associated with better physical and psychological functioning. This study aimed to assess the feasibility and acceptability of a theoretically led workbook intervention designed to support patients with cancer returning to work. DESIGN: Parallel-group randomised controlled trial with embedded qualitative interviews. SETTING: Oncology clinics within four English National Health Service Trusts. PARTICIPANTS: Patients who had received a diagnosis of breast, gynaecological, prostate or colorectal cancer and who had been receiving treatment for a minimum of two weeks. INTERVENTION: A self-guided WorkPlan workbook designed to support patients with cancer to return to work with fortnightly telephone support calls to discuss progress. The control group received treatment as usual and was offered the workbook at the end of their 12-month follow-up. OUTCOME MEASURES: We assessed aspects of feasibility including eligibility, recruitment, data collection, attrition, feasibility of the methodology, acceptability of the intervention and potential to calculate cost-effectiveness. RESULTS: The recruitment rate of eligible patients was 44%; 68 participants consented and 58 (85%) completed baseline measures. Randomisation procedures were acceptable, data collection methods (including cost-effectiveness data) were feasible and the intervention was acceptable to participants. Retention rates at 6-month and 12-month follow-up were 72% and 69%, respectively. At 6-month follow-up, 30% of the usual care group had returned to full-time or part-time work (including phased return to work) compared with 43% of the intervention group. At 12 months, the percentages were 47% (usual care) and 68% (intervention). CONCLUSIONS: The findings confirm the feasibility of a definitive trial, although further consideration needs to be given to increasing the participation rates among men and black and ethnic minority patients diagnosed with cancer. TRIAL REGISTRATION NUMBER: ISRCTN56342476; Pre-results. BMJ Publishing Group 2019-01-21 /pmc/articles/PMC6347862/ /pubmed/30670507 http://dx.doi.org/10.1136/bmjopen-2018-022746 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Health Services Research
Grunfeld, Elizabeth A
Schumacher, Lauren
Armaou, Maria
Woods, Pernille L
Rolf, Pauline
Sutton, Andrew John
Zarkar, Anjali
Sadhra, Steven S
Feasibility randomised controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the UK
title Feasibility randomised controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the UK
title_full Feasibility randomised controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the UK
title_fullStr Feasibility randomised controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the UK
title_full_unstemmed Feasibility randomised controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the UK
title_short Feasibility randomised controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the UK
title_sort feasibility randomised controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the uk
topic Health Services Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6347862/
https://www.ncbi.nlm.nih.gov/pubmed/30670507
http://dx.doi.org/10.1136/bmjopen-2018-022746
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