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

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 o...

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Detalles Bibliográficos
Autores principales: Porro, Bertrand, Campone, Mario, Moreau, Philippe, Roquelaure, Yves
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105271/
https://www.ncbi.nlm.nih.gov/pubmed/35564514
http://dx.doi.org/10.3390/ijerph19095124
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author Porro, Bertrand
Campone, Mario
Moreau, Philippe
Roquelaure, Yves
author_facet Porro, Bertrand
Campone, Mario
Moreau, Philippe
Roquelaure, Yves
author_sort Porro, Bertrand
collection PubMed
description 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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spelling pubmed-91052712022-05-14 Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective Porro, Bertrand Campone, Mario Moreau, Philippe Roquelaure, Yves Int J Environ Res Public Health Opinion 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. MDPI 2022-04-22 /pmc/articles/PMC9105271/ /pubmed/35564514 http://dx.doi.org/10.3390/ijerph19095124 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Opinion
Porro, Bertrand
Campone, Mario
Moreau, Philippe
Roquelaure, Yves
Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective
title Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective
title_full Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective
title_fullStr Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective
title_full_unstemmed Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective
title_short Supporting the Return to Work of Breast Cancer Survivors: From a Theoretical to a Clinical Perspective
title_sort supporting the return to work of breast cancer survivors: from a theoretical to a clinical perspective
topic Opinion
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105271/
https://www.ncbi.nlm.nih.gov/pubmed/35564514
http://dx.doi.org/10.3390/ijerph19095124
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