Evidence map›Paper›PMID 37358907›Full record

ArticleJMIR formative research2023

Exploring Acceptability of Employment Interventions to Support People Living With Cancer: Qualitative Study of Cancer Survivors, Health Care Providers, and Employers.

Rachel C Forcino, Sivan Rotenberg, Kali J Morrissette, Cassandra M Godzik, Jonathan D Lichtenstein, Jenna E Schiffelbein, Courtney J Stevens, Vidya Sundar, Debra L Brucker, Deirdre Connolly and 2 more

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 2 countries.

Rachel C ForcinoThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, NH, United States.ORCID https://orcid.org/0000-0001-9938-4830
Sivan RotenbergDepartment of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States.ORCID https://orcid.org/0000-0003-1627-0956
Kali J MorrissetteDepartment of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States.ORCID https://orcid.org/0009-0005-4274-8353
Cassandra M GodzikDepartment of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States.ORCID https://orcid.org/0000-0002-3356-9303
Jonathan D LichtensteinThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth College, Lebanon, NH, United States.ORCID https://orcid.org/0000-0002-9658-5992
Jenna E SchiffelbeinDartmouth Cancer Center, Geisel School of Medicine, Lebanon, NH, United States.ORCID https://orcid.org/0000-0003-2833-0864
Courtney J StevensDepartment of Psychiatry, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States.ORCID https://orcid.org/0000-0002-5696-4904
Vidya SundarOccupational Therapy Department, University of New Hampshire, Durham, NH, United States.ORCID https://orcid.org/0000-0003-1821-3410
Debra L BruckerInstitute on Disability, University of New Hampshire, Durham, NH, United States.ORCID https://orcid.org/0000-0002-3081-5206
Deirdre ConnollyOccupational Therapy Department, Trinity College, Dublin, Ireland.ORCID https://orcid.org/0000-0001-8539-8123
Julie KeysorPhysical Therapy Department, Massachusetts General Hospital Institute of Health Professions, Boston, NH, United States.ORCID https://orcid.org/0000-0002-5219-7867
Kathleen Doyle LyonsOccupational Therapy Department, Massachusetts General Hospital Institute of Health Professions, Boston, MA, United States.ORCID https://orcid.org/0000-0002-8895-4612
Dartmouth–Hitchcock Medical Center · USDartmouth College · USMGH Institute of Health Professions · USUniversity of New Hampshire · USTrinity College Dublin · IE

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Increasing physical activity among breast cancer survivors: Use of the ORBIT Model to refine and test a novel approach to exercise promotion based on affect-regulationK08CA259632 · NCI · DARTMOUTH-HITCHCOCK CLINIC · PI STEVENS, COURTNEY JOYCE · 2021 to 2025
$860k
NCI NIH HHS K08 CA259632NCI NIH HHS L30 CA253423NCI NIH HHS P30 CA023108
6 · The paper itself

Abstract

backgroundEmployment contributes to cancer survivors' quality of life, but this population faces a variety of challenges when working during and after treatment. Factors associated with work outcomes among cancer survivors include disease and treatment status, work environment, and social support. While effective employment interventions have been developed in other clinical contexts, existing interventions have demonstrated inconsistent effectiveness in supporting cancer survivors at work. We conducted this study as a preliminary step toward program development for employment support among survivors at a rural comprehensive cancer center.

objectiveWe aimed (1) to identify supports and resources that stakeholders (cancer survivors, health care providers, and employers) suggest may help cancer survivors to maintain employment and (2) to describe stakeholders' views on the advantages and disadvantages of intervention delivery models that incorporate those supports and resources.

methodsWe conducted a descriptive study collecting qualitative data from individual interviews and focus groups. Participants included adult cancer survivors, health care providers, and employers living or working in the Vermont-New Hampshire catchment area of the Dartmouth Cancer Center in Lebanon, New Hampshire. We grouped interview participants' recommended supports and resources into 4 intervention delivery models, which ranged on a continuum from less to more intensive to deliver. We then asked focus group participants to discuss the advantages and disadvantages of each of the 4 delivery models.

resultsInterview participants (n=45) included 23 cancer survivors, 17 health care providers, and 5 employers. Focus group participants (n=12) included 6 cancer survivors, 4 health care providers, and 2 employers. The four delivery models were (1) provision of educational materials, (2) individual consultation with cancer survivors, (3) joint consultation with both cancer survivors and their employers, and (4) peer support or advisory groups. Each participant type acknowledged the value of providing educational materials, which could be crafted to improve accommodation-related interactions between survivors and employers. Participants saw usefulness in individual consultation but expressed concern about the costs of program delivery and potential mismatches between consultant recommendations and the limits of what employers can provide. For joint consultation, employers liked being part of the solution and the possibility of enhanced communication. Potential drawbacks included additional logistical burden and its perceived generalizability to all types of workers and workplaces. Survivors and health care providers viewed the efficiency and potency of peer support as benefits of a peer advisory group but acknowledged the sensitivity of financial topics as a possible disadvantage of addressing work challenges in a group setting.

conclusionsThe 3 participant groups identified both common and unique advantages and disadvantages of the 4 delivery models, reflecting varied barriers and facilitators to their potential implementation in practice. Theory-driven strategies to address implementation barriers should play a central role in further intervention development.

Indexed as

cancercancer survivoremploymenthealth care providerinterventionintervention developmentpeople living with cancer

Identifiers

PMID37358907
PMCPMC10337405
OpenAlexW4382011798

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.