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 and Sadhra, Steven S (2019) Feasibility randomised controlled trial of a guided workbook intervention to support work-related goals among cancer survivors in the UK. BMJ open, 9 (1). e022746. ISSN 2044-6055. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs.

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Official URL: https://bmjopen.bmj.com/content/9/1/e022746

Abstract

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.

Item Type: Article
Additional Information: This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs.
Subjects: QZ Pathology. Oncology
W Public health. Health statistics. Occupational health. Health education
WLM Psychology
Divisions: Planned IP Care > Oncology and Clinical Haematology
Related URLs:
Depositing User: Mrs Noomi Tyholdt-Pidgley
Date Deposited: 06 May 2020 14:33
Last Modified: 06 May 2020 14:33
URI: http://www.repository.uhblibrary.co.uk/id/eprint/3046

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