Article Text

A multidisciplinary intervention to facilitate return to work in cancer patients: intervention protocol and design of a feasibility study
  1. Iris F Groeneveld,
  2. Angela G E M de Boer,
  3. Monique H W Frings-Dresen
  1. Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
  1. Correspondence to Iris Groeneveld; i.f.groeneveld{at}amc.nl

Abstract

Introduction Returning to work can be problematic for cancer survivors due to suboptimal workplace support, a heavy workload, decreased physical functioning and fatigue. The timely and permanent return to work (RtW) of cancer patients favourably influences quality of life and economic independence. Multidisciplinary interventions aimed at timely and enduring RtW are lacking. The objectives of this article are (1) to describe the protocol of an intervention aimed at RtW of cancer patients, comprising of counselling by an oncological occupational physician and supervised physical exercise in a clinical setting during treatment and (2) to present the design of the study aimed at evaluating the feasibility of this intervention.

Methods and analysis The intervention comprises three counselling sessions with an oncological occupational physician and a 12-week moderate-to-high intensity physical exercise programme, starting at the onset of chemotherapy. The intervention is aimed at cancer patients treated with curative intent, aged 18–60 years, employed and on sick leave. It will take place in two large medical centres in the Netherlands. The feasibility of the intervention will be evaluated as follows: the number of sessions, topics discussed and exercises executed will be registered by care providers; patients' and care providers' opinions will be assessed by questionnaires and interviews, respectively; and the proportion of invited patients that participated will be calculated.

Ethics and dissemination The study results will be used for optimising the intervention content and may serve as a foundation for future implementation. The Medical Ethics Committees of the Academic Medical Center and the participating medical centres approved the study protocol.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode.

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Footnotes

  • To cite: Groeneveld IF, de Boer AGEM, Frings-Dresen MHW. A multidisciplinary intervention to facilitate return to work in cancer patients: intervention protocol and design of a feasibility study. BMJ Open 2012;2:e001321. doi:10.1136/bmjopen-2012-001321

  • Contributors IFG wrote the manuscript. AGEMdB and MHWF-D were involved in critically revising the manuscript and providing intellectual input. All authors contributed to the development of the intervention and the study design. All authors read and approved the final manuscript.

  • Funding This work was supported by the Alpe d'Huzes Foundation/Dutch Cancer Society, grant number NKI 2010-4854.

  • Competing interests None.

  • Ethics approval Ethics approval was provided by Medical Ethics Committee Amsterdam Medical Center.

  • Provenance and peer review Not commissioned; externally peer reviewed.