2023-09-28 14:46:10 +00:00
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abstract: 'Background: Job loss after a cancer diagnosis can lead to long-term
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financial toxicity and its attendant adverse clinical consequences,
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including decreased treatment adherence. Among women undergoing
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(neo)adjuvant chemotherapy for breast cancer, access to work
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accommodations (e.g., sick leave) is associated with higher job
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retention after treatment completion. However, low-income and/or
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minority women are less likely to have access to work accommodations
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and, therefore, are at higher risk of job loss. Given the time and
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transportation barriers that low-income working patients commonly face,
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it is crucial to develop an intervention that is convenient and easy to
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use.
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Methods: We designed an intervention to promote job retention during and
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after (neo)adjuvant chemotherapy for breast cancer by improving access
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to relevant accommodations. Talking to Employers And Medical staff about
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Work (TEAMWork) is an English/Spanish mobile application (app) that
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provides (1) suggestions for work accommodations tailored to specific
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job demands, (2) coaching/strategies for negotiating with an employer,
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(3) advice for symptom self-management, and (4) tools to improve
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communication with the medical oncology team. This study is a randomized
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controlled trial to evaluate the app as a job-retention tool compared to
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a control condition that provides the app content in an informational
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paper booklet. The primary outcome of the study is work status after
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treatment completion. Secondary outcomes include work status 1 and 2
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years later, participant self-efficacy to ask an employer for
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accommodations, receipt of workplace accommodations during and following
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adjuvant therapy, patient self-efficacy to communicate with the oncology
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provider, self-reported symptom burden during and following adjuvant
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therapy, and cancer treatment adherence.
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Discussion: This study will assess the use of mobile technology to
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improve vulnerable breast cancer patients'' ability to communicate with
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their employers and oncology providers, work during treatment and retain
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their jobs in the long term, thereby diminishing the potential
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consequences of job loss, including decreased treatment adherence, debt,
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and bankruptcy.'
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affiliation: 'Blinder, VS (Corresponding Author), Mem Sloan Kettering Canc Ctr MSK,
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New York, NY 10021 USA.
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Blinder, Victoria S.; Finik, Jackie; Lichtenthal, Wendy G.; Parker, Patricia A.;
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Claros, Maria; Suarez, Jennifer; Narang, Bharat; Gany, Francesca, Mem Sloan Kettering
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Canc Ctr MSK, New York, NY 10021 USA.
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Patil, Sujata, Cleveland Clin, Cleveland, OH 44106 USA.
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Makower, Della, Montefiore Med Ctr, New York, NY USA.
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Muppidi, Monica, Lincoln Med \& Mental Hlth Ctr, New York, NY USA.'
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article-number: '840'
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author: Blinder, Victoria S. and Patil, Sujata and Finik, Jackie and Makower, Della
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and Muppidi, Monica and Lichtenthal, Wendy G. and Parker, Patricia A. and Claros,
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Maria and Suarez, Jennifer and Narang, Bharat and Gany, Francesca
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author-email: blinderv@mskcc.org
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author_list:
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- family: Blinder
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given: Victoria S.
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- family: Patil
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given: Sujata
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- family: Finik
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given: Jackie
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- family: Makower
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given: Della
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- family: Muppidi
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given: Monica
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- family: Lichtenthal
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given: Wendy G.
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- family: Parker
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given: Patricia A.
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- family: Claros
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given: Maria
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- family: Suarez
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given: Jennifer
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- family: Narang
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given: Bharat
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- family: Gany
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given: Francesca
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da: '2023-09-28'
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doi: 10.1186/s13063-022-06580-7
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eissn: 1745-6215
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files: []
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journal: TRIALS
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keywords: 'Employment; Breast cancer; Disparities; Minority; Income; Cancer
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survivorship; Financial toxicity; Mobile application'
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keywords-plus: 'COMMON TERMINOLOGY CRITERIA; REPORTED OUTCOMES VERSION; LOW-INCOME;
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UNDERSERVED WOMEN; WORK; SURVIVORS; IMPACT; VALIDATION; EMPLOYMENT;
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PREDICTORS'
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language: English
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month: OCT 3
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number: '1'
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number-of-cited-references: '64'
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papis_id: 01e75893282a4cb4978036e2e845fce1
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ref: Blinder2022interactivemobile
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times-cited: '1'
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title: 'An interactive mobile application versus an educational booklet to promote
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job retention in women undergoing adjuvant chemotherapy for breast cancer: a randomized
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controlled trial'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000865247300003
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usage-count-last-180-days: '0'
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usage-count-since-2013: '3'
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volume: '23'
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web-of-science-categories: Medicine, Research \& Experimental
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year: '2022'
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