2023-09-28 14:46:10 +00:00
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abstract: 'Background: Cancer survivors are often left on their own to deal with
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the challenges of resuming work during or after cancer treatment, mainly
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due to unclear agreements between stakeholders responsible for
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occupational rehabilitation. Social inequality exists in cancer risk,
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survival probability and continues with regard to the chance of being
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able to return to work.
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The aim is to apply an early, individually tailored occupational
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rehabilitation intervention to cancer survivors in two municipalities
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parallel with cancer treatment focusing on enhancing readiness for
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return to work.
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Methods/Design: In a controlled trial municipal job consultants use
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acceptance and commitment therapy dialogue and
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individual-placement-and-support-inspired tools with cancer survivors to
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engage them in behaviour changes toward readiness for return to work.
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The workplace is involved in the return to work process.
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Patients referred to surgery, radiotherapy or chemotherapy at the
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Oncology Department, Aarhus University Hospital, Denmark for the
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diagnoses; breast, colon-rectal, head and neck, thyroid gland,
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testicular, ovarian or cervix cancer are eligible for the study.
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Patients must be residents in the municipalities of Silkeborg or
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Randers, 18-60 years of age and have a permanent or temporary employment
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(with at least 6 months left of their contract) at inclusion. Patients,
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for whom the treating physician considers occupational rehabilitation to
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be unethical, or who are not reading or talking Danish are excluded. The
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control group has identical inclusion and exclusion criteria except for
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municipality of residence.
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Return to work is the primary outcome and is indentified in a social
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transfer payment register. Effect is assessed as relative cumulative
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incidences within 52 weeks and will be analysed in generalised linear
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regression models using the pseudo values method. As a secondary
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outcome; co-morbidity and socio-economic status is analysed as effect
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modifiers of the intervention effect on return to work.
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Discussion: The innovative element of this intervention is the timing of
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the occupational rehabilitation which is much earlier initiated than
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usual and the active involvement of the workplace. We anticipate that
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vulnerable cancer survivors will benefit from this approach and reduce
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the effects of social inequality on workability.'
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affiliation: 'Stapelfeldt, CM (Corresponding Author), MarselisborgCentret, Publ Hlth
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\& Qual Improvement CFK, PP Oerums Gade 11,Bldg 1B, DK-8000 Aarhus C, Denmark.
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Stapelfeldt, Christina M.; Labriola, Merete; Momsen, Anne-Mette H.; Nielsen, Claus
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Vinther, MarselisborgCentret, Publ Hlth \& Qual Improvement CFK, DK-8000 Aarhus
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C, Denmark.
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Jensen, Anders Bonde, Aarhus Univ Hosp, Dept Oncol, DK-8000 Aarhus, Denmark.
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Andersen, Niels Trolle, Aarhus Univ, Dept Publ Hlth, Biostat Sect, Aarhus, Denmark.
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Nielsen, Claus Vinther, Aarhus Univ, Dept Publ Hlth, Sect Clin Social Med \& Rehabil,
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Aarhus, Denmark.'
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article-number: '720'
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author: Stapelfeldt, Christina M. and Labriola, Merete and Jensen, Anders Bonde and
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Andersen, Niels Trolle and Momsen, Anne-Mette H. and Nielsen, Claus Vinther
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author-email: ChristinaMalmose.Stapelfeldt@stab.rm.dk
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author_list:
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- family: Stapelfeldt
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given: Christina M.
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- family: Labriola
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given: Merete
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- family: Jensen
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given: Anders Bonde
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- family: Andersen
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given: Niels Trolle
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- family: Momsen
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given: Anne-Mette H.
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- family: Nielsen
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given: Claus Vinther
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da: '2023-09-28'
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doi: 10.1186/s12889-015-2062-1
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eissn: 1471-2458
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files: []
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journal: BMC PUBLIC HEALTH
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keywords: 'Acceptance and commitment therapy; Cancer survivor; Controlled trial;
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Individual placement and support; Intervention; Occupational
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rehabilitation; Readiness for return to work; Social inequality;
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Workplace'
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keywords-plus: 'RANDOMIZED CONTROLLED-TRIAL; SICKNESS ABSENCE; BREAST-CANCER;
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EMPLOYMENT; REHABILITATION; RISK; PREDICTORS; DISABILITY; READINESS;
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WORKPLACE'
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language: English
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month: JUL 29
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number-of-cited-references: '66'
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orcid-numbers: Nielsen, Claus Vinther/0000-0002-2467-1103
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papis_id: 031cf9fda65fd52e930a9b9ed076ace0
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ref: Stapelfeldt2015municipalreturn
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times-cited: '27'
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title: 'Municipal return to work management in cancer survivors undergoing cancer
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treatment: a protocol on a controlled intervention study'
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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:000359765500001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '37'
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volume: '15'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2015'
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