abstract: 'Background: Cancer survivors are often left on their own to deal with

  the challenges of resuming work during or after cancer treatment, mainly

  due to unclear agreements between stakeholders responsible for

  occupational rehabilitation. Social inequality exists in cancer risk,

  survival probability and continues with regard to the chance of being

  able to return to work.

  The aim is to apply an early, individually tailored occupational

  rehabilitation intervention to cancer survivors in two municipalities

  parallel with cancer treatment focusing on enhancing readiness for

  return to work.

  Methods/Design: In a controlled trial municipal job consultants use

  acceptance and commitment therapy dialogue and

  individual-placement-and-support-inspired tools with cancer survivors to

  engage them in behaviour changes toward readiness for return to work.

  The workplace is involved in the return to work process.

  Patients referred to surgery, radiotherapy or chemotherapy at the

  Oncology Department, Aarhus University Hospital, Denmark for the

  diagnoses; breast, colon-rectal, head and neck, thyroid gland,

  testicular, ovarian or cervix cancer are eligible for the study.

  Patients must be residents in the municipalities of Silkeborg or

  Randers, 18-60 years of age and have a permanent or temporary employment

  (with at least 6 months left of their contract) at inclusion. Patients,

  for whom the treating physician considers occupational rehabilitation to

  be unethical, or who are not reading or talking Danish are excluded. The

  control group has identical inclusion and exclusion criteria except for

  municipality of residence.

  Return to work is the primary outcome and is indentified in a social

  transfer payment register. Effect is assessed as relative cumulative

  incidences within 52 weeks and will be analysed in generalised linear

  regression models using the pseudo values method. As a secondary

  outcome; co-morbidity and socio-economic status is analysed as effect

  modifiers of the intervention effect on return to work.

  Discussion: The innovative element of this intervention is the timing of

  the occupational rehabilitation which is much earlier initiated than

  usual and the active involvement of the workplace. We anticipate that

  vulnerable cancer survivors will benefit from this approach and reduce

  the effects of social inequality on workability.'
affiliation: 'Stapelfeldt, CM (Corresponding Author), MarselisborgCentret, Publ Hlth
  \& Qual Improvement CFK, PP Oerums Gade 11,Bldg 1B, DK-8000 Aarhus C, Denmark.

  Stapelfeldt, Christina M.; Labriola, Merete; Momsen, Anne-Mette H.; Nielsen, Claus
  Vinther, MarselisborgCentret, Publ Hlth \& Qual Improvement CFK, DK-8000 Aarhus
  C, Denmark.

  Jensen, Anders Bonde, Aarhus Univ Hosp, Dept Oncol, DK-8000 Aarhus, Denmark.

  Andersen, Niels Trolle, Aarhus Univ, Dept Publ Hlth, Biostat Sect, Aarhus, Denmark.

  Nielsen, Claus Vinther, Aarhus Univ, Dept Publ Hlth, Sect Clin Social Med \& Rehabil,
  Aarhus, Denmark.'
article-number: '720'
author: Stapelfeldt, Christina M. and Labriola, Merete and Jensen, Anders Bonde and
  Andersen, Niels Trolle and Momsen, Anne-Mette H. and Nielsen, Claus Vinther
author-email: ChristinaMalmose.Stapelfeldt@stab.rm.dk
author_list:
- family: Stapelfeldt
  given: Christina M.
- family: Labriola
  given: Merete
- family: Jensen
  given: Anders Bonde
- family: Andersen
  given: Niels Trolle
- family: Momsen
  given: Anne-Mette H.
- family: Nielsen
  given: Claus Vinther
da: '2023-09-28'
doi: 10.1186/s12889-015-2062-1
eissn: 1471-2458
files: []
journal: BMC PUBLIC HEALTH
keywords: 'Acceptance and commitment therapy; Cancer survivor; Controlled trial;

  Individual placement and support; Intervention; Occupational

  rehabilitation; Readiness for return to work; Social inequality;

  Workplace'
keywords-plus: 'RANDOMIZED CONTROLLED-TRIAL; SICKNESS ABSENCE; BREAST-CANCER;

  EMPLOYMENT; REHABILITATION; RISK; PREDICTORS; DISABILITY; READINESS;

  WORKPLACE'
language: English
month: JUL 29
number-of-cited-references: '66'
orcid-numbers: Nielsen, Claus Vinther/0000-0002-2467-1103
papis_id: 031cf9fda65fd52e930a9b9ed076ace0
ref: Stapelfeldt2015municipalreturn
times-cited: '27'
title: 'Municipal return to work management in cancer survivors undergoing cancer
  treatment: a protocol on a controlled intervention study'
type: Article
unique-id: WOS:000359765500001
usage-count-last-180-days: '0'
usage-count-since-2013: '37'
volume: '15'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2015'