abstract: 'Background: Job loss after a cancer diagnosis can lead to long-term

  financial toxicity and its attendant adverse clinical consequences,

  including decreased treatment adherence. Among women undergoing

  (neo)adjuvant chemotherapy for breast cancer, access to work

  accommodations (e.g., sick leave) is associated with higher job

  retention after treatment completion. However, low-income and/or

  minority women are less likely to have access to work accommodations

  and, therefore, are at higher risk of job loss. Given the time and

  transportation barriers that low-income working patients commonly face,

  it is crucial to develop an intervention that is convenient and easy to

  use.

  Methods: We designed an intervention to promote job retention during and

  after (neo)adjuvant chemotherapy for breast cancer by improving access

  to relevant accommodations. Talking to Employers And Medical staff about

  Work (TEAMWork) is an English/Spanish mobile application (app) that

  provides (1) suggestions for work accommodations tailored to specific

  job demands, (2) coaching/strategies for negotiating with an employer,

  (3) advice for symptom self-management, and (4) tools to improve

  communication with the medical oncology team. This study is a randomized

  controlled trial to evaluate the app as a job-retention tool compared to

  a control condition that provides the app content in an informational

  paper booklet. The primary outcome of the study is work status after

  treatment completion. Secondary outcomes include work status 1 and 2

  years later, participant self-efficacy to ask an employer for

  accommodations, receipt of workplace accommodations during and following

  adjuvant therapy, patient self-efficacy to communicate with the oncology

  provider, self-reported symptom burden during and following adjuvant

  therapy, and cancer treatment adherence.

  Discussion: This study will assess the use of mobile technology to

  improve vulnerable breast cancer patients'' ability to communicate with

  their employers and oncology providers, work during treatment and retain

  their jobs in the long term, thereby diminishing the potential

  consequences of job loss, including decreased treatment adherence, debt,

  and bankruptcy.'
affiliation: 'Blinder, VS (Corresponding Author), Mem Sloan Kettering Canc Ctr MSK,
  New York, NY 10021 USA.

  Blinder, Victoria S.; Finik, Jackie; Lichtenthal, Wendy G.; Parker, Patricia A.;
  Claros, Maria; Suarez, Jennifer; Narang, Bharat; Gany, Francesca, Mem Sloan Kettering
  Canc Ctr MSK, New York, NY 10021 USA.

  Patil, Sujata, Cleveland Clin, Cleveland, OH 44106 USA.

  Makower, Della, Montefiore Med Ctr, New York, NY USA.

  Muppidi, Monica, Lincoln Med \& Mental Hlth Ctr, New York, NY USA.'
article-number: '840'
author: Blinder, Victoria S. and Patil, Sujata and Finik, Jackie and Makower, Della
  and Muppidi, Monica and Lichtenthal, Wendy G. and Parker, Patricia A. and Claros,
  Maria and Suarez, Jennifer and Narang, Bharat and Gany, Francesca
author-email: blinderv@mskcc.org
author_list:
- family: Blinder
  given: Victoria S.
- family: Patil
  given: Sujata
- family: Finik
  given: Jackie
- family: Makower
  given: Della
- family: Muppidi
  given: Monica
- family: Lichtenthal
  given: Wendy G.
- family: Parker
  given: Patricia A.
- family: Claros
  given: Maria
- family: Suarez
  given: Jennifer
- family: Narang
  given: Bharat
- family: Gany
  given: Francesca
da: '2023-09-28'
doi: 10.1186/s13063-022-06580-7
eissn: 1745-6215
files: []
journal: TRIALS
keywords: 'Employment; Breast cancer; Disparities; Minority; Income; Cancer

  survivorship; Financial toxicity; Mobile application'
keywords-plus: 'COMMON TERMINOLOGY CRITERIA; REPORTED OUTCOMES VERSION; LOW-INCOME;

  UNDERSERVED WOMEN; WORK; SURVIVORS; IMPACT; VALIDATION; EMPLOYMENT;

  PREDICTORS'
language: English
month: OCT 3
number: '1'
number-of-cited-references: '64'
papis_id: 01e75893282a4cb4978036e2e845fce1
ref: Blinder2022interactivemobile
times-cited: '1'
title: 'An interactive mobile application versus an educational booklet to promote
  job retention in women undergoing adjuvant chemotherapy for breast cancer: a randomized
  controlled trial'
type: article
unique-id: WOS:000865247300003
usage-count-last-180-days: '0'
usage-count-since-2013: '3'
volume: '23'
web-of-science-categories: Medicine, Research \& Experimental
year: '2022'