Elise Martin1, Antonio Di Meglio2,3, Gwenn Menvielle4, Johanna Arvis5, Aurélie Bourmaud6, Stefan Michiels7,8, Barbara Pistilli3, Ines Vaz-Luis2,3, Agnès Dumas6. 1. Université Paris-Saclay, Gustave Roussy, Inserm, Biomarqueurs Prédictifs Et Nouvelles Stratégies Thérapeutiques en Oncologie, 94800, Villejuif, France. el.martin@gustaveroussy.fr. 2. Université Paris-Saclay, Gustave Roussy, Inserm, Biomarqueurs Prédictifs Et Nouvelles Stratégies Thérapeutiques en Oncologie, 94800, Villejuif, France. 3. Medical Oncology Department, Gustave Roussy, 94800, Villejuif, France. 4. Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie Et de Sante Publique, Paris, France. 5. Ligue Nationale Contre Le Cancer, Paris, France. 6. Université Paris Cité, ECEVE, UMR 1123, INSERM, Paris, France. 7. Office of Biostatistics and Epidemiology, Gustave Roussy, Villejuif, France. 8. Oncostat U1018, Inserm, University Paris-Saclay, Labeled Ligue Contre Le Cancer, Villejuif, France.
Abstract
PURPOSE: Return to work (RTW) after breast cancer (BC) can be a major challenge for patients. Multidisciplinary interventions seem to be effective but the role of digital solutions is under-developed and therefore not evaluated. We explored the preferences, needs, and barriers regarding RTW interventions, including opinions about the use of digital approaches to deliver such interventions. METHODS: We conducted a qualitative study based on interviews with 30 patients with BC and 18 healthcare providers in four French regions. Emergent themes were identified using thematic content analysis. RESULTS: Most providers declared that they did not proactively address RTW with patients, mainly due to having other priorities and a lack of knowledge. The following themes emerged: several development and deployment barriers regarding RTW interventions exist, multidisciplinary interventions are preferred, and there is a need to maintain contact between the patient and workplace during sick leave, including pathways and interlocutors that can facilitate RTW. Participants had mostly positive representations of using digital tools to facilitate RTW; however, fear of loss of human contact and the exacerbation of inequalities were identified as possible risks associated with the development of digital-only interventions. CONCLUSIONS: Interventions blending the needs and preferences of patients with BC and the healthcare system are warranted. A personalized multimodal approach with mixed digital and in-person features has surfaced as a possible solution to address the weaknesses of existing interventions. IMPLICATIONS FOR CANCER SURVIVORS: Since most women work at the time of diagnosis, it is of particular relevance to build interventions promoting RTW.
PURPOSE: Return to work (RTW) after breast cancer (BC) can be a major challenge for patients. Multidisciplinary interventions seem to be effective but the role of digital solutions is under-developed and therefore not evaluated. We explored the preferences, needs, and barriers regarding RTW interventions, including opinions about the use of digital approaches to deliver such interventions. METHODS: We conducted a qualitative study based on interviews with 30 patients with BC and 18 healthcare providers in four French regions. Emergent themes were identified using thematic content analysis. RESULTS: Most providers declared that they did not proactively address RTW with patients, mainly due to having other priorities and a lack of knowledge. The following themes emerged: several development and deployment barriers regarding RTW interventions exist, multidisciplinary interventions are preferred, and there is a need to maintain contact between the patient and workplace during sick leave, including pathways and interlocutors that can facilitate RTW. Participants had mostly positive representations of using digital tools to facilitate RTW; however, fear of loss of human contact and the exacerbation of inequalities were identified as possible risks associated with the development of digital-only interventions. CONCLUSIONS: Interventions blending the needs and preferences of patients with BC and the healthcare system are warranted. A personalized multimodal approach with mixed digital and in-person features has surfaced as a possible solution to address the weaknesses of existing interventions. IMPLICATIONS FOR CANCER SURVIVORS: Since most women work at the time of diagnosis, it is of particular relevance to build interventions promoting RTW.
Authors: Shoshana M Rosenberg; Ines Vaz-Luis; Jingyi Gong; Padma Sheila Rajagopal; Kathryn J Ruddy; Rulla M Tamimi; Lidia Schapira; Steven Come; Virginia Borges; Janet S de Moor; Ann H Partridge Journal: Breast Cancer Res Treat Date: 2019-05-30 Impact factor: 4.872
Authors: Roberta De Angelis; Milena Sant; Michel P Coleman; Silvia Francisci; Paolo Baili; Daniela Pierannunzio; Annalisa Trama; Otto Visser; Hermann Brenner; Eva Ardanaz; Magdalena Bielska-Lasota; Gerda Engholm; Alice Nennecke; Sabine Siesling; Franco Berrino; Riccardo Capocaccia Journal: Lancet Oncol Date: 2013-12-05 Impact factor: 41.316
Authors: Corné A M Roelen; Petra C Koopmans; Jan H de Graaf; Fulya Balak; Johan W Groothoff Journal: Int Arch Occup Environ Health Date: 2008-09-16 Impact factor: 3.015
Authors: Antonio Di Meglio; Gwenn Menvielle; Agnes Dumas; Arnauld Gbenou; Sandrine Pinto; Thomas Bovagnet; Elise Martin; Arlindo R Ferreira; Laurence Vanlemmens; Olivier Arsene; Mahmoud Ibrahim; Johanna Wassermann; Anne Laure Martin; Jerome Lemonnier; Lucia Del Mastro; Lee W Jones; Ann H Partridge; Jennifer A Ligibel; Fabrice Andre; Stefan Michiels; Ines Vaz Luis Journal: ESMO Open Date: 2020-11