Journal of Occupational Rehabilitation

, Volume 26, Issue 3, pp 350–365 | Cite as

Bridging Health Care and the Workplace: Formulation of a Return-to-Work Intervention for Breast Cancer Patients Using an Intervention Mapping Approach

  • Huguette A. M. Désiron
  • Rik Crutzen
  • Lode Godderis
  • Elke Van Hoof
  • Angelique de Rijk


Purpose An increasing number of breast cancer (BC) survivors of working age require return to work (RTW) support. Objective of this paper is to describe the development of a RTW intervention to be embedded in the care process bridging the gap between hospital and workplace. Method The Intervention Mapping (IM) approach was used and combined formative research results regarding RTW in BC patients with published insights on occupational therapy (OT) and RTW. Four development steps were taken, starting from needs assessment to the development of intervention components and materials. Results A five-phased RTW intervention guided by a hospital-based occupational therapist is proposed: (1) assessing the worker, the usual work and contextual factors which impacts on (re-)employment; (2) exploration of match/differences between the worker and the usual work; (3) establishing long term goals, broken down into short term goals; (4) setting up tailored actions by carefully implementing results of preceding phases; (5) step by step, the program as described in phase 4 will be executed. The occupational therapist monitors, measures and reviews goals and program-steps in the intervention to secure the tailor-made approach of each program-step of the intervention. Conclusion The use of IM resulted in a RTW oriented OT intervention. This unique intervention succeeds in matching individual BC patient needs, the input of stakeholders at the hospital and the workplace.


Breast cancer Occupational therapy Return to work Intervention Mapping Vocational rehabilitation 



The authors wish to thank “Kom Op Tegen Kanker” for funding this research. We are also very grateful for the support of the CANWON project.

Author Contributions

A.D.R., R.C. and H.D. participated intensively in the discussion sessions that are mentioned in the method section of this paper. L.G. and E.V.H. questioned the outcomes of the discussions; the choices made in the development process and, like A.D.R. and R.C., both were involved in editing the text that was written by H.D.

Compliance with Ethical Standards

Conflict of interest

No competing interests.

Ethics Statement

For the development of the intervention, no personal data of participants or patients were collected. The article is based on the literature. Consequently, no approval was required from an ethical committee.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Huguette A. M. Désiron
    • 1
    • 2
  • Rik Crutzen
    • 3
  • Lode Godderis
    • 1
    • 4
  • Elke Van Hoof
    • 5
  • Angelique de Rijk
    • 6
  1. 1.Centre Environment and HealthKatholieke Universiteit LeuvenLouvainBelgium
  2. 2.Occupational Therapy Education, Department of Health CareUniversity College of Hasselt PXLHasseltBelgium
  3. 3.Department of Health Promotion, CAPHRI School for Public Health and Primary CareMaastricht UniversityMaastrichtThe Netherlands
  4. 4.IDEWE, External Service for Prevention and Protection at WorkHeverleeBelgium
  5. 5.Department of Experimental and Applied Psychology (EXTO), Faculty of Psychological and Educational ScienceVrije Universiteit BrusselBrusselsBelgium
  6. 6.Department of Social Medicine, Faculty of Health, Medicine and Life SciencesMaastricht UniversityMaastrichtThe Netherlands

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