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Returning to Work After Cancer in Australia: What Facilitates a Positive Return to Work Experience?

Journal of Occupational Rehabilitation volume 31, pages 41–49 (2021)Cite this article

Abstract

Purpose This study examined the impact of task-based and relationship-based social support received in the workplace on cancer survivors’ retrospective satisfaction with their return to work experience. Methods Cancer survivors (N = 159), completed an online questionnaire assessing their satisfaction with the return to work experience, overall job satisfaction, contact with employers and co-workers while absent, perceived task-based and relationship-based social support received at the time of returning to work, and the perceived emotional quality of workplace relationships. Results Survivors reported that contact with employers, but not co-workers, while absent from work was associated with a more positive return to work experience. Additionally, greater perceived task-based and relationship-based social support at the time of returning to work were significantly correlated with greater satisfaction with returning to work. Importantly, the impact of task-based and relationship-based social support was fully mediated by the perceived emotional quality of workplace relationships. Job satisfaction independently predicted variance in return to work satisfaction. Conclusions Supporting effective return to work after cancer involves consideration of the workplace social context. Greater resources are needed to help workplaces foster and maintain social connections with employees who are absent from work for cancer treatment.

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References

  1. Waddell G, Burton AK. Is work good for your health and well-being? London: The Stationery Office (TSO); 2006.

    Google Scholar 

  2. Amir Z, Neary D, Luker K. Cancer survivors’ views of work 3 years post diagnosis: a UK perspective. Eur J Oncol Nurs. 2008;12:190–197.

    PubMed  Google Scholar 

  3. McKay G, Knott V, Delfabbro P. Return to work and cancer: the Australian experience. J Occup Rehabil. 2013;23:93–105.

    PubMed  Google Scholar 

  4. Grunfeld EA, Cooper AF. A longitudinal qualitative study of the experience of working following treatment for gynaecological cancer. Psycho-Oncology. 2012;21:82–89.

    CAS  PubMed  Google Scholar 

  5. Creed PA, Watson T. Age, gender, psychological wellbeing and the impact of losing the latent and manifest benefits of employment in unemployed people. Aust J Psychol. 2003;55:95–103.

    Google Scholar 

  6. Duijts SFA, van Egmond MP, Gits M, van der Beek AJ, Bleiker EM. Cancer survivors’ perspectives and experiences regarding behavioural determinants of return to work and continuation of work. Disabil Rehabil. 2017;39:2164–2172.

    PubMed  Google Scholar 

  7. Morrison EJ, Ehlers SL, Bronars CA, Patten CA, Brockman TA, Cerhan JR, et al. Employment status as an indicator of recovery and function one year after hematopoietic stem cell transplantation. Biol Blood Marrow Transplant. 2016;22:1690–1695.

    PubMed  Google Scholar 

  8. Kalfa S, Koelmeyer L, Taksa L, Winch C, Viveros H, Gollan PJ, et al. Work experiences of Australian cancer survivors with lymphoedema: a qualitative study. Health Soc Care Community. 2019;27:848–855.

    PubMed  Google Scholar 

  9. de Boer A, Taskila T, Ojajärvi A, van Dijk FJH, Verbeek JHAM. Cancer survivors and unemployment: a meta-analysis and meta-regression. JAMA. 2009;301:753–762.

    PubMed  Google Scholar 

  10. Giuliani M, Papadakos J, Broadhurst M, Jones J, McQuestion M, Le LW, et al. The prevalence and determinants of return to work in head and neck cancer survivors. Support Care Cancer. 2019;27:539–546.

    PubMed  Google Scholar 

  11. Mehnert A, de Boer A, Feuerstein M. Employment challenges for cancer survivors. Cancer. 2013;119(Suppl 11):2151–2159.

    PubMed  Google Scholar 

  12. Islam T, Dahlui M, Majid HA, Nahar AM, Taib NAM, Su TT, et al. Factors associated with return to work of breast cancer survivors: a systematic review. BMC Public Health. 2014;14(Suppl 3):8.

    Google Scholar 

  13. McLennan V, Ludvik D, Chambers S, Frydenberg M. Work after prostate cancer: a systematic review. J Cancer Surviv. 2019;13:282–291.

    PubMed  Google Scholar 

  14. Kiasuwa Mbengi R, Otter R, Mortelmans K, Arbyn M, van Oyen H, Bouland C, et al. Barriers and opportunities for return-to-work of cancer survivors: time for action—rapid review and expert consultation. Syst Rev. 2016;5:35.

    PubMed  PubMed Central  Google Scholar 

  15. Schmidt ME, Scherer S, Wiskemann J, Steindorf K. Return to work after breast cancer: the role of treatment-related side effects and potential impact on quality of life. Eur J Cancer Care. 2019;28:e13051.

    Google Scholar 

  16. Cooper AF, Hankins M, Rixon L, Eaton E, Grunfeld EA. Distinct work-related, clinical and psychological factors predict return to work following treatment in four different cancer types. Psycho-Oncology. 2013;22:659–667.

    PubMed  Google Scholar 

  17. van Muijen P, Weevers NLEC, Snels IAK, Duijts S, Bruinvels DJ, Schellart AJM, et al. Predictors of return to work and employment in cancer survivors: a systematic review. Eur J Cancer Care. 2013;22:144–160.

    Google Scholar 

  18. Landeiro LCG, Gagliato D, Fede AB, Fraile NM, Lopez RM, da Fonseca LG, et al. Return to work after breast cancer diagnosis: an observational prospective study in Brazil. Cancer. 2018;124:4700–4710.

    PubMed  Google Scholar 

  19. Gates LB. Workplace accommodation as a social process. J Occup Rehabil. 2000;10:85–95.

    Google Scholar 

  20. Feuerstein M, Todd BL, Moskowitz MC, Bruns GL, Stoler MR, Nassif T, et al. Work in cancer survivors: a model for practice and research. J Cancer Surviv. 2010;4:415–437.

    PubMed  Google Scholar 

  21. Amir Z, Brocky J. Cancer survivorship and employment: epidemiology. Occup Med. 2009;59:373–377.

    CAS  Google Scholar 

  22. Armaou M, Schumacher L, Grunfeld EA. Cancer survivors’ social context in the return to work process: narrative accounts of social support and social comparison information. J Occup Rehabil. 2018;28:504–512.

    CAS  PubMed  Google Scholar 

  23. Geidanus MA, de Boer AGEM, de Rijk AE, Tiedtke CM, Dierckx de Casterle B, Frings-Dresen MHW, et al. Perceived employer-related barriers and facilitators for work participation of cancer survivors: a systematic review of employers’ and survivors’ perspectives. Psycho-Oncology. 2018;27:725–733.

    Google Scholar 

  24. Lysaght R, Fabrigar L, Larmour-Trode S, Stewart J, Friesen M. Measuring workplace social support for workers with disability. J Occup Rehabil. 2012;22:376–386.

    PubMed  Google Scholar 

  25. Tamminga SJ, de Boer AGEM, Verbeek JHAM, Frings-Dresen MHW. Breast cancer survivors’ views of factors that influence the return-to-work process—a qualitative study. Scand J Work Environ Health. 2012;38:144–154.

    PubMed  Google Scholar 

  26. Sun W, Chen K, Terhaar A, Wiegmann DA, Heidrich SM, Tevaarwerk AJ, et al. Work-related barriers, facilitators, and strategies of breast cancer survivors working during curative treatment. Work. 2016;55:783–795.

    PubMed  PubMed Central  Google Scholar 

  27. Heinesen E, Kolodziejczyk C, Ladenburg J, Andersen I, Thielen K. Return to work after cancer and pre-cancer job dissatisfaction. Appl Econ. 2017;49:4982–4998.

    Google Scholar 

  28. Gragnano A, Negrini A, Miglioretti M, Corbière M. Common psychosocial factors predicting return to work after common mental disorders, cardiovascular diseases, and cancers: a review of reviews supporting a cross-disease approach. J Occup Rehabil. 2018;28:215–231.

    PubMed  Google Scholar 

  29. Fiabane E, Argentero P, Calsamiglia G, Candura SM, Giorgi I, Scafa F, et al. Does job satisfaction predict early return to work after coronary angioplasty or cardiac surgery? Int Arch Occup Environ Health. 2013;86:561–569.

    PubMed  Google Scholar 

  30. Fiabane E, Omodeo O, Argentero P, Candura SM, Giorgi I. Return to work after an acute cardiac event: the role of psychosocial factors. Prev Res. 2014;3:137–141.

    Google Scholar 

  31. Cancilliere C, Donovan J, Stochkendahl MJ, Biscardi M, Ammendolia C, Myburgh C, et al. Factors affecting return to work after injury or illness: best evidence synthesis of systematic reviews. Chiropr Man Therap. 2016;24(1):32.

  32. Zhang L, Lin Y, Wan F. Social support and job satisfaction: elaborating the mediating role of work-family interface. Curr Psychol. 2015;34:781–790.

    Google Scholar 

  33. Orgambídez-Ramos A, de Almeida H. Work engagement, social support, and job satisfaction in Portuguese nursing staff: a winning combination. Appl Nurs Res. 2017;36:37–41.

    PubMed  Google Scholar 

  34. Yuh J, Choi S. Sources of social support, job satisfaction and quality of life among childcare teachers. Soc Sci J. 2017;54:450–457.

    Google Scholar 

  35. McGrath PD, Hartigan B, Holewa H, Skarparis M. Returning to work after treatment for haematological cancer: findings from Australia. Support Care Cancer. 2012;20:1957–1964.

    PubMed  Google Scholar 

  36. Knott V, Zrim S, Shanahan EM, Anastassiadis P, Lawn S, Kichenadasse G, et al. Returning to work following curative chemotherapy: a qualitative study of return to work barriers and preferences for intervention. Support Care Cancer. 2014;22:3263–3273.

    PubMed  Google Scholar 

  37. Australian Bureau of Statistics. Occupation Standard. Contract No.: Cat No. 1220.0.55.001. Canberra, Australia: Australian Bureau of Statistics; 2018.

  38. Australian Bureau of Statistics, Statistics New Zealand. Australian and New Zealand Standard Classification of Occupations, Version 1.2. Contract No.: Cat No. 1220.0. Canberra, Australia: Australian Bureau of Statistics; 2013.

  39. Australian Bureau of Statistics. Technical paper: Socio-Economic Indexes for Areas (SEIFA) 2016. Contract No.: 2033.0.55.001. Canberra, Australia: Australian Bureau of Statistics; 2016.

  40. Addy D, Skinner N, Shoobridge J, Freeman T, Roche AM, Pidd K, et al. The work practice questionnaire: a training evaluation measurement tool for the alcohol and other drugs field. Adelaide: National Centre for Education and Training on Addiction (NCETA); 2004.

    Google Scholar 

  41. Skinner N. Workplace support. In: Skinner N, Roche AM, O’Connor J, Pollard Y, Todd C, editors. Workforce development ‘TIPS’ (Theory Into Practice Strategies): a resource kit for the alcohol and other drugs field. Adelaide: National Centre for Education and Training on Addiction (NCETA); 2005.

    Google Scholar 

  42. Wright SL, Burt CDD, Strongman KT. Loneliness in the workplace: construct definition and scale development. N Z J Psychol. 2006;35(2):59–68.

    Google Scholar 

  43. Cammann C, Fichman M, Jenkins D, Klesh J. The Michigan Organizational Assessment Questionnaire. Unpublished manuscript. Ann Arbor: University of Michigan; 1979.

  44. Hayes AF. Introduction to mediation, moderation,and conditional process analysis: a regression-based approach. New York: Guilford Press; 2013.

    Google Scholar 

  45. Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008;40(3):879–891.

    PubMed  Google Scholar 

  46. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51:1173–1182.

    CAS  PubMed  Google Scholar 

  47. Sauer C, Weis J, Faller H, Junne F, Hönig K, Bergelt C, et al. Impact of social support on psychosocial symptoms and quality of life in cancer patients: results of a multilevel model approach from a longitudinal multicenter study. Acta Oncol. 2019;58:1298–1306.

    PubMed  Google Scholar 

  48. Bártolo A, Andrade A, Silva D, Monterio S. Psychosocial risks at the workplace and quality of life in cancer survivors in employment. Psycho-Oncology. 2018;27:1347–1349.

    PubMed  Google Scholar 

  49. Tiedtke C, Donceel P, De Rijk A, Dierckx de Casterlé B. Return to work following breast cancer: the employers’ side. J Occup Rehabil. 2014;24:399–409.

    PubMed  Google Scholar 

  50. Grunfeld EA, Rixon L, Eaton E, Cooper AF. The organisational perspective on the return to work of employees following treatment for cancer. J Occup Rehabil. 2008;18:381–388.

    PubMed  Google Scholar 

  51. Johnston V, Way K, Long M, Wyatt M, Gibson L, Shaw WS. Supervisor competencies for supporting return to work: a mixed methods study. J Occup Rehabil. 2015;25:3–17.

    PubMed  Google Scholar 

  52. Amir Z, Wynn P, Chan F, Strauser D, Whitaker S, Luker K. Return to work after cancer in the UK: attitudes and experiences of line managers. J Occup Rehabil. 2010;20:435–442.

    PubMed  Google Scholar 

  53. Popa AE, Morândău F, Popa R-I, Rusu MS, Sidor A. Supporting the return to work after cancer in Romania: exploring employers’ perspectives. J Occup Rehabil. 2019;30:59–71.

    Google Scholar 

  54. Australian Public Service Commission. 18 Supporting return to work. Canberra: Australian Public Service Commission; 2013.

    Google Scholar 

  55. Dorland HF, Abma FI, Van Zon SKR, Stewart RE, Amick BC, Ranchor AV, et al. Fatigue and depressive symptoms improve but remain negatively related to work functioning over 18 months after return to work in cancer patients. J Cancer Surviv. 2018;12:371–378.

    CAS  PubMed  PubMed Central  Google Scholar 

  56. Tiedtke C, de Rijk A, Donceel P, Christiaens M, de Casterlé B. Survived but feeling vulnerable and insecure: a qualitative study of the mental preparation for RTW after breast cancer treatment. BMC Public Health. 2012;12:538.

    PubMed  PubMed Central  Google Scholar 

  57. Stergiou-Kita M, Pritlove C, Holness LD, Kirsh B, van Eerd D, Duncan A, et al. Am I ready to return to work? Assisting cancer survivors to determine work readiness. J Cancer Surviv. 2016;10:699–710.

    PubMed  Google Scholar 

  58. Bouknight RR, Bradley CJ, Luo Z. Correlates of return to work for breast cancer survivors. J Clin Oncol. 2006;24:345–353.

    PubMed  Google Scholar 

  59. Mehnert A, Koch U. Predictors of employment among cancer survivors after medical rehabilitation—a prospective study. Scand J Work Environ Health. 2013;39:76–87.

    PubMed  Google Scholar 

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Acknowledgements

We gratefully acknowledge the cancer survivors who participated in this research. Some of these participants were recruited from Breast Cancer Network Australia’s (BCNA) Review and Survey Group, a national, online group of Australian women living with breast cancer who are interested in receiving invitations to participate in research. We also gratefully acknowledge the help of Prostate Cancer Foundation Australia in advertising this study through the Pathfinder Prostate Cancer Research Register.

Funding

This project was supported by a Commonwealth Bank of Australia Centenary grant.

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Authors and Affiliations

  1. School of Psychology & Public Health, La Trobe University, Melbourne, Australia

    Gemma Skaczkowski, Akira Asahina & Carlene Wilson

  2. Olivia Newton-John Cancer Wellness & Research Centre, Austin Health, Melbourne, Australia

    Gemma Skaczkowski & Carlene Wilson

Authors
  1. Gemma Skaczkowski
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  2. Akira Asahina
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Correspondence to Carlene Wilson.

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The authors declare that they have no conflict of interest.

Ethical Approval

Ethics approval for this study was granted by the Science, Health & Engineering College Human Ethics Sub-Committee at La Trobe University (HEC 18279). All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.

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Skaczkowski, G., Asahina, A. & Wilson, C. Returning to Work After Cancer in Australia: What Facilitates a Positive Return to Work Experience?. J Occup Rehabil 31, 41–49 (2021). https://doi.org/10.1007/s10926-020-09881-3

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  • DOI: https://doi.org/10.1007/s10926-020-09881-3

Keywords

  • Survivorship
  • Return to work
  • Cancer
  • Employment
  • Task-based support
  • Social support