Effectiveness of a multi-module eHealth intervention on work-related outcomes among working cancer survivors

Abstract

Background: Cancer survivors are eager to stay working but often experience disease-related problems. This study assessed the effectiveness of a work-module within a multi-module eHealth intervention (KankerNazorgWijzer) meant to help dealing with impaired cognitive, physical, emotional functioning and practical issues. Methods: A RCT (n=463) compared Usual Care (UC) and the intervention (ExpC) among cancer survivors. Work-related outcomes (6-months): job satisfaction, work limitations, productivity loss. We only included workers. Findings: Most participants were women (85%) with breast cancer (79%). Baseline job satisfaction was high (M=4.1; scale 1-5) with little work limitations. Multiple regression analyses revealed no intervention effects on work outcomes (p-values >.22). Within the ExpC group work-module users reported more increase in weekly working hours compared to non-users (UC: M=6.7; ExpC: M=10.9. p=.049) and appreciated the module (M=7.0; scale 1-10). Discussion: Preliminary results suggest the intervention is appreciated but not effective in improving work functioning. Lack of effects might be related to sample characteristics (part-time, few work-limitations). It is worthwhile to test the module in cancer populations experiencing more problems.