Acceptability of a workbook intervention to support return-to-work for cancer survivors

Abstract

Background: Over 100,000 people of working age receive a diagnosis of cancer annually in the UK and returning to work is recognised as a key aspect of cancer survivorship and returning to normality post-treatment. However, returning to work can present a number of challenges. This study aimed to explore the engagement and experiences of cancer survivors participating in a workbook based intervention (WorkPlan) to support return to work. Methods: Twenty cancer survivors who were recruited from the intervention arm of the WorkPlan feasibility trial participated in a semi-structured telephone interview exploring engagement with the intervention, factors affecting engagement and perceived usefulness of the intervention. Interviews were audio recorded, transcribed verbatim and analysed using a Framework approach. Findings: Engagement with the intervention materials was good. Analysis of the interviews identified three super-ordinate themes and these related to the importance of clear communication, the role of the employer in the return to work process and learning to cope in new ways. The study highlighted the diverse support needs of cancer survivors in the return to work process. Discussion: The present study identified positive engagement with a workbook based intervention to support return to work. Workbook based interventions that are focussed on making sense of one’s illness and on practical planning activities offer the potential to be both effective and well received by cancer survivors. Future research could consider the support needs of self-employed individuals and the role played by employers in the return to work process.