Rosbjerg Rikke, Hansen Dorte Gilså, Zachariae Robert, Stapelfeldt Christina Malmose, Hoejris Inger, Rasmussen Mathias Tvilling, Drysdale Susanne Wiben, Labriola Merete
DEFACTUM, Central Denmark Region, Aarhus, Denmark.
Department of Public Health, Aarhus University, Aarhus, Denmark.
Eur J Cancer Care (Engl). 2021 Mar;30(2):e13373. doi: 10.1111/ecc.13373. Epub 2020 Nov 20.
Several Return To Work Self-Efficacy (RTWSE) questionnaires have been developed and found relevant to understanding the return to work (RTW) process of employees with various health problems, including employees with cancer. The aim of the present study was to examine the reliability and validity of the Danish 19-item RTWSE questionnaire (RTWSE-19 ) in a sample of employees with cancer.
Employees undergoing treatment for cancer completed the RTWSE-19 at baseline (n = 68) and at 1 week (n = 49). Additional questionnaires measured work ability, cancer-related self-efficacy and psychological distress. Internal consistency, test-retest reliability and construct validity were examined.
The total and the three subscales of the RTWSE-19 showed good internal consistencies with Cronbach's alphas between 0.90 and 0.97 and high test-retest reliability with Intraclass Correlation Coefficients between 0.84 and 0.90. Examining construct validity, the RTWSE-19 showed medium and large correlations with cancer-related self-efficacy (r = 0.54), mental work ability (r = 0.51), and general work ability (r = 0.35), small correlations with physical work ability (r = 0.26) and anxiety (r = -0.10), and no correlations with depression (r = -0.08) and test date (r = 0.03).
The RTWSE-19 showed good reliability and adequate validity in employees undergoing cancer treatment. In clinical practice, the RTWSE-19 questionnaire may help practitioners identify areas of concern in the RTW process of cancer patients.
已经开发了几种重返工作自我效能感（RTWSE）问卷，并发现它们与理解患有各种健康问题的员工（包括癌症患者）的重返工作（RTW）过程相关。本研究的目的是在一组癌症患者样本中检验丹麦19项RTWSE问卷（RTWSE - 19）的信度和效度。
正在接受癌症治疗的员工在基线时（n = 68）和1周时（n = 49）完成RTWSE - 19问卷。另外的问卷测量工作能力、癌症相关自我效能感和心理困扰。检验内部一致性、重测信度和结构效度。
RTWSE - 19的总量表和三个子量表显示出良好的内部一致性，Cronbach's α系数在0.90至0.97之间，重测信度高，组内相关系数在0.84至0.90之间。在检验结构效度时，RTWSE - 19与癌症相关自我效能感（r = 0.54）、脑力工作能力（r = 0.51）和一般工作能力（r = 0.35）呈中度和高度相关，与体力工作能力（r = 0.26）和焦虑（r = -0.10）呈低度相关，与抑郁（r = -0.08）和测试日期（r = 0.03）无相关性。
RTWSE - 19在接受癌症治疗的员工中显示出良好的信度和足够的效度。在临床实践中，RTWSE - 19问卷可能有助于从业者识别癌症患者RTW过程中需要关注的领域。
