Algeo Naomi, Bennett Kathleen, Connolly Deirdre
Discipline of Occupational Therapy, Trinity College Dublin, Dublin, Ireland.
Data Science Centre, Royal College of Surgeons Ireland, Dublin, Ireland.
Work. 2022;73(4):1337-1345. doi: 10.3233/WOR-211160.
Increased breast cancer survivorship has prompted a focus on optimising quality of life for this cohort, including reintegration into employment. Despite this, there remains a lack of work-focused interventions to support work outcomes for women living with and beyond breast cancer.
The aim of this study was to prioritise the content and delivery of a work-focused intervention for women living with and beyond breast cancer.
Twelve stakeholders including women living with and beyond breast cancer, healthcare professionals, cancer support centre staff, and policy informers were invited to participate in an online discussion using the Nominal Group Technique (NGT) to determine priorities for a work-focused intervention. The NGT seeks consensus through four steps; (i) idea generation, (ii) discussion among the group, (iii) refining ideas, and (iv) ranking preference for ideas through anonymised voting.
Intervention content prioritised included managing cancer-related symptoms and work-specific factors. Consensus was made for a blended delivery format (mix of group and individual sessions), and blended delivery (face-to-face and online). Findings indicated a preference for a six-week intervention, with 90-120 minute sessions. Community-based settings were preferred over hospital-based services for the setting of a work-focused intervention. Zoom Video Communications Inc. was the preferred setting to deliver an online intervention.
Stakeholder priorities informed the content and delivery of a work-focused intervention for women with breast cancer. A pilot of the proposed intervention will be conducted to test for feasibility and acceptability.
乳腺癌幸存者数量的增加促使人们关注如何优化这一群体的生活质量，包括重新融入职场。尽管如此，针对乳腺癌患者及其康复后的女性，仍缺乏以工作为重点的干预措施来支持其工作成果。
本研究旨在确定针对乳腺癌患者及其康复后的女性以工作为重点的干预措施的内容和实施方式的优先级。
邀请了12名利益相关者参与在线讨论，其中包括乳腺癌患者及其康复后的女性、医疗保健专业人员、癌症支持中心工作人员和政策制定者，采用名义小组技术（NGT）来确定以工作为重点的干预措施的优先级。NGT通过四个步骤寻求共识：（i）提出想法，（ii）小组讨论，（iii）完善想法，（iv）通过匿名投票对想法进行优先排序。
优先考虑的干预内容包括管理与癌症相关的症状和工作特定因素。对于混合交付形式（小组和个人课程相结合）以及混合交付方式（面对面和在线）达成了共识。结果表明，人们倾向于为期六周的干预，每次课程时长为90 - 120分钟。在开展以工作为重点的干预措施时，基于社区的场所比基于医院的服务更受青睐。Zoom视频通讯公司是开展在线干预的首选平台。
利益相关者的优先级为乳腺癌女性以工作为重点的干预措施的内容和实施提供了参考。将对提议的干预措施进行试点，以测试其可行性和可接受性。
