Kim Kisook, Yoon Hyohyeon
Department of Nursing, Chung-Ang University, 84, Heukseok-Ro, Dongjak-Gu, Seoul, 06974, Republic of Korea.
J Cancer Surviv. 2025 Apr;19(2):713-727. doi: 10.1007/s11764-024-01570-x. Epub 2024 May 21.
This study aimed to develop a smartphone mobile application-based supportive return to work (RTW) program for cancer survivors and evaluate its effects on their RTW, fatigue, stress, and quality of working life. This program was developed through a comprehensive process involving literature review, interviews with cancer survivors, and consultations with experts.
A non-equivalent control group pre- and post-test design was used, with 41 participants assigned to the experimental (n = 18) and control (n = 23) groups based on recruitment timing. The experimental group received a 6-week smartphone mobile application-based supportive RTW program comprising "Counseling and Education" and "Self-Management." Participants completed assessments of decent RTW, fatigue, stress, and quality of working life at baseline and 6 months later. The experimental group completed an additional post-program completion survey.
During the 6-week program, no experimental group participants dropped out. The program's impact on decent RTW remains unclear. Fatigue (F = 2.52, p = 0.095) and quality of working life (F = 0.86, p = 0.434) did not show statistically significant differences. However, there was a significant reduction in stress (F = 4.59, p = 0.017).
The smartphone application-based RTW program, focusing on self-management and counseling, effectively reduced participants' stress levels. To further evaluate the effectiveness of the program, a more diverse range of interventions and ongoing programs should be implemented.
This study underscores the importance of tailored digital interventions to support the RTW of cancer survivors. The use of mobile smartphone applications allows temporal and spatial flexibility in program participation. Interventions involving various activities should be implemented to ensure ongoing participation.
本研究旨在为癌症幸存者开发一款基于智能手机移动应用程序的支持性重返工作岗位（RTW）计划，并评估其对幸存者重返工作岗位、疲劳、压力和工作生活质量的影响。该计划是通过一个综合过程制定的，包括文献综述、与癌症幸存者访谈以及与专家咨询。
采用非等效对照组前后测设计，根据招募时间将41名参与者分为实验组（n = 18）和对照组（n = 23）。实验组接受为期6周的基于智能手机移动应用程序的支持性RTW计划，包括“咨询与教育”和“自我管理”。参与者在基线和6个月后完成了对体面RTW、疲劳、压力和工作生活质量的评估。实验组在计划完成后还完成了一项额外的调查。
在为期6周的计划中，没有实验组参与者退出。该计划对体面RTW的影响尚不清楚。疲劳（F = 2.52，p = 0.095）和工作生活质量（F = 0.86，p = 0.434）没有显示出统计学上的显著差异。然而，压力有显著降低（F = 4.59，p = 0.017）。
基于智能手机应用程序的RTW计划，侧重于自我管理和咨询，有效降低了参与者的压力水平。为了进一步评估该计划的有效性，应实施更多样化的干预措施和持续计划。
本研究强调了量身定制的数字干预对支持癌症幸存者重返工作岗位的重要性。使用移动智能手机应用程序使参与计划具有时间和空间上的灵活性。应实施涉及各种活动的干预措施，以确保持续参与。
