Paltrinieri Sara, Pellegrini Martina, Costi Stefania, Fugazzaro Stefania, Vicentini Massimo, Mancuso Pamela, Giorgi Rossi Paolo
Research and EBP Unit, Health Professions Department, Azienda USL-IRCCS Di Reggio Emilia, Reggio Emilia, Italy.
Public Health Sciences PhD Program, Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
J Occup Rehabil. 2024 Dec 11. doi: 10.1007/s10926-024-10252-5.
The Core Set for Vocational Rehabilitation (CS-VR), a checklist based on the International Classification of Functioning, Disability and Health (ICF), captures the work functioning of individuals requiring VR. By listening to cancer survivors' experiences and stakeholders' perspectives, the CS-VR-Onco of 85 ICF-based categories was obtained. The aim of this study was to assess the concurrent validity of the CS-VR-Onco by measuring this tool's ability to detect differences among cancer survivors in terms of perceived return to work (RTW)-related difficulties.
A sample of 300 working-age individuals with a first diagnosis of cancer was selected through the local Cancer Registry. Of these 300, those employed individuals who had returned to work were deemed eligible. Through a guided interview, participants reported and described their perceived RTW-related difficulties using the terminology of the CS-VR-Onco. Frequencies and means were used to compare the results of (a) cancer survivors who reported having had difficulties with those who had not, and (b) cancer survivors who had undergone chemotherapy (CT) with those who had not.
Of the 104 respondents, 35 cancer survivors (Group 1) reported having had RTW-related difficulties and CS-VR-Onco-described problems, while 54 reported no difficulties but did highlight some problems (Group 2), and 15 reported neither difficulties nor problems (Group 3). The categories of the CS-VR-Onco that were prioritized were similar across groups, but Group 1 had higher frequencies than did Group 2 + 3 in 69 categories out of 85. In the second comparison, 40 cancer survivors who had undergone CT had higher frequencies than did 64 cancer survivors who had not undergone CT, but this trend was not applicable to 23 categories of the CS-VR-Onco. Seven categories were not reported as problems by all participants.
The CS-VR-Onco identified more problems in cancer survivors who reported RTW-related difficulties and differences between cancer survivors who had undergone CT and those who had not. These results contribute to assessing the preliminary validity of the tool.
职业康复核心集（CS-VR）是一份基于《国际功能、残疾和健康分类》（ICF）的清单，用于记录需要职业康复的个体的工作功能情况。通过倾听癌症幸存者的经历和利益相关者的观点，获得了包含85个基于ICF分类的癌症职业康复核心集（CS-VR-Onco）。本研究的目的是通过测量该工具检测癌症幸存者在感知到的与重返工作岗位（RTW）相关困难方面的差异的能力，来评估CS-VR-Onco的同时效度。
通过当地癌症登记处选取了300名首次诊断为癌症的工作年龄个体作为样本。在这300人中，那些已重返工作岗位的受雇个体被视为符合条件。通过一次引导式访谈，参与者使用CS-VR-Onco的术语报告并描述了他们感知到的与RTW相关的困难。使用频率和均值来比较以下结果：（a）报告有困难的癌症幸存者与没有困难的癌症幸存者；（b）接受过化疗（CT）的癌症幸存者与未接受过化疗的癌症幸存者。
在104名受访者中，35名癌症幸存者（第1组）报告有与RTW相关的困难以及CS-VR-Onco所描述的问题，54名报告没有困难但确实突出了一些问题（第2组），15名既没有报告困难也没有问题（第3组）。CS-VR-Onco中被优先考虑的类别在各组中相似，但在85个类别中的69个类别中，第1组的频率高于第2组+第3组。在第二次比较中，40名接受过CT的癌症幸存者的频率高于64名未接受过CT的癌症幸存者，但这种趋势不适用于CS-VR-Onco的23个类别。有7个类别并非所有参与者都报告为问题。
CS-VR-Onco在报告有与RTW相关困难的癌症幸存者以及接受过CT与未接受过CT的癌症幸存者之间识别出了更多问题。这些结果有助于评估该工具的初步效度。
