Wechsler Stephen, Singh Sheel, Azuero Andres, Khalidi Sarah, Stevens Courtney J, Hegel Mark, Muse Colleen, Newman Robin, Dos Anjos Sarah, Morency Jamme, Ejem Deborah, Bakitas Marie, Lyons Kathleen
Massachusetts General Hospital Institute of Health Professions, Boston, MA, USA.
The University of Alabama at Birmingham, USA.
OTJR (Thorofare N J). 2025 Feb 27:15394492251315720. doi: 10.1177/15394492251315720.
Occupational performance challenges are common among breast cancer survivors (BCS). In a recent randomized controlled trial (RCT), our rehabilitation intervention catalyzed significantly greater improvements in occupational performance compared to an education-based control condition. To describe BCS' activity priorities and examine what short-term goal characteristics (i.e., focus) and outcomes (i.e., attainment, satisfaction) predicted long-term occupational performance improvement. Post hoc analysis of intervention session data from an RCT. Content analysis was used to summarize participants' short-term and long-term goals. Linear regressions were conducted to examine associations between weekly goal characteristics and outcomes and occupational performance improvement. Among 138 BCS, 119 (86.2%) set long-term goals focused on exercise. Self-reported satisfaction with weekly goal outcomes was the strongest predictor of occupational performance improvement (η = 0.14-0.17, < .001). Satisfaction with short-term goal outcomes, regardless of goal focus or attainment, predicts long-term occupational performance improvement in the year following breast cancer treatment.
职业表现挑战在乳腺癌幸存者（BCS）中很常见。在最近的一项随机对照试验（RCT）中，与基于教育的对照条件相比，我们的康复干预显著促进了职业表现的更大改善。描述BCS的活动优先级，并检查哪些短期目标特征（即重点）和结果（即达成情况、满意度）预测了长期职业表现的改善。对一项RCT的干预 session 数据进行事后分析。采用内容分析法总结参与者的短期和长期目标。进行线性回归以检查每周目标特征与结果以及职业表现改善之间的关联。在138名BCS中，119名（86.2%）设定了以锻炼为重点的长期目标。自我报告的对每周目标结果的满意度是职业表现改善的最强预测因素（η = 0.14 - 0.17，< .001）。对短期目标结果的满意度，无论目标重点或达成情况如何，都能预测乳腺癌治疗后一年的长期职业表现改善。
