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Clinical Trial
. 2023 Aug 11;13(8):e067868.
doi: 10.1136/bmjopen-2022-067868.

Cancer rehabilitation support by cancer counselling centres (CARES): study protocol of a quasi-experimental feasibility study

Affiliations
Clinical Trial

Cancer rehabilitation support by cancer counselling centres (CARES): study protocol of a quasi-experimental feasibility study

Kati Hiltrop et al. BMJ Open. .

Abstract

Introduction: While maintaining or restoring work ability after a cancer diagnosis is an essential aim of the rehabilitation process for working-age patients, problems can arise during the return to work (RTW) or when retaining work. Counselling could provide support for patients with or after cancer with employment-related questions (eg, questions related to RTW and work retention). Outpatient psychosocial cancer counselling centres in Germany offer counselling on work-related questions; however, resources for this are limited. This protocol presents a feasibility study of an intensified needs-based counselling intervention that supports those seeking employment-related advice.

Methods and analysis: The CARES (cancer rehabilitation support by cancer counselling centres) project is a feasibility study for a newly developed counselling intervention. The intervention is being developed as part of the project and piloted in about 20 outpatient cancer counselling centres. The CARES study has a quasi-experimental pre-post design with a control cohort. First, patients who undergo regular counselling are recruited. Second, after the counsellors have been trained for the newly developed intervention, participants for the intervention group are recruited from the cancer counselling centres. Quantitative and formative evaluations will be performed in accordance with the existing guidelines. The quantitative evaluation comprises three patient surveys (at the beginning of the counselling process, 3 months into the counselling process and, for the intervention group, at the end of the counselling process) and routine data of the counselling process. The formative evaluation includes interviews with patients, counsellors and other stakeholders, as well as participatory observations of counselling sessions.

Ethics and dissemination: Approval has been obtained from the ethics committee of the Medical Faculty of the University Bonn (061/22; 09.04.2022). A data protection concept ensures adherence to data protection regulations for the handled data. The dissemination strategies include discussing the results with the cancer counselling centres.

Trial registration number: German Clinical Trials Register (DRKS00028121); Pre-results.

Keywords: ONCOLOGY; Protocols & guidelines; REHABILITATION MEDICINE.

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Conflict of interest statement

Competing interests: CB and CK are employed by the German Cancer Society (Deutsche Krebsgesellschaft). The remaining authors declare no conflicts of interest.

References

    1. Robert Koch-Institut, Gesellschaft der epidemiologischen Krebsregister in Deutschland e.V . Krebs in Deutschland für 2017/2018. Berlin, 2021.
    1. Rasmussen DM, Elverdam B. The meaning of work and working life after cancer: an interview study. Psychooncology 2008;17:1232–8. 10.1002/pon.1354 - DOI - PubMed
    1. Steiner JF, Cavender TA, Nowels CT, et al. . The impact of physical and psychosocial factors on work characteristics after cancer. Psychooncology 2008;17:138–47. 10.1002/pon.1204 - DOI - PubMed
    1. Hiltrop K, Heidkamp P, Breidenbach C, et al. . Involuntariness of job changes is related to less satisfaction with occupational development in long-term breast cancer survivors. J Cancer Surviv 2022;16:397–407. 10.1007/s11764-021-01035-5 - DOI - PMC - PubMed
    1. Carlsen K, Oksbjerg Dalton S, Frederiksen K, et al. . Cancer and the risk for taking early retirement pension: a danish cohort study. Scand J Public Health 2008;36:117–25. 10.1177/1403494807085192 - DOI - PubMed

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