Decrease social inequalities return-to-work: development and design of a randomised controlled trial among women with breast cancerReportar como inadecuado

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BMC Cancer

, 14:267

Epidemiology, prevention and public health


BackgroundDespite the improvement in the care management, women cancer patients who are still in employment find themselves for the most part obliged to stop working while they are having treatment. Their return-to-work probability is impacted by numerous psychosocial factors. The objective is to describe the development and the content of an intervention aimed to facilitate the return to work of female breast cancer patients and in particular the women in the most precarious situations through early active individualised psychosocial support APAPI.

MethodsThe intervention proposed is made up of 4 interviews with a psychologist at the hospital, distributed over the year according to the diagnosis and conducted on the same day as a conventional follow-up consultation, then a consultation with a specialist job retention physician. We expect, in the first instance, that this intervention will reduce the social inequalities of the return-to-work rate at 12 months. The EPICES score will enable the population to be broken down according to the level of social precariousness. The other expected results are the reduction of the social inequalities in the quality of the return to work at 18 and 24 months and the disparities between the individual and collective resources of the patients. This intervention is assessed in the context of a controlled and randomised multi-centre study. The patients eligible are women aged between 18 and 55 years with a unilateral breast cancer with local extension exclusively, having received surgery followed by adjuvant chemotherapy, in employment at the time of the diagnosis and dealt with by one of the 2 investigating centres.

DiscussionIt is essential to assess this type of intervention before envisaging its generalisation. The study set in place will enable us to measure the impact of this intervention aiming to facilitate the return to work of breast cancer patients, in particular for those who suffer from social fragility, compared with the standard care.

KeywordsBreast cancer Return to work Social inequalities Intervention Randomised trial Psychosocial support AbbreviationsAPAPIEarly active individualised psychosocial support

EPICESEvaluation de la précarité et des inégalités de santé pour les centres d’examens de santé

GPGeneral practioner


CHRUUniversity hospital centre

QSSPQuestionnaire de soutien social perçu

WCCWays of coping check list

QAPQuestionnaire d’attitude face aux problèmes

HADSHospital anxiety and depression scale

FACT-GFunctionnal assessment of cancer therapy - General

WAIWork ability index.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2407-14-267 contains supplementary material, which is available to authorized users.

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Autor: Clémence Vidor - Ariane Leroyer - Véronique Christophe - Mélanie Seillier - Jérome Foncel - Justine Van de Maële - Jacq


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