Clinical trial NCT03666936: Facilitate the Return to Work of Cancer Survivors
Official title: A Social-Healthcare Pathway to Facilitate Return to Work of Cancer Survivors in Italy: Implementation Process of the UNAMANO Project
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neoplasms
Return to Work
Keywords: Cancer survivors
Return to work
Italy
Occupational Therapy
Comprehensive Health Care
Neoplasm
Lead sponsor: Azienda USL Reggio Emilia - IRCCS
Sponsor class: OTHER_GOV
First posted: 2018-09-12
Enrollment: 34
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Cancer patients could experience physical limitations, cognitive symptoms, fatigue and pain, that could be perceived at diagnosis but may also occur during treatment, limiting the person from carrying out their activities of daily living, including work tasks. Return to work is a major goal, as it facilitates the patient's ability to deal with the disease and improve general health.

At present, there is no path aimed at supporting cancer patients in the return to work process. Because of this, the investigators want to assess the feasibility of a multidisciplinary social-health care pathway aimed at manage the difficulties that cancer patients might perceive in the return to work process.

Detailed description: To receive the support from the social-health care pathway, cancer survivors should go to an information desk service (called Informa Salute) located in the hospital. Here, sociodemographic and work-related data will be collected with the aim to organize the tailored social-health support to facilitate the return to work.

The social-health care pathway created includes: the local Health Authority of Reggio Emilia and the local Order of Physicians, voluntary non-profit associations, vocational and educational training bodies, social cooperatives, one labor union and one chartered accountant enterprise.

Eligibility criteria: Inclusion Criteria:

* adults with cancer diagnosis and employed at the time of diagnosis

Exclusion Criteria:

-

Primary outcomes:
measure: number, type and duration of intervention provided (information, occupational therapy, social support) and, for those who have been offered the involvement of the employer, the number of those who have accepted this intervention (Feasibility indicator_1)
timeFrame: through study completion, on average 24 months.
Secondary outcomes:
measure: difficulties faced by cancer patients in the return to work process, collected by a guided interview (Feasibility indicator_2).
timeFrame: through study completion, on average 24 months.
measure: ratio of cancer patients who have returned to work/not returned to work (Feasibility indicator_3).
timeFrame: through study completion, on average 24 months.
measure: number of healthcare providers directly informed about UNAMANO (Feasibility indicator_4).
timeFrame: through study completion, on average 24 months.
measure: number of healthcare professionals who refer patients to UNAMANO (Feasibility indicator_5).
timeFrame: through study completion, on average 24 months.
measure: number of individuals that contact In-Forma Salute to seek information regarding UNAMANO without being referred by a healthcare professional (Feasibility indicator_6).
timeFrame: through study completion, on average 24 months.
measure: number of volunteers informed about UNAMANO and recruited by UNAMANO (Feasibility indicator_7).
timeFrame: through study completion, on average 24 months.
Other outcomes:
Locations:
city: Reggio Emilia
country: Italy
facility: Local Health Authority of Reggio Emilia-IRCCS
Study officials:
affiliation: Local Helath Authority of Reggio Emilia-IRCCS
name: Elisa Mazzini
role: PRINCIPAL_INVESTIGATOR
References:
citation: Paltrinieri S, Fugazzaro S, Bertozzi L, Bassi MC, Pellegrini M, Vicentini M, Mazzini E, Costi S. Return to work in European Cancer survivors: a systematic review. Support Care Cancer. 2018 Sep;26(9):2983-2994. doi: 10.1007/s00520-018-4270-6. Epub 2018 May 29.
citation: Paltrinieri S, Vicentini M, Mazzini E, Ricchi E, Fugazzaro S, Mancuso P, Giorgi Rossi P, Costi S. Factors influencing return to work of cancer survivors: a population-based study in Italy. Support Care Cancer. 2020 Feb;28(2):701-712. doi: 10.1007/s00520-019-04868-0. Epub 2019 May 25.