Presentation M P13

M P13 (Poster Presentation):
The Cancer Survivor Profile and its potential role in work disability prevention

Presented by: Michael Feuerstein

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Authors

Todd BL1, Moskowtiz MC1, Feuerstein M1

  1. Uniformed Services University of the Health Sciences Bethesda, MD, USA

Abstract

Background

Approximately 30 to 50 percent of breast cancer survivors experience a range of symptoms and functional limitations that can impact work ability, productivity, and sustainability. There are many entry points for interventions (e.g., individual, workplace, policy/societal) to improve work outcomes. This study describes the development of an assessment tool that identifies individual problems breast cancer survivors experience that can be associated with negative work outcomes.

Methods

The development of the Cancer Survivor Profile (CSPro) was compiled from psychometrically valid measures of each of the four areas it evaluates: symptom burden, function, health behaviors, and ability to effectively obtain health care. Systematic reviews of the quantitative and qualitative literature informed the selection of items from previously validated measures. The preliminary CSPro was subject to principal component analysis, parallel analysis, and tests of validity and reliability.

Results

Two hundred and fifty-nine breast cancer survivors who were on average 2 years post-treatment and 50 years of age completed the preliminary measure. Nineteen subscales were identified across the four domains. These subscales include worry, low mood, fatigue, fear of recurrence, pain, body image, cognitive limitations, social/interpersonal limitations, sleep, intimacy, work, diet, exercise, patient provider communication, health information, health care confidence, cigarette smoking, alcohol consumption, and financial strain related to receipt of oncology care. The final analytic procedure adjusted for social desirability, age, and time since completion of treatment given their correlation with the construct, followed by the calculation of standardized scales. Each corrected standard score was plotted using a color-coded bar graph indicating three potential outcomes: MAINTAIN, WATCH, and ACT to guide clinical practice between provider and survivor.

Conclusions

The CSPro is a brief measure that can identify 19 potential problem areas related to health, health care, function, and well-being. These general categories are related to the quality of life and health of breast cancer survivors and can also influence work ability, sustainability, and productivity in complex ways. A logical next step for the validation of the measure is to examine how it relates to work outcomes in cancer survivors in a controlled trial. However, the present study provides a psychometrically valid measure of common problems among breast cancer survivors that can form an element of the evaluation of a cancer survivor who is experiencing problems at work.

Schedule Details

Monday September 29
12:45 - 13:45 Poster Viewing
Session: Determinants of RTW