Background / Aims: There is a recognised gap in services to support breast cancer (BrCa) survivors to return to sustainable work, as part of returning to wellness.
Method: Beyond Cancer, a tailored multimodal return to work (RTW) support intervention, was co-developed by a multidisciplinary team including industry representatives, clinicians, researchers, Cancer Council and consumer representatives. It was delivered largely face-to-face by trained occupational rehabilitation (OR) consultants within the life insurance sector; key components included individualised health coaching, RTW planning and monitoring, and employer education & support. Surveys and interviews with participants, and a consultant focus group examined perceived effectiveness and acceptability. Eligible participants were being / had been treated for BrCa and were referred to the Beyond Cancer program through their life insurer as part of their rehabilitation claim.
Results: Eighty-four females with BrCa working prior to diagnosis were referred to Beyond Cancer between Feb 2019 - Feb 2021. Fifty-five BrCa survivors continued beyond initial assessment; health- and treatment-issues were key barriers to participation. Average program duration was 33 weeks with 78% participating in at least 2 components of the program; however, employer education and support component was not often utilised / required by this cohort. Preliminary indications of effectiveness were 70.9% fully or partially RTW, and significant improvement in a range of biopsychosocial factors at follow up, including quality of life, beliefs, perceptions and expectations around health and work, fatigue and cognitive symptoms. Qualitative feedback from consultants and program participants indicated that participation was beneficial, providing validation that their experience was a normal response to their circumstances, and assisting with goal setting to move toward work readiness.
Conclusions / Implications: Preliminary evidence has shown that Beyond Cancer is effective in supporting women with BrCa to return to wellness and work and is acceptable to consultants and survivors.