Preliminary results from feasibility trial of a workbook intervention to support return-to-work for cancer survivors

Background: Over 100,000 people of working age receive a diagnosis of cancer annually in the UK and returning to work is recognised as a key aspect of cancer survivorship and returning to normality post-treatment. However, returning to work can present a number of challenges and we developed a workbook based intervention to support cancer survivors returning to work. This study aimed to explore the engagement and experiences of cancer survivors participating in a workbook based intervention (WorkPlan) to support return to work. Methods: Sixty-seven cancer survivors were recruited and randomised into either the intervention or the usual care arm of a feasibility RCT trial. Qualitative interviews were conducted with participants in the intervention arm at one month post-intervention and with all participants at 12 months; interviews at both times explored how participants managed their return-to-work and how engagement with the intervention provided support in that process (if applicable). Interviews were audio recorded, transcribed verbatim and analysed using a Framework approach. Findings: 23 participants were interviewed. Results indicate that the workbook supported participants to create a return to work plan and communicate with their employer; participants cited this as crucial to managing their return-to-work. In addition, the workbook format of the intervention was well received with participants and they suggested ways in which hard copy materials and the act of writing were preferable to online interventions.Discussion: The present study demonstrates how a workbook based intervention can support cancer survivors to successfully cope with a return to work following cancer treatment.