The Successful Return-To-Work Questionnaire for Cancer Survivors (I-RTW_CS): Development, Validity and Reproducibility
The Successful Return-To-Work Questionnaire for Cancer Survivors (I-RTW_CS): Development, Validity and Reproducibility
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DOI：
10.1007/s40271-020-00427-6
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发表时间：
2020-06-08
影响因子：
3.6
通讯作者：
Tamminga, Sietske J.
中科院分区：
文献类型：
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作者：
Greidanus, Michiel A.;de Boer, Angela G. E. M.;Tamminga, Sietske J.
癌症幸存者对成功重返工作岗位（RTW）的看法可能无法在常规的RTW测量中得到体现，即到RTW的时间。因此，本研究的目的是开发一种反映受雇癌症幸存者观点的RTW结果测量方法，即癌症幸存者成功重返工作问卷（I-RTW_CS），并评估其结构效度和可重复性。方法首先，组织了三个癌症幸存者焦点小组（n = 14），以产生可能构成成功RTW的问题。其次，对108名癌症幸存者进行了两轮德尔菲研究，以选择最重要的问题。I-RTW_CS的结构效度通过与成功RTW的单项测量和癌症幸存者工作生活质量问卷（QWLQ-CS; n = 57）的相关性来评估。使用类内相关系数（ICC; n = 50）评估再现性（重测信度）。结果共产生48个问题，其中7个问题包括：“工作中的乐趣”；“不影响健康的工作”；“雇主对工作能力的信心”；“与雇主坦诚沟通”；“在工作中感到受欢迎”；“良好的工作与生活平衡”；以及“对现状的共同满意度（雇主和癌症幸存者）”。单项成功RTW和QWLQ-CS的相关系数分别为0.58和0.85。重现性的ICC为0.72。I-RTW_CS提供了一种包括癌症幸存者观点和个体加权的RTW结果测量，允许对癌症幸存者的RTW进行更有意义的评估。本研究为其结构效度和可重复性提供了初步证据。
Background Cancer survivors' perspectives on a successful return to work (RTW) may not be captured in the common measure of RTW, namely time until RTW. Objective The purpose of this study was therefore to develop an RTW outcome measure that reflects employed cancer survivors' perspectives, with items that could be influenced by an employer, i.e. the Successful Return-To-Work questionnaire for Cancer Survivors (I-RTW_CS), and to assess its construct validity and reproducibility. Methods First, three focus groups with cancer survivors (n = 14) were organized to generate issues that may constitute successful RTW. Second, a two-round Delphi study among 108 cancer survivors was conducted to select the most important issues. Construct validity of the I-RTW_CS was assessed using correlations with a single-item measure of successful RTW and the Quality of Working Life Questionnaire for Cancer Survivors (QWLQ-CS; n = 57). Reproducibility (test-retest reliability) was assessed using the intraclass correlation coefficient (ICC; n = 50). Results Forty-eight issues were generated, of which seven were included: 'enjoyment in work'; 'work without affecting health'; 'confidence of employer without assumptions about work ability'; 'open communication with employer'; 'feeling welcome at work'; 'good work-life balance'; and 'joint satisfaction with the situation (employer and cancer survivor)'. Correlations with single-item successful RTW and QWLQ-CS were 0.58 and 0.85, respectively. The reproducibility showed an ICC of 0.72. Conclusions The I-RTW_CS provides an RTW outcome measure that includes cancer survivors' perspectives and weights its items on an individual basis, allowing a more meaningful evaluation of cancer survivors' RTW. This study provides preliminary evidence for its construct validity and reproducibility.