Using intervention mapping to develop a work-related guidance tool for those affected by cancer.

Using intervention mapping to develop a work-related guidance tool for those affected by cancer.
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DOI:
10.1186/1471-2458-13-6
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发表时间:
2013-01-05
期刊:
影响因子:
4.5
通讯作者:
Donaldson-Feilder E
Donaldson-Feilder E
中科院分区:
医学2区
文献类型:
--
作者:
Munir F;Kalawsky K;Wallis DJ;Donaldson-Feilder E

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工作年龄的个人诊断和治疗癌症需要支持和援助,使有关工作的决定。然而,医疗保健专业人员不考虑患者的工作相关需求,雇主也不了解癌症对员工及其工作的全面影响。因此,我们为那些被诊断患有癌症的人开发了一个与工作相关的指导工具,使他们能够带头与一系列不同的医疗保健专业人员,雇主,职业介绍所和支持服务进行讨论。该工具通过一系列问题促进讨论,个人可以利用这些问题找到解决方案,并最大限度地减少癌症诊断,预后和治疗可能对其就业,病假和重返工作成果的影响。本文的目的是描述系统的发展和内容的工具,使用干预映射协议(IMP)。该研究使用干预绘图过程的前五个步骤来指导工具的开发。需求评估确定了从医疗保健专业人员和其他利益攸关方收到的信息/建议中的“差距”。然后确定了该工具的预期成果和绩效目标,随后确定了基于理论的方法和实施计划。该工具的草案已经拟订,并与各利益攸关方进行了两阶段的德尔菲程序。最终的工具在癌症旅程的不同阶段与38个人进行了试点。该工具被设计成一个自我引导的工具,可以被任何患有癌症诊断的人使用,并为大多数类型的雇主工作。试点研究表明,这一工具具有相关性,而且十分必要。干预映射是设计复杂指导工具的有价值的协议。这一特定工具的程序和设计可适用于职业和更多基于保健的其他情况。
Working-aged individuals diagnosed and treated for cancer require support and assistance to make decisions regarding work. However, healthcare professionals do not consider the work-related needs of patients and employers do not understand the full impact cancer can have upon the employee and their work. We therefore developed a work-related guidance tool for those diagnosed with cancer that enables them to take the lead in stimulating discussion with a range of different healthcare professionals, employers, employment agencies and support services. The tool facilitates discussions through a set of questions individuals can utilise to find solutions and minimise the impact cancer diagnosis, prognosis and treatment may have on their employment, sick leave and return to work outcomes. The objective of the present article is to describe the systematic development and content of the tool using Intervention Mapping Protocol (IMP). The study used the first five steps of the intervention mapping process to guide the development of the tool. A needs assessment identified the ‘gaps’ in information/advice received from healthcare professionals and other stakeholders. The intended outcomes and performance objectives for the tool were then identified followed by theory-based methods and an implementation plan. A draft of the tool was developed and subjected to a two-stage Delphi process with various stakeholders. The final tool was piloted with 38 individuals at various stages of the cancer journey. The tool was designed to be a self-led tool that can be used by any person with a cancer diagnosis and working for most types of employers. The pilot study indicated that the tool was relevant and much needed. Intervention Mapping is a valuable protocol for designing complex guidance tools. The process and design of this particular tool can lend itself to other situations both occupational and more health-care based.
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