Improving Employment among Gynecologic Cancer Survivors

改善妇科癌症幸存者的就业

• 批准号: 6942881
• 负责人: LINDA M FRAZIER
• 金额: $ 7.35万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-04-22 至 2007-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6942881
• 关键词: African American; Hispanic Americans; behavioral /social science research tag; caucasian American; clinical research; employment of women; female reproductive system neoplasm; focus groups; friendships; human subject; interview; patient care personnel relations; physicians; psychological adaptation; psychological models; quality of life; questionnaires; racial /ethnic difference; self help; spouses; women' s health; work site

DESCRIPTION (provided by applicant): Employment is a crucial component of many women's lives, providing professional identity, hearth insurance, economic stability and supportive interpersonal relationships. Following a diagnosis of cancer, about one-third of employed men and women do not return to work, often citing a non-supportive work environment as a key factor in the decision. Little is known about employment outcomes among survivors of gynecologic malignancies, which may range from continued employment to cessation of employment with dignity. A prospective study has shown that job-related interventions by physicians are associated with earlier return to work by cancer survivors. Social-cognitive theory predicts that improvements in women's medical self-efficacy can positively influence health-related outcomes. The specific aims of this project are to: 1) Pilot a strategy to recruit survivors of gynecologic cancer who were employed at the time of diagnosis, and conduct an average of 5 focus groups with an average of 6 participants each among survivors with Caucasian, Latina and African-American ethnicity (estimated n=90 survivors), 2) Recruit and conduct focus groups similarly among husbands or key significant others of each participating survivor (estimated n=90 husbands/significant others), 3) For each consenting woman, conduct a semistructured interview with a supervisor (estimated n=60-70 supervisors), 4) Interview each gynecologic oncologist practicing in our state (n=4) and another key health care provider if designated by the woman (estimated n= 30), and 5) Test the hypothesis that women survivors' self-efficacy in medical care is associated with "agency" in the health care system regarding her job. Medical self-efficacy will be measured by a validated instrument that assesses her self-reported participation in her health care. Characterizing the views and actions of these stakeholders may be useful for developing behavioral interventions in the future that may increase reduce adverse effects of workplace issues on families and caregivers, and women's quality of survivorship.

职位描述(申请人提供)：就业是许多女性生活的重要组成部分，它提供职业身份、炉灶保险、经济稳定和支持性的人际关系。在被诊断出癌症后，大约三分之一的受雇男性和女性没有重返工作岗位，他们经常将缺乏支持性的工作环境作为做出决定的关键因素。人们对妇科恶性肿瘤幸存者的就业结果知之甚少，这些结果可能从继续就业到有尊严地停止就业。一项前瞻性研究表明，医生的工作相关干预措施与癌症幸存者更早重返工作岗位有关。社会认知理论预测，女性医学自我效能感的提高可以对健康相关结果产生积极影响。该项目的具体目标是：1)试行一项战略，招募确诊时受雇的妇科癌症幸存者，并在高加索、拉丁裔和非裔美国人幸存者(估计n=90名幸存者)中进行平均每人6人的5个焦点小组；2)在每个参与幸存者的丈夫或重要其他人(估计n=90个丈夫/重要其他人)中招募和开展类似的焦点小组；3)对于每个同意的妇女，与一名主管进行半结构化面谈(估计n=60-70名主管)，4)采访在我们州执业的每一位妇科肿瘤医生(n=4)和另一位关键的医疗保健提供者(估计n=30)，并检验女性幸存者在医疗保健方面的自我效能与卫生保健系统中与其工作有关的“机构”的假设。医学自我效能感将通过一种有效的工具来衡量，该工具评估她自我报告的参与医疗保健的情况。确定这些利益攸关方的观点和行动的特点，可能有助于今后制定行为干预措施，以提高妇女的生存质量，减少工作场所问题对家庭和照顾者的不利影响，并提高妇女的生存质量。