Work Ability in Young Adult Surviviors (WAYS): A Quantitative Investigation

年轻成年幸存者的工作能力（WAYS）：定量调查

• 批准号: 9198212
• 负责人: Suzanne C Danhauer
• 金额: $ 16.86万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-01-01 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9198212
• 关键词: Adolescent and Young Adult; Advocate; Affect; Aftercare; Age; American; Area; Attention; Attenuated; Benchmarking; Cancer Survivor; Characteristics; Cognitive; Community Clinical Oncology Program; Community Networks; Data; Development; Diagnosis; Education; Employment; Future; Goals; Impairment; Institute of Medicine (U.S.); Institutes; Insurance Coverage; Intervention; Investigation; Late Effects; Link; Malignant Neoplasms; Manuals; Measures; Minority Recruitment; National Cancer Institute; Occupational; Occupational Status; Occupations; Outcome; Participant; Patient Self-Report; Phase; Policies; Population; Provider; Psychosocial Influences; Questionnaires; Recruitment Activity; Reporting; Research; Research Priority; Sampling; Services; Social support; Survivors; Symptoms; Time; Treatment/Psychosocial Effects; Work; aged; base; cancer diagnosis; cancer therapy; cancer type; career; childhood cancer survivor; cognitive function; cognitive testing; cohort; collaborative environment; comparison group; design; ethnic diversity; experience; forest; improved; innovation; labor force participation; programs; psychosocial; public health relevance; success; theories; therapy design; young adult

 DESCRIPTION (provided by applicant): Despite the growing number of young adult cancer survivors, a group early in their career trajectory, little is known about how cancer-related impairments in physical, cognitive, and psychosocial functioning limit work ability and labor force participation among young adult survivors of adolescent and young adult onset cancers. The specific aims for this study are to: (1) document levels of labor force participation, occupation, and educational attainment following cancer treatment in young adult cancer survivors and to describe the relationship between levels of work ability and these outcomes; and (2) determine associations of self-reported physical (including symptoms), cognitive, and psychosocial issues related to cancer diagnosis and treatment with work ability in young adult cancer survivors. This study will take advantage of the Wake Forest National Cancer Institute Community Oncology Research Program Research Base to recruit a representative, ethnically diverse sample of young adult cancer survivors (N=200) aged 25-34 years. Participants will complete cognitive testing and a detailed questionnaire assessing occupation and education status, a variety of work measures, and self-reported physical, psychosocial, and cognitive function. Levels of labor force participation, occupational status, and educational attainment will be compared to national benchmarks for the same age cohort. Study hypotheses are that young adult cancer survivors' work-related and educational outcomes will be lower than national benchmarks, with workplace environment, cancer-related factors (e.g., treatment type, time since diagnosis) and survivor characteristics (e.g., insurance status, social support) serving as moderators. These data will inform future longitudinal research to determine causal links between cancer and work outcomes in young adult survivors versus a matched comparison group. Innovative features of this study include: its focus on young adult survivors, a sizable and under-studied group who are at a formative, transitional time at the beginning of the work trajectory; recruitment through an established network of community cancer providers; a targeted minority recruitment strategy; use of a theory-guided approach; expansion of work-related outcomes to include work ability; and an advisory board with cancer and young adult stakeholders who can provide real-world perspectives on relevant issues. Considering young adulthood as a key transition period, the expected impact of the cancer experience on education and employment outcomes among young adult survivors may have long-term repercussions. This study will provide detailed information essential for designing policy and supportive interventions to aid young adult cancer survivors in achieving occupational and educational success.

 描述（由应用提供）：尽管年轻成人癌症的存活人数越来越多，但 在他们的职业轨迹的早期，几乎一群人知道与青少年和年轻成人发作癌症的年轻成人生存中的身体，认知和心理功能限制工作能力以及劳动力参与的障碍。这项研究的具体目的是：（1）在年轻成人癌症存活中癌症治疗后，劳动力参与，发生和受教育程度的文件水平，并描述工作能力水平与这些结果之间的关系； （2）确定自我报告的身体（包括症状），认知和社会心理问题与癌症诊断和治疗有关的年轻成人癌症生存能力的关联。这项研究将利用Wake Forest国家癌症研究所肿瘤研究计划研究基础，以招募代表性的，种族多样的年轻成人癌症生存样本（N = 200），年龄在25-34岁之间。参与者将完成认知测试以及详细的问卷评估状况，各种工作指标以及自我报告的身体，社会心理和认知功能。劳动力参与，职业地位和教育水平的水平将与同一年龄群体的国家基准进行比较。研究假设是，年轻的成人癌症存活与工作相关和教育结果将低于国家基准，具有工作场所环境，与癌症相关的因素（例如治疗类型，诊断以来的时间）和表面表面特征（例如，保险状态，保险，社会支持）。这些数据将为未来的纵向研究提供信息，以确定癌症与年轻成人生存的效果与匹配比较组之间的催化联系。这项研究的创新特征包括：它的重点是年轻成人生存，这是一个在工作轨迹开始时正处于形成性的过渡时间的相当大的群体；通过既定的社区癌症提供者网络招募；有针对性的少数民族招聘策略；使用理论引导的方法；扩大与工作有关的结果，包括工作能力；还有一个癌症和年轻利益相关者的顾问委员会，他们可以就相关问题提供现实观点。考虑到年轻的成年期是一个关键的过渡期，癌症经验对年轻成人幸存的教育和就业成果的预期影响可能会产生长期影响。这项研究将为设计政策和支持性干预措施提供详细的信息，以帮助年轻成人癌症生存，从而实现职业和教育成功。