Abstract:
INTRODUCTION:With more women working and surviving breast cancer, issues concerning sustainable employment must be addressed. Support to transition back to work is a gap in survivorship care. This paper describes the feasibility trial protocol for 'Beyond Cancer', a multimodal occupational rehabilitation programme to support breast cancer survivors' return to work. Breast cancer survivors are hypothesised to show improved work status, work capacity and perceived support at work at 6 months postintervention relative to baseline and a historical usual care group. METHODS AND ANALYSIS:The prospective feasibility design allows determination of change in primary (work status) as well as secondary outcome measures work capacity and perceived support at work. PARTICIPANTS:breast cancer survivors of working age, unable to work in their prediagnosis capacity for >3 months, their employers and a historical usual care group. Key intervention elements: an evidence-based biopsychosocial assessment and health coaching programme, employer education and support, and return to work (RTW) planning and monitoring. Health coaching empowers survivors to return to social function, including work. Employer education and support facilitates communication and improves workplace support. For employers, we predict change in confidence in effectively supporting employees' RTW. Multilevel regression modelling will provide indications of efficacy for primary and secondary outcomes, and thematic analysis will examine perceived efficacy and acceptability. ETHICS AND DISSEMINATION:Ethics approval has been granted by Monash and Curtin University Human Research Ethics Committees (HREC: 13300, HRE2019-0280, respectively). The evaluation of this innovative programme will provide the foundation for an Randomised Controlled Trial (RCT) and national roll-out, thus improving the quality of life of those who have been directly affected by breast cancer across Australia. Results will be published in peer-reviewed journals, presented at relevant conferences and disseminated to survivorship-focused organisations. TRIAL REGISTRATION NUMBER:Registered trial with the Australian New Zealand Clinical Trials Registry (ANZCTR) (ACTRN12618001985279); Pre-results.
journal_name
BMJ Openjournal_title
BMJ openauthors
Sheppard DM,Frost D,Jefford M,O'Connor M,Halkett Gdoi
10.1136/bmjopen-2019-032505subject
Has Abstractpub_date
2019-12-15 00:00:00pages
e032505issue
12issn
2044-6055pii
bmjopen-2019-032505journal_volume
9pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVES:To analyse the clinical features, inflammatory markers and radiographs of community-acquired pneumonia (CAP) cases with lobe or multi foci infiltration; with a special focus on factors which allow the differential diagnosis of viral and mycoplasma pneumonia. SETTING:Retrospective chart review of CAP cases i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006766
更新日期:2015-01-16 00:00:00
abstract:OBJECTIVE:To explore the barriers faced by healthcare professionals (HCPs) in managing falls among older people (aged above 60 years) who have a high risk of falling. RESEARCH DESIGN:The study used a qualitative methodology, comprising 10 in-depth interviews and two focus group discussions. A semistructured topic guid...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008460
更新日期:2015-11-05 00:00:00
abstract:OBJECTIVES:To identify effective interventions to increase organ donor registration and improve knowledge about organ donation among ethnic minorities in North America and the UK. DESIGN:Systematic review. DATA SOURCES:MEDLINE, EMBASE, PsycINFO, CINAHL and Cochrane Central searched up to November 2012, together with ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003453
更新日期:2013-12-20 00:00:00
abstract:OBJECTIVE:High-performance marine craft personnel (HPMCP) are regularly exposed to vibration and repeated shock (VRS) levels exceeding maximum limitations stated by international legislation. Whereas such exposure reportedly is detrimental to health and performance, the epidemiological data necessary to link these adve...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-016006
更新日期:2017-07-20 00:00:00
abstract:OBJECTIVES:To examine the design and findings of recruitment studies in randomised controlled trials (RCTs) involving patients with an unscheduled hospital admission (UHA), to consider how to optimise recruitment in future RCTs of this nature. DESIGN:Studies within the ORRCA database (Online Resource for Recruitment R...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-018581
更新日期:2018-02-02 00:00:00
abstract:OBJECTIVE:To establish a baseline of national practice for follow-up after treatment for gynaecological cancer. DESIGN:Questionnaire survey. SETTING:Gynaecological cancer centres and units. GEOGRAPHICAL LOCATION UK PARTICIPANTS:Members of the British Gynaecological Cancer Society and the National Forum of Gynaecolog...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002859
更新日期:2013-07-24 00:00:00
abstract:BACKGROUND:Large gaps exist in the implementation of guideline recommendations for cardiovascular disease (CVD) risk management. Electronic decision support (EDS) systems are promising interventions to close these gaps but few have undergone clinical trial evaluation in Australia. We have developed HealthTracker, a mul...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002177
更新日期:2012-11-19 00:00:00
abstract:OBJECTIVES:Notwithstanding decades of efforts to increase the uptake of seasonal influenza (flu) vaccination among European healthcare workers (HCWs), the immunisation rates are still unsatisfactory. In order to understand the reasons for the low adherence to flu vaccination, a study was carried out among HCWs of two h...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2015-010779
更新日期:2016-05-17 00:00:00
abstract:OBJECTIVE:To examine newspaper coverage of maternal health in three countries that have made varying progress towards Millennium Development Goal 5 (MDG 5): Bangladesh (on track), Rwanda (making progress, but not on track) and South Africa (no progress). DESIGN:We analysed each country's leading national English-langu...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2015-008837
更新日期:2016-01-13 00:00:00
abstract:OBJECTIVES:To estimate the clinical and economic impact of intensive care unit-acquired bloodstream infections in Taiwan. DESIGN:Retrospective cohort study. SETTING:Nationwide Taiwanese population in the National Health Insurance Research Database and the Taiwan Nosocomial Infections Surveillance (2007-2015) dataset....
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037484
更新日期:2020-11-26 00:00:00
abstract:OBJECTIVES:To investigate whether bicycling to school improves cardiometabolic risk factor profile and cardiorespiratory fitness among children. DESIGN:Prospective, blinded, randomised controlled trial. SETTING:Single centre study in Odense, Denmark PARTICIPANTS:43 children previously not bicycling to school were ra...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001307
更新日期:2012-10-31 00:00:00
abstract:INTRODUCTION:Ageing--along with its associated physiological and pathological changes--places individuals at a higher risk of multimorbidity and treatment-related complications. Today, polypharmacy, a common and important problem related to drug use, occurs subsequent to this multimorbidity in the elderly in all popula...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010989
更新日期:2016-03-24 00:00:00
abstract:INTRODUCTION:Postoperative ileus (POI) is a frequent complication after abdominal surgery (AS). Until today, neither a prophylaxis nor an evidence-based therapy exists. This originates from the absence of objective parameters evaluating the severity and duration of POI resulting in clinical trials of modest quality. Th...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-011014
更新日期:2016-07-08 00:00:00
abstract:OBJECTIVES:Lay people or non-pharmacy health workers with training could dispense antiretroviral therapy (ART) in resource-constrained countries, freeing up time for pharmacists to focus on more technical tasks. We assessed the effectiveness of such task-shifting in low-income and middle-income countries. METHOD:We co...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2016-015072
更新日期:2017-08-29 00:00:00
abstract:BACKGROUND:Cervical cancer rates are higher in low-resourced countries than high, partly due to lower rates of screening. Incidence in Thailand is nearly three times higher than in the USA (16.2 vs 6.5 age-standardised incidence), even with Thailand's universal health coverage, which includes screening, suggesting that...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031957
更新日期:2019-11-03 00:00:00
abstract:OBJECTIVES:Hospitals devoted to maternal and child health represent unique healthcare institutions in China. Healthcare professionals in these hospitals attend to health services for women and children, and also provide technical services and support for district maternal and children's healthcare as well as family pla...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024205
更新日期:2019-01-25 00:00:00
abstract:INTRODUCTION:Chemotherapy may cause infertility in young survivors of breast cancer. Various fertility preservation techniques increase the likelihood of survivors becoming genetic mothers. Disclosure of cancer diagnosis may impact decision making about fertility preservation. This protocol will develop and test the ef...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031739
更新日期:2020-02-10 00:00:00
abstract:INTRODUCTION:The many benefits of exercise for persons with multiple sclerosis (MS) are well established, yet patients often refrain from exercise due to overheating and exhaustion. The present randomised controlled trial tests aspirin (acetylsalicylic acid (ASA)) as a convenient method to prevent overheating and impro...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039691
更新日期:2020-11-14 00:00:00
abstract:OBJECTIVES:To analyse the parental understanding of informed consent information in first-line randomised clinical trials (RCTs) including children with malignant solid tumours and to assess parents' needs for decision-making. DESIGN:Observational prospective study. SETTING:3 paediatric oncology centres in the Parisi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002733
更新日期:2013-05-28 00:00:00
abstract:OBJECTIVE:To investigate the use of helmets for cyclists choosing to use BIXI bikes in comparison to personal bike riders in the City of Toronto. DESIGN:Cross-sectional study design. SETTING:Cyclists were observed in Toronto, Canada. PARTICIPANTS:Of the 6732 sample size, 306 cyclists on BIXI bikes and 6426 personal ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001049
更新日期:2012-06-18 00:00:00
abstract:INTRODUCTION:Ambient air pollution is a global environmental problem, which causes adverse health effects and premature deaths worldwide. Although regular exercise and physical activity have evident health benefits, the influence of long-term air pollution exposure during regular outdoor running has not been definitive...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040529
更新日期:2020-12-10 00:00:00
abstract:PURPOSE:Psoriasis is a chronic inflammatory skin disease that frequently debuts in childhood and adolescence. We wished to determine environmental and genetic risk factors for the development of psoriasis in children and adolescents, as well as to investigate debut type, trigger factors, course of disease, nature and i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031448
更新日期:2019-09-24 00:00:00
abstract:OBJECTIVES:The study aimed to understand through qualitative research what patients considered material in their decision to consent to an acute surgical intervention. PARTICIPANTS, SETTING AND INTERVENTION:The patients selected aged between 18 and 90, having been admitted to a major trauma centre to undergo an acute ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037657
更新日期:2020-10-08 00:00:00
abstract:INTRODUCTION:Providing patients with access to electronic health records (EHRs) has emerged as a promising solution to improve quality of care and safety. As the efforts to develop and implement EHR-based data sharing platforms mature and scale up worldwide, there is a need to evaluate the impact of these interventions...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020387
更新日期:2018-08-13 00:00:00
abstract:OBJECTIVES:Fatal drowning estimates using a single underlying cause of death (UCoD) may under-represent the number of drowning deaths. This study explores how data vary by International Classification of Diseases (ICD)-10 coding combinations and the use of multiple underlying causes of death using a national register o...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019407
更新日期:2017-12-21 00:00:00
abstract:OBJECTIVES:Childhood overweight/obesity is associated with later overweight/obesity. However, the association between birth weight and later overweight/obesity has not been established. The aim of this study was to investigate the relation between both birth weight and childhood body mass index (BMI), and adolescent ov...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015576
更新日期:2017-06-22 00:00:00
abstract:OBJECTIVES:To explore whether knowledge about the harms of ultraviolet radiation (UVR) influences UK university students' sun-related behaviours and examine in depth their attitudes towards: sun protection, natural and artificial tanning behaviours. DESIGN:Qualitative methodology with 15 semistructured, individual int...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014388
更新日期:2017-03-13 00:00:00
abstract:OBJECTIVES:The COVID-19 pandemic has required drastic safety measures to control virus spread, including an extended self-isolation period. Stressful situations increase alcohol craving and consumption in alcohol use disorder (AUD) and non-AUD drinkers. Thus, we assessed how COVID-19 related stress may have affected dr...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2020-044276
更新日期:2020-11-26 00:00:00
abstract::Objectives Control of the tuberculosis (TB) epidemic is a global health priority and one that is likely to be achieved only through vaccination. The critical overlap with the HIV epidemic requires any effective TB vaccine regimen to be safe in individuals who are infected with HIV. The objectives of this clinical tria...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000223
更新日期:2011-11-14 00:00:00
abstract:OBJECTIVES:To establish the rates of publication and reporting of results for interventional clinical trials across Polish academic medical centres (AMCs) completed between 2009 and 2013. We aim also to compare the publication and reporting success between adult and paediatric trials. DESIGN:Cross-sectional study. SE...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034666
更新日期:2020-01-22 00:00:00