title: The role of communication and support in return to work following cancer-related absence.
abstract: OBJECTIVE
  Many cancer survivors experience difficulties returning to work. However, there have been relatively few attempts to understand why problems with employer support and work adjustment occur. This paper aims to extend previous work in two ways: first, through exploring the way in which communication and support at work effect cancer survivors on their return to work and during the post-return period; and second, by drawing on a research sample working in the United Kingdom.
  
  
  METHODS
  In all, 26 cancer survivors took part in a semi-structured telephone interview. Interviews were transcribed and analysed using thematic analysis.
  
  
  RESULTS
  The analysis revealed three key findings. First, the central role of communication and support from (and between) occupational health, line managers, and colleagues was highlighted. Second, two discrete processes or periods of return to work were identified: the experience of return to work during the initial period of return and the experiences of post-return to work. Third, during the post-return period, the importance of the delayed impact of cancer on the ability to work, the lack of follow-up and monitoring, and the wear-off effect of empathy and support were highlighted as contributing to return-to-work difficulties.
  
  
  CONCLUSIONS
  This qualitative study highlights the importance of communication within the workplace with regard to the return-to-work process and the need to provide better support and guidance to cancer survivors, line managers and colleagues. Research is required in delineating how employers without occupational health or human resources support manage the return-to-work process.
authors.affiliation: Department of Psychology, Goldsmiths, University of London, London, UK. J.Yarker@gold.ac.uk
authors.forename: J
authors.initials: J
authors.lastname: Yarker
authors.forename: F
authors.initials: F
authors.lastname: Munir
authors.forename: M
authors.initials: M
authors.lastname: Bains
authors.forename: K
authors.initials: K
authors.lastname: Kalawsky
authors.forename: C
authors.initials: C
authors.lastname: Haslam
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001294:Attitude to Health; D003142:Communication; D004645:Empathy; D004651:Employment / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy; D036301:Qualitative Research; D012050:Rehabilitation, Vocational; D012917:Social Adjustment; D012944:Social Support; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D006113:United Kingdom; D017132:Workplace