The impact of colorectal cancer and self-efficacy beliefs on work ability and employment status: a longitudinal study.
We examined how colorectal cancer patients' treatment and symptom management impacted perceptions of work ability and subsequent work decisions. Fifty patients completed questionnaires at baseline (post-surgery/pretreatment), 3 months and 6 months. Questionnaires assessed fatigue, depression, quality-of-life (QoL), cancer self-efficacy, job self-efficacy (JSE) and work ability. Factors related to perceived work ability were occupation (β= 0.31, P= 0.0005) and QoL (β= 0.42, P= 0.01) at baseline, treatment type (β=-0.19, P= 0.05) at 3 months, and JSE at 3 months (β= 0.57, P= 0.0005) and 6 months (β= 0.50, P= 0.006). Factors related to being on sick leave were lower levels of JSE (OR = 2.20, 95% CI: 1.17-4.13) at baseline and being employed in a manual occupation (OR = 0.03, 95% CI: 0.00-0.86), and perceived work ability (OR = 3.05, 95% CI: 1.00-12.80) at 6 months. Along with self-assessed work ability at baseline (β= 0.67, P= 0.0005), receiving chemotherapy or a combination of treatments (β=-0.24, P= 0.05) were the strongest predictors of poorer perceptions of follow-up work ability. Self-efficacy beliefs may add to understanding and should be considered in future research.
Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK. manpreet.bains@nottingham.ac.uk
M
M
Bains
F
F
Munir
J
J
Yarker
D
D
Bowley
A
A
Thomas
N
N
Armitage
W
W
Steward
D000328:Adult; D015179:Colorectal Neoplasms / Q000523:psychology*; D003863:Depression / Q000523:psychology; D004651:Employment / Q000523:psychology* / Q000706:statistics & numerical data; D005221:Fatigue / Q000523:psychology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013997:Time Factors; D014937:Work / Q000523:psychology*