title: Physical exercise and return to work: cancer survivors' experiences.
abstract: OBJECTIVE
  In this qualitative study, we aimed to explore cancer survivors' experiences with (1) return to work (RtW) and work performance, (2) a physical exercise program after treatment, and (3) the perceived link between physical exercise and work.
  
  
  METHODS
  Semi-structured individual interviews were held with ten cancer survivors of working age who had been treated with chemotherapy and had afterwards completed a group-based supervised physical exercise program. The interviews were audio-taped and transcribed verbatim. MaxQDA was used for coding and analysis. A second assessor was involved in coding two of the interviews.
  
  
  RESULTS
  Eight participants returned to work. Most said that they had suffered cognitive deficits that impaired their work performance. According to half of the participants, the support in RtW from their occupational physician had been insufficient. Overall, the majority of participants enjoyed the exercise program. The main perceived effects were "improved fitness" and "renewed energy." Most participants thought that physical exercise had likely contributed to their ability to return to work, primarily by increasing energy levels. Some believed that physical exercise had enhanced their work performance by improving their ability to cope with demanding work. Some respondents found that a supportive work environment stimulated their continuation of physical exercise.
  
  
  CONCLUSIONS
  Cancer survivors experienced a positive influence of physical exercise on RtW and work performance and a positive influence of RtW on physical exercise. By stimulating and facilitating physical exercise during and after RtW, the time to lasting RtW may be shortened, work performance may be optimized, and sustained participation in physical exercise may be achieved.
  
  
  CONCLUSIONS
  Stimulating and facilitating physical exercise before and during the process of RtW may enhance fitness and energy levels and may lower fatigue and cognitive symptoms during work. An integrated rehabilitation strategy combining physical exercise and adequate support in RtW may shorten the time to lasting RtW, improve work performance, and lead to sustained participation in physical exercise. Ultimately, this strategy may improve cancer survivors' quality of life.
authors: Coronel Institute of Occupational Health, Academic Medical Center, University of Amsterdam, Meibergdreef 9, Amsterdam, the Netherlands. i.f.groeneveld@amc.nl
authors: Iris F
authors: IF
authors: Groeneveld
authors: Angela G E M
authors: AG
authors: de Boer
authors: Monique H W
authors: MH
authors: Frings-Dresen
mesh_terms: D000328:Adult; D000970:Antineoplastic Agents / Q000009:adverse effects / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000188:drug therapy / Q000523:psychology / Q000532:radiotherapy / Q000601:surgery; D003072:Cognition Disorders / Q000139:chemically induced; D004644:Emotions; D015444:Exercise; D005081:Exercise Therapy / Q000523:psychology*; D005221:Fatigue / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy / Q000523:psychology / Q000532:radiotherapy / Q000534:rehabilitation / Q000601:surgery; D010342:Patient Acceptance of Health Care; D010809:Physical Fitness; D015397:Program Evaluation; D036301:Qualitative Research; D011788:Quality of Life; D011878:Radiotherapy / Q000009:adverse effects; D062707:Return to Work / Q000523:psychology* / Q000706:statistics & numerical data; D013315:Stress, Psychological / Q000209:etiology / Q000628:therapy; D017741:Survivors / Q000523:psychology* / Q000706:statistics & numerical data
chemical_list: D000970:Antineoplastic Agents