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The Cancer and Work Scale (CAWSE): Assessing Return to Work Likelihood and Employment Sustainability After Cancer
Christine Maheu1, Mina Singh2, Wing Lam Tock3,4
1Ingram School of Nursing, McGill University, Montréal, QC H3A 2M7, Canada.
Current Oncology (Toronto, Ont.)
|March 26, 2025
Summary
A new Cancer and Work Scale (CAWSE) helps assess return to work (RTW) for cancer survivors. This validated tool aids in targeted interventions for sustained employment post-cancer treatment.
Area of Science:
- Oncology
- Occupational Health
- Psychometrics
Background:
- Returning to work after cancer is challenging for individuals touched by cancer (ITBC).
- Current return to work (RTW) assessments lack cancer-specific considerations.
- Vocational rehabilitation and workplace accommodations are crucial for ITBC.
Purpose of the Study:
- Develop and validate the Cancer and Work Scale (CAWSE).
- Assess RTW likelihood and employment sustainability among ITBC.
- Provide a tool for targeted interventions in oncology-specific vocational rehabilitation.
Main Methods:
- A two-phase cross-sectional study (n=346) was conducted.
- Content validity, construct development, and factor analyses were employed.
- Correlations with fatigue, cognitive difficulties, depression, and anxiety were assessed for validation.
Main Results:
- A 31-item, seven-factor CAWSE was established with good internal consistency (α = 0.787).
- The scale demonstrated construct validity and moderate responsiveness (AUC = 0.659).
- High sensitivity identified RTW difficulties, with a cut-off score of 123.5.
Conclusions:
- The CAWSE is a psychometrically robust tool for assessing RTW in ITBC.
- It addresses a critical gap in oncology-specific vocational rehabilitation.
- The CAWSE can enhance RTW outcomes and long-term employment sustainability for ITBC.
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