Journal List > Asian Oncol Nurs > v.19(1) > 1119954

Bae, Kwon, and Cho: What Cancer Survivors are Discussing on the Internet About Returning to Work: A Social Network Analysis

Abstract

Purpose

The objective of this study was to identify needs and barriers that cancer patients experience with returning to work (RTW) by analyzing posts of the patients on the Internet.

Methods

Posts of online communities of the cancer patients related to RTW were collected using key words from Jan. 2004 to Dec. 2017. PFNet and NodeXL were utilized to visualize intellectual interchanges of the keywords. Additional content analysis of the posts was then conducted to specify informational needs related to RTW.

Results

There were 996 posts and 6394 responses related to RTW. A total of 163 and 129 keywords were found for posts and responses respectively. Posts were categorized into four groups by network analysis: 1) cancer diagnosis and treatment; 2) changing working status after cancer diagnosis; 3) concerns about RTW during cancer treatment; 4) balance of work and life after cancer. Responses were grouped into similar themes but most of them were empathetic or encouraging messages.

Conclusion

Cancer patients posted various concerns and needs in relation to RTW on the online communities. At the same time, they expressed difficulties to obtain information and resources about RTW both on and off line. Further studies would be necessary to develop appropriate intervention for helping cancer patients to return to work.

Figures and Tables

Fig. 1

Keywords grouping results in the posts.

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Fig. 2

Keywords grouping results in the responses.

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Table 1

Selected Key Words for Analysis through Posts

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Table 2

Selected Key Words for Analysis through Responses

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Notes

This study was supported by a grant from the National *R&D Program for Cancer Control, Ministry of Health and Welfare, Republic of Korea (No. 1720220).

References

1. Ministry of Science, ICT and Future Planning. Korea Internet and Security Agency. 2016 Survey on the internet usage. Naju: Korea Internet and Security Agency;2017.
2. Eysenbach G. The impact of the Internet on cancer outcomes. CA Cancer J Clin. 2003; 53:356–371.
crossref pmid
3. Swickert RJ, Hittner JB, Harris JL, Herring JA. Relationships among internet use, personality, and social support. Comput Human Behav. 2002; 18:437–451.
crossref
4. Fogel J, Albert SM, Schnabel F, Ditkoff BA, Neugut AI. Internet use and social support in women with breast cancer. Health Psychol. 2002; 21:398–404.
crossref pmid
5. Korea Central Cancer Registry. Annual report of cancer statistics in Korea in 2015. Goyang: Korea Central Cancer Registry;2017.
6. de Boer AG, Verbeek JH, Spelten ER, Uitterhoeve AL, Ansink AC, de Reijke TM, et al. Work ability and return-to-work in cancer patients. Br J Cancer. 2008; 98:1342–1347.
crossref pmid pmc
7. Lee MK, Lee KM, Bae JM, Kim S, Kim YW, Ryu KW, et al. Employment status and work-related difficulties in stomach cancer survivors compared with the general population. Br J Cancer. 2008; 98:708–715.
crossref
8. Bae KR, Kwon SY. The workplace experiences of breast cancer survivors: a survey of an online community. Asian Oncol Nurs. 2016; 16:208–216.
crossref
9. Kim MC, Lee DC. Influence and extending effect on healthcare service by information communication technology: focused on internet technology for dissolution planning of information inequality between physician and patient. J Internet Electron Commer Res. 2005; 5:29–46.
10. Wells M, Williams B, Firnigl D, Lang H, Coyle J, Kroll T, et al. Supporting ‘work-related goals’ rather than ‘return to work’ after cancer? A systematic review and meta-synthesis of 25 qualitative studies. Psychooncology. 2013; 22:1208–1219.
crossref pmid
11. Stergiou-Kita M, Grigorovich A, Tseung V, Milosevic E, Hebert D, Phan S, et al. Qualitative meta-synthesis of survivors' work experiences and the development of strategies to facilitate return to work. J Cancer Surviv. 2014; 8:657–670.
crossref pmid
12. Heo EK, Kang HS, Kim KH, Hong YP. Return-to-work experiences among breast cancer survivors. J Korean Soc Matern Child Health. 2011; 15:92–102.
crossref
13. Kim JS. Return-to-work experience of breast cancer survivors: a qualitative study based on grounded theory approach [dissertation]. Seoul: Yonsei Univ.;2016.
14. Ministry of Culture, Sports and Tourism. Public opinion concentration survey report. Sejong: Ministry of Culture, Sports and Tourism;2015.
15. Popovič M, Willett P. The effectiveness of stemming for natural-language access to Slovene textual data. J Am Soc Inf Sci. 1992; 43:384–390.
crossref
16. Park JH, Park EC, Park JH, Kim SG, Lee SY. Job loss and re-employment of cancer patients in Korean employees: a nationwide retrospective cohort study. J Clin Oncol. 2008; 26:1302–1309.
crossref pmid
17. Macmillan Cancer Support. Managing cancer in the workplace. 3rd ed. London: Macmillan Cancer Support;2013.
18. Christine Maheu McGill University. Cancer and work [Internet]. Accessed November 1, 2018. Available from: https://www.cancerandwork.ca.
19. Cancer Council NSW. Work and cancer [Internet]. Accessed November 1, 2018. Available from: https://www.cancercouncil.com.au/get-support/work-and-cancer.
20. Duijts SF, van Egmond MP, Spelten E, van Muijen P, Anema JR, van der Beek AJ. Physical and psychosocial problems in cancer survivors beyond return to work: a systematic review. Psychooncology. 2014; 23:481–492.
crossref
21. Verbeek J, Spelten E, Kammeijer M, Sprangers M. Return to work of cancer survivors: a prospective cohort study into the quality of rehabilitation by occupational physicians. Occup Environ Med. 2003; 60:352–357.
crossref pmid pmc
22. Hoving JL, Broekhuizen ML, Frings-Dresen MH. Return to work of breast cancer survivors: a systematic review of intervention studies. BMC Cancer. 2009; 9:117.
crossref pmid pmc
23. Tamminga SJ, Verbeek JH, Bos MM, Fons G, Kitzen JJ, Plaisier PW, et al. Effectiveness of a hospital-based work support intervention for female cancer patients - a multi-centre randomised controlled trial. PLoS One. 2013; 8:e63271.
crossref
24. Tamminga SJ, van Hezel S, de Boer AG, Frings-Dresen MH. Enhancing the return to work of cancer survivors: development and feasibility of the nurse-led eHealth intervention Cancer@Work. JMIR Res Protoc. 2016; 5:e118.
crossref
25. Cho J, Smith K, Choi EK, Kim IR, Chang YJ, Park HY, et al. Public attitudes toward cancer and cancer patients: a national survey in Korea. Psychooncology. 2013; 22:605–613.
crossref pmid
26. Choi YH, Myeong SH, Lee GC. Possibilities and issues of internet research methodology. Korean Public Adm Rev. 2008; 42:423–440.
27. Jansen KJ, Corley KG, Jansen BJ. E-Survey methodology. In : Reynolds RA, Woods R, Baker JD, editors. Handbook of research on electronic surveys and measurements. London: Idea Group Reference;2007. p. 1–8.
TOOLS
ORCID iDs

Ka Ryeong Bae
https://orcid.org/0000-0002-3616-5187

Sunyoung Kwon
https://orcid.org/0000-0002-7353-5992

Juhee Cho
https://orcid.org/0000-0001-9081-0266

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