Behaviors and Mental Disorders

All Conditions

Cognition Disorders

Psychological and Social Consultation at Baseline, during the study and at the end of follow-up

Psychological and Social Consultation

Véronique GERAT-MULLER, PhD

This patient support system is designed to help patients regain their professional activity after their treatment. It's a 3-Axis neuropsycho-social synergy on 3 axes:

* A weekly pluridisciplinary consultation in tandem (Social worker + Psychologist / Neuropsychologist)
* Monthly information meetings and workshops (TIC'Onco reunions: collective information times and Cogit'Onco workshops: cognitive workshops
* An information booklet "Prepare the work return" The aim of this research is to evaluate efficiency in term of quality of life improvement linked to work status, utility, feasibility and patients' satisfaction.

The aim of this research is to evaluate efficiency in term of quality of life improvement linked to work status, utility, feasibility and patients' satisfaction.

Unmet need characterize in 4 points:

* Cancer and survival: challenges for cancer patients who want to work while being treated
* Cancer and career: Job instability for cancer patients
* Difficulties and isolation of patients due to a lack of coordination between healthcare professionals and colleagues/management
* Post-treatment cognitive troubles stress and hindered patient return to employment: chemo brain This research-action will propose and evaluate a concrete device: To maintain a professional activity with the support of CAP'Onco during treatment, to balance between quality of life, managing the "cancer event" and the psychosocial consequences for professional experience, to provide an early, durable and multimodal support to improve work keeping and anticipate return to employment

CAP'Onco : Psychological and Social Consultation of Professional Accompaniment in Oncology

Standardised QLQ-C30 scoring according to EORTC scoring manual (Fayers et al. EORTC QLQ-C30 scoring manual. 2001).

15 dimensions are presented below. Each dimension is a standardised score ranges from 0 to 100. A low score corresponds to a low functional level, an absence of symptoms or a low level of QoL/ overall health and, conversely, so that a high score corresponds to a high functional level, a high presence of symptoms or a high level of QoL/overall health.

Cognitive complaints were evaluated by using the french Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog) scale version 3

Assessed using median total score (range 0-132) and median scores of these 4 dimensions :

* Perceived Cognitive Impairment (range 0-72)
* Impact on quality of life (range 0-16)
* Comments from others (range 0-16)
* Perceived Cognitive Skills (range 0-28) Higher scores indicate better cognitive functioning.

Professional recovery was evaluated by using the Scale of motivation to Professional recovery.

This scale was constructed for the needs of this exploratory research and has for vocation a later validation.

It includes 62 questions and was assessed using median scores of these 7 dimensions :

* Work and administrative process (0-100)
* Positioning in relation to the job-post-mission (0-100)
* Emotion and work (0-100)
* Labour relations (0-100)
* Work and physical/intellectual conditions (0-100)
* Privacy and work (0-100)
* Return to work (0-20) Higher scores represent better outcomes

Tiredness was evaluated by using the Piper Multidimensional Fatigue Inventory (MFI-20) revised scale

Assessed using median total score (range 0-10) and median scores of these 4 tiredness dimensions :

* Behavioural
* Emotional
* Sensory
* Cognitive-mood Each dimension has range 0-10 with following interpretation: higher scores indicate greater severity of fatigue

Anxio-depressive troubles were evaluated by using the Hospital Anxiety and Depression (HAD) scale.

Assessed using median scores of these 2 dimensions :

* Anxiety
* Depression Each dimension has range 0-21 with following interpretation: higher scores represent worse outcomes (0-7 normal; 8-10 mild; 11-14 moderate; 15-21 severe)

Institut Bergonié

All-Cause Mortality, Serious, and Other \[Not Including Serious\] Adverse Events were not monitored/assessed (so Total Number At Risk = 0).

Age, Continuous

Sex: Female, Male

Race and Ethnicity were not collected from any participant.

Race and Ethnicity Not Collected

France

Region of Enrollment

Marital Status

SOCIO-PROFESSIONAL CATEGORY

PROFESSIONAL STATUS

Véronique GERAT-MULLER

Global health status/ quality of life - Baseline

Global health status/ quality of life - 5 months

Physical functioning - Baseline

Physical functioning - 5 months

Role functioning - Baseline

Role functioning - 5 months

Emotional functioning - Baseline

Emotional functioning - 5 months

Cognitive functioning - Baseline

Cognitive functioning - 5 months

Social functioning - Baseline

Social functioning - 5 months

Fatigue - Baseline

Fatigue - 5 months

Nausea/ vomiting - Baseline

Nausea/ vomiting - 5 months

Pain - Baseline

Pain - 5 months

Dyspnoea - Baseline

Dyspnoea - 5 months

Insomnia - Baseline

Insomnia - 5 months

Appetite loss - Baseline

Appetite loss - 5 months

Constipation - Baseline

Constipation - 5 months

Diarrhoea - Baseline

Diarrhoea - 5 months

Financial difficulties - Baseline

Financial difficulties - 5 months

* At baseline, 1 patient did not complete the QLQ-C30 questionnaire. And of the remaining 28 patients, 1 patient has missing data for the score 'Dyspnoea'.
* At 5 months, 1 patient did not complete the QLQ-C30 questionnaire. And of the remaining 28 patients :

  * 1 patient has missing data for the scores 'Constipation' and 'Diarrhoea'
  * 1 another patient has missing data for the score 'Fatigue'

Quality of Life : EORTC QLQ-C30 Scores

Perceived Cognitive Impairment - Baseline

Perceived Cognitive Impairment - 5 months

Impact on quality of life - Baseline

Impact on quality of life - 5 months

Comments from others - Baseline

Comments from others - 5 months

Perceived Cognitive Skills - Baseline

Perceived Cognitive Skills - 5 months

Total score - Baseline

Total score - 5 months

* At baseline, 2 patients did not complete the Cognitive complaints questionnaire
* At 5 months, 1 patient did not complete the Cognitive complaints questionnaire

Cognitive Complaints : FACT Cog Scale Scores

Work and administrative process - Baseline

Work and administrative process - 5 months

Positioning in relation to the job-post-mission - Baseline

Positioning in relation to the job-post-mission - 5 months

Emotion and work - Baseline

Emotion and work - 5 months

Labour relations - Baseline

Labour relations - 5 months

Work and physical/intellectual conditions - Baseline

Work and physical/intellectual conditions - 5 months

Privacy and work - Baseline

Privacy and work - 5 months

Return to work - Baseline

Return to work - 5 months

* At baseline, 1 patient did not complete the Professional recovery questionnaire
* At 5 months :

  * 3 patients have missing data for the scores 'Work and administrative process', 'Work and physical/intellectual conditions' and 'Privacy and work'
  * 4 patients have missing data for the scores 'Positioning in relation to the job-post-mission', 'Emotion and work' and 'Labour relations'
  * 1 patient has missing data for the score 'Return to work'

Professional Recovery Scale Scores

Emotional dimension - Baseline

Behavioural dimension - 5 months

Behavioural dimension - Baseline

Emotional dimension - 5 months

Sensory dimension - Baseline

Sensory dimension - 5 months

Cognitive-mood dimension - Baseline

Cognitive-mood dimension - 5 months

Total Score Fatigue Scale - Baseline

Total Score Fatigue Scale - 5 months

* At baseline:

  * 2 patients have missing data for the scores 'Emotional dimension', Behavioural dimension' and 'Sensory dimension'
  * 3 patients have missing data for the score 'Cognitive-mood dimension'
  * 3 patients finally have missing data for 'Total Score Fatigue Scale'
* At 5 months, 1 patient did not complete the Tiredness questionnaire

Tiredness : Piper MFI-20 Scale Scores

Anxiety score - Baseline

Anxiety score - 5 months

Depression score - Baseline

Depression score - 5 months

* At baseline, 2 patients did not complete the Anxio-depressive troubles questionnaire
* At 5 months ,1 patient did not complete the Anxio-depressive troubles questionnaire

Anxio-depressive Troubles : HAD Scale Scores

Overall Study

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
CAP'Onco : Psychological and Social Consultation of Professional Accompaniment in Oncology	NCT03302767	Cancer	Psychological a...	25 Years - 55 Years	Institut Bergonié
CAP'Onco : Psychological and Social Consultation of Professional Accompaniment in Oncology	NCT03302767	Cancer	Psychological a...	25 Years - 55 Years	Institut Bergonié
CAP'Onco : Psychological and Social Consultation of Professional Accompaniment in Oncology	NCT03302767	Cancer	Psychological a...	25 Years - 55 Years	Institut Bergonié

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