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Applying a behavioral change framework (e.g., stages of change) could make work participation interventions for CSs more timely and tailored. We aimed to explore the application of the stages of change framework to work participation support for CSs and to generate stage-specific intervention content.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Eighteen experts (e.g., occupational physicians, reintegration consultants) were individually interviewed, and three focus groups with CSs (<jats:italic>n<\/jats:italic>\u2009=\u20096, <jats:italic>n<\/jats:italic>\u2009=\u20095, <jats:italic>n<\/jats:italic>\u2009=\u20094) were conducted. Data were analyzed along the six work-related behavioral change stages purported by the readiness for return to work framework, which is based on the stages of change.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The following themes were identified: (1) pre-contemplation: emotional support and staying connected\u2014encourage contact with the employer\/colleagues; (2) contemplation: considering return to work is stressful\u2014facilitate the deliberation process; (3) preparation self-evaluative: assess current capabilities\u2014seek guidance from, e.g., occupational physicians; (4) preparation behavioral: planning return to work\u2014allow for personalized solutions and encourage supervised return to work; (5) uncertain maintenance: guard against overload\u2014train self-efficacy strategies and communication tactics; and (6) proactive maintenance: accept and prepare for the long term.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Our results support the potential utility of tailoring CSs\u2019 work participation support along the stages of change.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Implications for Cancer Survivors<\/jats:title>\n                <jats:p>We provided recommendations for intervention content and developed a stage-specific work participation intervention for CSs, the effectiveness of which will be evaluated in an upcoming randomized controlled trial.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11764-022-01196-x","type":"journal-article","created":{"date-parts":[[2022,3,11]],"date-time":"2022-03-11T10:02:50Z","timestamp":1646992970000},"page":"706-719","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Tailoring work participation support for cancer survivors using the stages of change: perspectives of (health care) professionals and survivors"],"prefix":"10.1007","volume":"17","author":[{"given":"Amber D.","family":"Zegers","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter","family":"Coenen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ute","family":"B\u00fcltmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ragna","family":"van Hummel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allard J.","family":"van der Beek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saskia F. 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Consequently, official approval by the Medical Ethical Committee was not required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"All participants provided written informed consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The behavioral change stage icons were designed by Feline Zegers and are the copyright property of Amsterdam UMC, location VUmc.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication of an image"}},{"value":"Ragna van Hummel is director and owner of Re-turn, a reintegration consultancy company specialized in the work participation guidance of cancer survivors. She was consulted during the development of the SusTained Employability in cancer Patients and their partnerS (STEPS) intervention, i.e., she was asked to provide feedback on the framework and logic model underlying the intervention, and to consider whether proposed intervention elements would be effective vis-\u00e0-vis standard reintegration practice in the Netherlands. Furthermore, Re-turn reintegration consultants will be employed as intervention providers within our randomized controlled trial to assess the (cost-)effectiveness of the STEPS intervention. The other authors have no conflict of interest to declare.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}