{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T06:43:53Z","timestamp":1771051433090,"version":"3.50.1"},"reference-count":90,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Work Wellness Institute","award":["RI_10213_20\/09\/2021"],"award-info":[{"award-number":["RI_10213_20\/09\/2021"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Background: Recent systematic reviews report a limited number of return-to-work (RTW) interventions for individuals touched by cancer (ITBC), with many falling short in effectiveness and lacking an integrated work-health approach. In response, iCanWork\u2014a theoretically informed, multidisciplinary RTW intervention integrating vocational rehabilitation (VR) and occupational therapy (OT)\u2014was conceptualized and developed to address the gap identified in recent reviews for robust, work-health-focused RTW interventions. Methods: A pilot randomized controlled trial was conducted to explore the feasibility, acceptability, and preliminary work-related outcomes of the iCanWork intervention among 23 ITBC participants randomized to either the intervention or control group. Feasibility was assessed through recruitment, retention, and engagement benchmarks; acceptability was measured using a participant satisfaction survey. Preliminary work-health-related outcomes included RTW status, work ability index (WAI) scores, and health-related quality of life (QoL) domains. Results: Feasibility benchmarks were achieved, with 92% recruitment, 83% retention, and 100% completing at least one VR session. Adherence to the session delivery benchmarks was met by 75% of participants before RTW and 41.7% after RTW. Participants rated the intervention highly for its tailored and supportive approach. Compared to the control group, the iCanWork group showed modest improvements in RTW status, WAI scores (mean change: +2.54), and QoL domains, including fatigue, social roles, and pain interference. Given the small sample size, these exploratory findings should be interpreted as preliminary signals to inform outcome selection for a future trial. Conclusions: iCanWork is a feasible and acceptable RTW intervention for ITBC with early indications of benefit. These findings inform the design and outcome selection for a future, larger trial aimed at evaluating the intervention\u2019s potential to improve RTW outcomes for ITBC.<\/jats:p>","DOI":"10.3390\/curroncol32050266","type":"journal-article","created":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T06:49:02Z","timestamp":1746082142000},"page":"266","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pilot Randomized Controlled Trial of iCanWork: Theory-Guided Return-to-Work Intervention for Individuals Touched by Cancer"],"prefix":"10.3390","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8704-8207","authenticated-orcid":false,"given":"Christine","family":"Maheu","sequence":"first","affiliation":[{"name":"Ingram School of Nursing, McGill University, Montr\u00e9al, QC H3A 2M7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maureen","family":"Parkinson","sequence":"additional","affiliation":[{"name":"Vocational Rehabilitation Program, Patient & Family Counselling Services, BC Cancer, Vancouver, BC V5Z 4E6, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyla","family":"Johnson","sequence":"additional","affiliation":[{"name":"Independent Researcher, Montr\u00e9al, QC H3T 1E2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1614-3770","authenticated-orcid":false,"given":"Wing Lam","family":"Tock","sequence":"additional","affiliation":[{"name":"Centre de Recherche du Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, QC H2X 0A9, Canada"},{"name":"Department of Social and Preventive Medicine, \u00c9cole de Sant\u00e9 Publique, Universit\u00e9 de Montr\u00e9al, Montr\u00e9al, QC H3N 1X9, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi","family":"Dolgoy","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, University of Alberta, Alberta, AB T6G 2G4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon-Pierre","family":"Dupuis","sequence":"additional","affiliation":[{"name":"Cancer and Work, Montr\u00e9al, QC H3A 2M7, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mina","family":"Singh","sequence":"additional","affiliation":[{"name":"School of Nursing, York University, Toronto, ON M3J 1P3, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,5,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Maheu, C., Singh, M., Tock, W.L., Robert, J., Vodermaier, A., Parkinson, M., and Dolgoy, N. 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