Evaluation of Usability and Satisfaction of Two Online Tools to Guide Return to Work for Cancer Survivors on the Cancer and Work Website.

Prompt services and work-focused support systems are needed to aid cancer survivors returning to work or finding work. Purpose This knowledge translation and implementation project focused on the knowledge users' experience and need for refinement of three work-focused tools to support return to work and maintain work following cancer through their participation in a hands-on workshop. The tools assessed for their utility are a Job Analysis Tool (JAT), a Return to Work (RTW) tool, and a bilingual Canadian website on Cancer and Work. Methods Four workshops took place in three Canadian cities. Participants included cancer survivors, healthcare professionals, and employer representatives. Following an overview of the website and tools, workshop participants (N = 28) completed qualitative and quantitative satisfaction and usability questionnaires using the System Usability Scale and open-ended questions. Qualitative data was analyzed using content analyses from the think-aloud data and from the four open-ended questions collected during the users' use of the tools and website. Results Overall, most study participants reported high satisfaction with the JAT and RTW tools, the Cancer and work website and the workshop. Good usability scores were reported for the RTW planner (73.65 ± 12.61) and the website (74.83 ± 12.36), and only acceptable usability scores for the JAT (68.53 ± 11.90). Conclusion Overall, the study documented the value of the tools and the website to support the RTW process as assessed by several key knowledge user groups. The JAT is considered a helpful procedure to identify job demands in order to guide job accommodations. Given participants' responses that the tool is useful, the next steps are to implement the recommendations for improvement and knowledge dissemination to increase its uptake and the use of job analysis overall.

Validation of the Children's Intrinsic Needs Satisfaction Scale among Canadian youth: psychometric properties, criterion-related validity and multitrait multimethod confirmatory factor analysis. / Validation du questionnaire de l'Échelle de satisfaction des besoins intrinsèques des enfants chez les jeunes canadiens : propriétés psychométriques, validité critérielle et analyse factorielle confirmatoire reposant sur une approche multitraits-multiméthodes.

INTRODUCTION: Based on self-determination theory, the Children's Intrinsic Needs Satisfaction Scale (CINSS) measures autonomy, competence and relatedness at school, home and with peers. The factor structure and criterion-related validity of the CINSS in the Canadian youth population are tested using data from the Canadian Student Tobacco, Alcohol and Drugs Survey (CSTADS). METHODS: Data from the 2014/2015 CSTADS were analyzed for evidence of convergent and discriminant validity and for method variance. A multitrait multimethod (MTMM) confirmatory factor analysis (CFA) was conducted to account for the conceptual structure of the measure. Criterion-related validity was demonstrated through correlations between related constructs, prosocial behaviours and behavioural problems, and the CINSS subscale scores. Mean differences on CINSS subscale scores between those who reported and did not report being bullied or bullying others were also examined. RESULTS: Correlation analyses demonstrated that, in general, correlations were higher between concept/context item pairs and lowest between items measuring different concepts and contexts. Cronbach's alpha for concept and context subscales were high: α = 0.77 for autonomy, α = 0.85 for competence and α = 0.79 for relatedness. A MTMM CFA demonstrated that the model fit the data well, with no modifications. Criterion-related validity was demonstrated through correlations between CINSS subscales and related concepts or mean differences on CINSS subscales between groups. CONCLUSION: The CINSS demonstrates good internal consistency, factorial validity and criterion-related validity in this sample of Canadian students. The measurement of positive mental health among Canadian youth is central to surveillance efforts which will help inform mental health promotion activities across Canada.

INTRODUCTION: L'Échelle de satisfaction des besoins intrinsèques des enfants (Children's Intrinsic Needs Satisfaction Scale ou questionnaire CINSS), fondée sur la théorie de l'autodétermination, sert à mesurer l'autonomie, la compétence et l'appartenance sociale à l'école, à la maison et avec les pairs. Nous avons vérifié sa structure factorielle et sa validité critérielle chez les jeunes canadiens à l'aide de données de l'Enquête canadienne sur le tabac, l'alcool et les drogues chez les élèves (ECTADE). MÉTHODOLOGIE: Nous avons analysé les données de l'ECTADE de 2014-2015 afin de mettre en évidence la validité convergente et discriminante et la variance liée à la méthode. Nous avons mené une analyse factorielle confirmatoire (AFC) reposant sur une approche multitraits-multiméthodes (MTMM) afin de tenir compte de la structure conceptuelle de la mesure. Nous avons établi sa validité critérielle grâce aux corrélations entre les concepts à l'étude, les comportements prosociaux et problèmes de comportement et les scores aux sous-échelles du questionnaire CINSS. Enfin, nous avons examiné les écarts moyens dans les scores aux sous­échelles du questionnaire CINSS entre les répondants ayant déclaré qu'ils avaient commis des actes d'intimidation ou qu'ils en avaient été victimes d'une part et les répondants ayant fait état d'aucune intimidation d'autre part. RÉSULTATS: Les analyses de corrélations ont montré que, de manière générale, les corrélations étaient plus fortes entre variables se rapportant à des besoins ou des contextes appariés et plus faibles entre variables mesurant des besoins et des contextes différents. Le coefficient alpha de Cronbach pour les sous-échelles des besoins et des contextes était élevé : α = 0,77 pour l'autonomie, α = 0,85 pour la compétence et α = 0,79 pour l'appartenance sociale. L'AFC reposant sur une approche MTMM a montré que le modèle était bien ajusté aux données et qu'il ne nécessitait aucune modification. La validité critérielle a été établie par les corrélations entre les sous-échelles du questionnaire CINSS et les concepts étudiés ou par les écarts moyens dans les scores à ces sous-échelles entre groupes de répondants. CONCLUSION: L'Échelle de satisfaction des besoins intrinsèques des enfants (questionnaire CINSS) s'est révélée solide sur le plan de la cohérence interne, de la validité factorielle et de la validité critérielle dans notre échantillon d'élèves canadiens. Mesurer la santé mentale positive chez les jeunes canadiens est essentiel pour obtenir l'information pertinente nécessaire aux activités de promotion de la santé mentale au Canada.

I wanted you to know: Breast cancer survivors' control of workplace communication about cancer.

Of working women diagnosed with cancer, approximately one-third will have breast cancer. Communicating about their cancer plays an important role in their workplace experience. It is challenging but helpful in eliciting needed social support and accommodations. Fully understanding such communication experiences is important in order to facilitate the well-being and success of such women in their workplaces. A qualitative study permits a richer account of the details of these workplace communications, and a deeper understanding of how women manage the complex and multifaceted communication process. This study used thematic analysis of semistructured interviews from 19 women working full time at the time of their breast cancer diagnosis. We found 3 themes that encapsulated unfolding individual experiences, representing a complex interplay of challenges to maintaining a sense of personal control in workplace responses: challenges to control posed by the experience of sharing information in the workplace about the woman's cancer, women's very individual attempts to control how information about their cancer was shared, and the mixed responses of those who were told. The result was unique individual trajectories in which empathic responses tailored to the individual's needs and preferences were most helpful. These findings can provide guidance on managing cancer communication for survivors, and on how to best support and accommodate women workers with breast cancer, facilitating their ability to control how their cancer impacts their work experience. Our website (http://www.iwantedyoutoknow.ca/) provides a video, tip sheet, and other resources for facilitating supportive communication in the workplace.

Social roles, basic need satisfaction, and psychological health: the central role of competence.

The authors propose that competence need fulfillment within valued role domains (i.e., spouse, parent, worker) will account, in part, for associations between autonomy and relatedness need fulfillment and psychological health. Testing these assertions in cross-sectional and longitudinal surveys of women in two independent community samples, the findings are the first to formally examine whether the satisfaction of competence needs within social roles accounts for associations between other types of need satisfaction and affective outcomes as well as depressive symptomology. Evidence supporting the hypothesis was stronger when examining individuals' affective health as compared to their depressive symptoms. Implications of the findings are discussed with regard to need fulfillment within social roles.

A new approach to the link between identity and relative deprivation in the perspective of ageism and retirement.

Although the work force is aging, views regarding older workers remain negative. As a result, complaints of discrimination on the basis of age have increased. This situation prompts the following questions: what leads aging workers to acknowledge disparities between younger workers and themselves, and what are the consequences for aging workers of integrating into their self-image some of the characteristics commonly associated with their cohort? These questions are examined in light of a new approach to the link between identity and relative deprivation. The following hypotheses were included in a predictive model: the more individuals include characteristics of their group into their self-descriptions, the more they experience personal deprivation when comparing their own situation to that of younger workers. These feelings, in turn, affect them during retirement in terms of lowered self-esteem and decreased satisfaction with their life. This model was tested among 149 young retirees. Hypotheses were confirmed, and it was shown that end-of-career experiences have an impact on the situation of young retirees. The more individuals integrated characteristics of aging workers, the more they felt personally deprived as a result of invidious comparisons with young co-workers. The latter also had a negative impact on self-esteem and life satisfaction. Implications of results and new avenues of research are discussed herein.