Iris Kanera

67 The Kanker Nazorg Wijzer protocol 3 and usefulness and advice is given on how to replace these thoughts with helpful thoughts. Furthermore, advice is given on how to deal with rumination. Finally, to deal with stress related to dysfunctional cognitions, information and assignments are given concerning relaxation and mindfulness. The theme “A Good Night’s Sleep” discusses participants’ sleeping behavior. Participants are encouraged to monitor their sleep and wake times for one week. Then, psycho-education and assignments are given concerning types of sleeping problems, the importance of a consistent sleep-wake pattern, and sleeping hygiene. Also, information and assignments are given concerning relaxation and mindfulness. Return to Work In the Return to Work module, difficulties and rights and obligations concerning returning to work are discussed. Based on the answers of the screening questionnaire, participants receive an overview of their indicated problems concerning return to work and are given the opportunity to further specify these problems. Then, participants select a goal that they want to achieve (e.g., learning to ask for help). Depending on the chosen goal, participants are advised to continue with one of the three themes: Communication, Balance, and Rights and Obligations. The theme “Communication” discusses the preparation of difficult, work-related conversations. Psycho-education and assignments are given on preparing work-related conversations with different persons, such as one’s occupational physician, supervisor, or colleague. Advice is given on, amongst others, how to indicate possibilities and limitations with regard to work tasks, asking for help, dealing with incomprehension from the manager or colleagues, or preparing a job application. Moreover, advice and assignments are given on how to increase feelings of confidence and decrease feelings of stress in difficult interactions. The theme “Balance” focuses on finding a balance between the participants’ work abilities and their workload. Participants are encouraged to monitor for several workdays howmuch energy certain work-related tasks cost. Then, psycho-education and assignments are given concerning planning the workday, not to exceed personal limits, making adjustments at work, dealing with limited concentration and memory problems, relaxation, and thinking positively. The theme “Rights and Obligations” provides information on cancer survivors’ rights and obligations concerning work with a long-term illness. Information is provided on topics such as re-integration, unemployment, searching for a new job, social welfare payments, insurances, legal advice, or rights on facilities to perform one’s job properly, given the limitations caused by the disease or treatment.