Behavioral, Psychological, Educational, and Vocational Interventions to Facilitate Employment Outcomes for Cancer Survivors: A Systematic Review

This Campbell systematic review examines why the implementation of preventive interventions to reduce youth involvement in gangs and gang crime may fail or succeed low and middle‐income countries. The review summarises findings from four studies conducted in Latin America and the Caribbean. These include findings from field observations and interviews with 63 former gang members in Guatemala, Honduras and El Salvador, 940 respondents in three Jamaican communities, 24 participants in Nicaragua and 25 participants in Peru. It is not possible to make any conclusions regarding the effectiveness of preventive interventions. Four factors may be important for intervention design and implementation: Having a range of programme components that appeal to youth such as arts and sports. Active engagement of youths and gang leaders in forming and implementing the programme. Ensuring continuity of social ties outside the gang which are fragile and may not be preserved after short‐term interventions. Ongoing violence and gang involvement limits successful implementation so needs to be addressed. BACKGROUND In the United States, an estimated 1.5 million people are diagnosed annually with some type of cancer (American Cancer Society, 2011). Work is an important stabilizing factor for cancer survivors (Arnold, 1999). De Boer and colleagues (2009) identified a rate of 33.8% unemployment among cancer survivors beyond the age of 18 compared to 15.2% among a healthy international control population. Greater awareness of the job‐related and workplace issues that cancer survivors face can lead to more comprehensive rehabilitation plans and recovery (Centers for Disease Control, 2011; Nathan, Hayes‐Lattin, Sisler, & Hudson, 2011). Although various recent interventions have been developed to address unemployment among cancer survivors, these have not yet been systematically evaluated. OBJECTIVE The objective of this systematic review is to examine experimental and quasi‐experimental studies about interventions that (i) include one or more behavioral, psychological, educational, or vocational components, (ii) involve cancer survivors aged 18 years or older, and (iii) assess intervention outcomes on employment outcomes. The aims are both to describe the variety of interventions that have been studied using rigorous methods and to estimate intervention effects. SEARCH STRATEGY We used electronic search techniques of 27 computerized databases to conduct a comprehensive search. Keywords