Part-time Work Research Articles

What does flexible work for men really mean?: a qualitative content analysis of key stakeholder accounts

ABSTRACT This article explores definitions and practice of flexible work and is part of a larger project about men’s flexible work. Flexible work is prevalent in workplace research, but evidence is lacking regarding how flexible work for men is interpreted and applied in practice. Gendered patterns of work and care more often position men in paid employment and less often in care and domestic responsibilities. Men’s use of flexible work could assist in balancing paid employment with unpaid domestic and care tasks. Qualitative content analysis (QCA) was undertaken to summarise participants’ descriptions of two key aspects of flexible work – forms of flexible work, and the reasons for flexible work. QCA was applied to 30 interviews about men’s flexible work with organisational leaders (n = 12, 3 women and 9 men) and men who use flexible work arrangements (n = 18). Participants typically discussed flexible work in their white-collar employment situations, most often in the form of part-time work and for the reason of caring for children. Participants’ descriptions of flexible work differed from how flexible work is commonly defined in policy and legislation, demonstrating that men use flexible work in ways not described in policy or legislation.

IMPLEMENTATION OF APPLIED BACHELOR'S DEGREE PROGRAMS IN KAZAKHSTAN: ANALYSIS OF STAKEHOLDERS' PERCEPTIONS

Short-cycle educational programs in Kazakhstan are currently represented by applied bachelor degree programs. This first of its kind study was conducted to analyse the perceptions of applied bachelor programs by students, program graduates and employers inKazakhstan. The results of the survey and interviews revealed a motivation for choosing applied bachelor programs among students of these programs and graduates, as well as the level of satisfaction with their choice. Employers' responses included an assessment of the training provided by the applied bachelor programs and whether programs graduates meet employers expectations. The authors concluded that applied bachelor programs ensure successful integration in the labor market. They provide access to training for socially vulnerable groups (e.g., part-time workers, unemployed people who do not follow traditional educational paths), increasing access to education. The practice-oriented nature of applied bachelor's degree programs allows to obtain qualified personnel in a shorter period of time compared to bachelor's degrees, which is beneficial for employers. Nevertheless, there were revealed problems related to the transition from NQF level 5 to level 6 for higher education, as well as insufficient information work of education providers to explain the advantages and features of applied bachelor degree programs. This suggests a need to take measures to further develop and strengthen the applied bachelor's degree in Kazakhstan. In general, it can be said that development prospects of applied bachelor's degree will contribute to the training of qualified personnel for the labor market.

Workers with few hours – who secures their social rights? – The role of social dialogue and collective bargaining

This special issue looks at the contributions of social dialogue and collective bargaining to creating, maintaining or reducing the risks associated with employment contracts of few hours, such as marginal part-time work, temporary agency work and zero-hour contracts. It additionally considers changes in welfare institutions with regard to the protection of these groups of workers. In this paper, we introduce the arguments on why and how working in marginal part-time jobs involves vulnerability, and on the differential roles collective bargaining and social protection may have on these jobs, depending in particular on which status (employees, workers or self-employed) they are associated to.

What sustains feminized part-time work at the gender equality frontier? Evidence from a vignette experiment

Feminized part-time work has been deemed a family policy conundrum yet to be solved by any welfare regime. To identify ways forward, this article examines structural drivers of part-time work decisions through a vignette experiment fielded in the gender-egalitarian context of Norway ( N = 3500). Six theory-grounded factors are tested in this multidimensional, causal framework: partner income level, physical and cognitive household labour burdens, the presence of a part-time culture at the workplace, and consequences of part-time work for career advancement and future pensions. Results show that overall, factors that regulate individuals’ material self-interest (partner income, career and pension consequences) have the largest impact on working-time decisions. Additionally, a priming treatment is given with a split sample concerning the factor of cognitive household labour – the organizational dimension of household work. Results from sub-group analyses show that non-primed respondents prefer significantly higher working hours when their cognitive labour burden is lower. Respondents who received experimental priming, however, portray the opposite behaviour (lower working-hour preference when cognitive labour burden is low). The pattern is driven by women, whereas men are left largely unaffected by both the priming and vignette treatment of cognitive labour. Thus, robust findings imply that gender inequality in material circumstances sustains feminized part-time work patterns. Suggestive evidence further indicates that gender inequality in cognitive labour loads may also contribute to sustaining feminized part-time work.

Factors influencing physical activity and sedentary behaviour in contact centres during the COVID-19 pandemic and their relevance for the future of hybrid working.

The COVID-19 pandemic changed the way many industries work, including contact centres, with some employees working from home and new on-site restrictions/measures in place representing even greater challenges for employers around staff engagement and wellbeing. This study aimed to understand the interplay of individual, social, environmental and organisational factors influencing physical activity and sedentary behaviour in UK contact centre employees, how the pandemic impacted these factors, and their relevance for the future of hybrid working. Individual interviews (n = 33) were conducted with participants (staff working full and part time, on site and from home) from four UK contact centres. A topic guide based on the ecological model was developed to understand current barriers and facilitators to physical activity and (reducing) sedentary behaviour during and outside of working hours. Thematic analysis was carried out using a codebook and a deductive coding approach to identify themes. Three key insights are provided. First, participants felt they were generally sitting more and moving less since the first UK-wide lockdown. Second, factors which negatively impacted on these behaviours were evident across all levels of the ecological model. These included individual and social barriers (e.g., lack of motivation and preferable physical activity options) as well as environmental and organisational barriers (e.g., poor home office setup, back-to-back virtual meetings). There were a mix of new and existing barriers (exacerbated by the pandemic) and several of these were linked to homeworking. Third, organisational support requirements (e.g., homeworking ergonomic support) and existing facilitators (such as the provision of informational support and flexible working arrangements) were identified. Solutions to reduce sedentary behaviours and increase physical activity in contact centres need to address barriers from the individual to the organisational level. Whilst the study was undertaken in the UK, the results are like to be applicable globally. Clinical trial registration: The trial for the wider project has been registered on the ISRCTN database: http://www.isrctn.com/ISRCTN11580369.

Permanently marginalized? Securing living hours among part-time workers in hotels and restaurants in Northern Europe

This paper offers a comparative perspective on the wage and working conditions of marginal part-time workers (less than 15 hours per week) in the Danish, Irish and Norwegian hotel and restaurant sector. Each of the three countries belongs to distinct industrial relations models with different sectoral traditions of multi-employer bargaining, political intervention and union strength. We focus on social partner initiatives, over time, covering trade unions, employers and national governments’ unilateral, bipartite or tripartite measures to secure ‘living hours’ for workers with contracts of few hours. Analytically, we seek inspiration from the work on industrial relations regimes by Visser (2009) and combine it with the concept of living hours. We find that social partners have introduced a series of initiatives to secure living hours, notably to protect and increase hourly wages and secure guaranteed weekly working hours. However, while securing minimum wages and income through either bipartite, tripartite or unilateral measures seem relatively successful in all three countries, the attempts to guarantee minimum weekly working hours and thus secure living hours prove more difficult and mainly has had an impact in Denmark.

Shared Jobs, Shared Trajectories? Employer Groups and the Regulation of Part-time Work in Germany and the Netherlands

ABSTRACT To explain cross-national variation in the regulation of atypical forms of employment, including measures aimed at protecting the employment conditions of nonstandard workers, existing studies have typically emphasised the importance of labour's relative power resources and insider-outsider dynamics. This article shows that differences in employer stances can also be of key importance in explaining this type of variation. Moreover, it shows that employer support for regulatory efforts to improve quality of atypical employment neither have to result from a perceived need to seek strategic accommodation nor from a positive assessment of the costs and benefits of regulation. It does so by comparing the very different responses of Dutch and German employer groups to regulatory attempts to improve the quality of part-time employment. It illustrates their importance and attributes them to strategic choices that were a logical outcome of the different institutional environments in which Dutch and German employer groups operated.

Technology and Continuous Glucose Monitoring Access, Literacy, and Use Among Patients at the Diabetes Center of an Inner-City Safety-Net Hospital: Mixed Methods Study.

Despite the existence of an increasing array of digital technologies and tools for diabetes management, there are disparities in access to and uptake and use of continuous glucose monitoring (CGM) devices, particularly for those most at risk of poor diabetes outcomes. This study aims to assess communication technology and CGM access, literacy, and use among patients receiving treatment for diabetes at an inner-city safety-net hospital. A survey on digital technology ownership and use was self-administered by 75 adults with type 1 and type 2 diabetes at the diabetes clinic of Grady Memorial Hospital in Atlanta, Georgia. In-depth interviews were conducted with 16% (12/75) of these patient participants and 6 health care providers (HCPs) to obtain additional insights into the use of communication technology and CGM to support diabetes self-management. Most participants were African American (66/75, 88%), over half (39/75, 52%) were unemployed or working part time, and 29% (22/75) had no health insurance coverage, while 61% (46/75) had federal coverage. Smartphone ownership and use were near universal; texting and email use were common (63/75, 84% in both cases). Ownership and use of tablets and computers and use and daily use of various forms of media were more prevalent among younger participants and those with type 1 diabetes, who also rated them as easier to use. Technology use specifically for diabetes and health management was low. Participants were supportive of a potential smartphone app for diabetes management, with a high interest in such an app helping them track blood sugar levels and communicate with their care teams. Younger participants showed higher levels of interest, perceived value, and self-efficacy for using an app with these capabilities. History of CGM use was reported by 56% (42/75) of the participants, although half (20/42, 48%) had discontinued use, above all due to the cost of the device and issues with its adhesive. Nonuse was primarily due to not being offered CGM by their HCP. Reasons given for continued use included convenience, improved blood glucose control, and better tracking of blood glucose. The in-depth interviews (n=18) revealed high levels of satisfaction with CGM by users and supported the survey findings regarding reasons for continued use. They also highlighted the value of CGM data to enhance communication between patients and HCPs. Smartphone ownership was near universal among patients receiving care at an inner-city hospital. Alongside the need to address barriers to CGM access and continued use, there is an opportunity to leverage increased access to communication technology in combination with CGM to improve diabetes outcomes among underresourced populations.

The roles of employment status and income in the mental health of informal caregivers in Germany

BackgroundInformal caregivers often experience multiple negative consequences as a result of the informal care they provide. Among other factors, employment status, financial resources, and mental health are related to informal caregiving. This analysis examined the association between informal caregivers’ employment status and their mental health, as well as the moderating effect of net household income on this relationship.MethodsThe research question was addressed with data from the German Socio-Economic Panel (SOEP) survey, comprising 3,053 informal caregivers (1,007 male; 2,046 female). Data were obtained through self-reports, and mental health was measured with the Summary Scale Mental Score. Stepwise adjusted multiple linear regression models were used to examine the association between employment status and mental health. The moderating effects were tested with interaction terms. All analyses were also stratified for gender.ResultsInformal caregivers with full-time jobs reported better mental health than unemployed or marginally employed caregivers (β = 0.077, p < 0.001). The significant interaction term for full-time (β=-0.066, p = 0.001) and part-time workers (β=-0.066, p = 0.003) indicated a moderating effect of net household income on the association between employment status and mental health. This finding was especially evident in women.ConclusionsEmployment appears to be a relevant protective factor for informal caregivers’ mental health. However, if informal caregivers are not employed, a low net household income might additionally restrict their mental health. Therefore, welfare policy structures must be created to reduce the negative financial consequences for informal caregivers and enable them to achieve work-life-care balance.

‘It really freed me up … to work’: Australian mothers’ experiences of living with fathers who work part-time

ABSTRACT The literature about mothers and engaged fatherhood is expanding; however, current research focuses on breadwinner mothers living with stay-at-home fathers. Knowledge about the experiences of mothers who live with part-time working fathers is scarce. The current study focuses on Australian breadwinner mothers' experiences within such a family arrangement. Interviews with 15 mothers were analysed with Reflexive Thematic Analysis. Two themes emerged: (1) a recurrent contrast by mothers of their experiences at work and at home (the arrangement was described as contributing to their career, but as disrupting traditional mothering) and (2) a repeated comparison by mothers between themselves and their partners in relation to work and parenting (career was suggested as more important for participants, and fathers were suggested as being better suited for child-rearing). Both themes commonly and positively presented the family arrangement as well balanced. In their talk, participants balanced the family arrangement's flaws with its benefits. Furthermore, participants' positioning suggested an identification to an in-group which aligned to traditional motherhood while deviating from traditional feminine norms. As societal norms shift towards greater gender equality, this study helps increase awareness of the variety of contemporary mothering practices, by reporting experiences of mothers who adopt non-traditional mothering practices.

Retirement consumption puzzle in Japan: Insights from pension and senior worker employment policy changes

Previous studies in Japan have examined the retirement consumption puzzle (RCP) when mandatory retirement was prevalent. However, the retirement landscape has significantly evolved due to rising public pension ages and enhanced policies promoting employment among senior workers. This study explores household consumption behavior as a result of these recent shifts, particularly focusing on the increasingly common practice of partial retirement. We investigate household consumption during retirement, considering partial retirement enabled by policies allowing continued part-time work or self-employment beyond the mandatory retirement age, and address endogeneity issues between retirement and consumption. Our findings reveal that non-durable and food expenditures increase during partial retirement, driven by liquidity effects from substantial retirement lump-sum payments. These results challenge the traditional understanding of consumption patterns in an aging society, highlighting the impact of changes in work environments.

Part-Time Paradox: The Rise of Female Part-Time Employment and Its Impacts on Germany's Labor Market

Despite an employment rate of 76.6% for women in Germany, significant issues persist with regard to the labour market situation of women in the country. These include the prevalence of part-time work, the under-representation of women in senior management positions and the existence of pay gaps. This article employs data from the German Statistical Office spanning the period from 2000 to 2022 to examine the growth in part-time employment among women and its ramifications. The paper demonstrates that part-time work is a prevalent phenomenon in female-dominated sectors such as health and education. This is driven by a combination of economic conditions, the necessity to reconcile work and family life, and legal regulations. This situation consequently results in women facing lower remuneration and constrained career prospects. The necessity to balance work and family responsibilities represents a significant challenge for women, impeding their career development and negatively impacting their job performance and workplace commitment. These dynamics serve to perpetuate gender inequalities in the labour market, thereby preventing women from realising their full potential at work. This article makes a significant contribution to the existing literature on the relationship between part-time work and gender inequalities in the German labour market by providing a detailed analysis of this complex relationship. The article offers valuable insights into the potential of legal regulations, such as the Temporary Part-Time Work Act enacted in 2019, to alleviate the adverse effects of part-time work on women. The research is distinctive in its comprehensive examination of the socio-economic dynamics of part-time work, its legal framework, and its impact on gender equality, based on an extensive data analysis conducted over an extended period. By offering a detailed and nuanced understanding of these issues, the study draws attention to the ongoing challenges women face in the labour market and suggests potential policy interventions to promote gender equality. This article emphasises the necessity for targeted measures to facilitate women's career progression and offset the adverse consequences of part-time employment, thereby contributing to a more equitable labour market.

Development of an Automated Label Data Entry System from Herbarium Specimen Images at Hyogo Herbarium (HYO)

We would like to introduce our recently developed systems for taking images of herbarium specimens and for the automatic extraction of data from specimen labels at the Herbarium of the Museum of Nature and Human Activities, Hyogo, Japan (HYO). Firstly, we designed a low-cost, but high-quality specimen imaging system for non-professional photographers to obtain images rapidly (Takano et al. 2019). Our system uses a mass-produced, mirrorless single-lens reflex (SLR) camera (SONY ILCE6300) with a zoom lens (Samyang Optics SYIO35AF-E35 mm F/2.8). We made a photo stand by ourselves to reduce costs. In addition, we have adopted an LED (light-emitting diode) lighting system with high color rendering. This imaging system has been introduced, with some improvements or adjustments for available space, to various herbaria in Japan (e.g., University of Tokyo (TI), Kyoto University (KYO)), contributing to the digitization of herbarium specimens across Japan. Next, we developed a system to extract label information from specimen images. The specimen image was uploaded to Google OCR and data were extracted in the form of text. Uploading the whole specimen image decreased the reading accuracy of the software because the plant images behaved as OCR (Optical Character Reader) noise. Therefore, the label part was cut out from the whole specimen image by using D-Lib*1 and uploaded to tesseract OCR*2 for OCR extraction of the label information (Aoki 2019, Takano et al. 2020). When installing this system for HYO, we designed it as an application accessible externally via the internet, which proved very useful during the coronavirus pandemic: part-time workers checked and conducted label data input from home. Finally, we decided to develop a system that would automatically label the text data extracted by OCR and input them into the appropriate cells of the database. Even though the text data could be extracted from specimen images, it needed a human to input them into the database. Therefore, we adopted Named Entity Recognition (NER), a system that extracts named entities such as place names, identifying proper nouns from unstructured text data. It enables information recorded in herbarium specimens to be tagged as named entities. We tried text matching at first, but the result was not satisfactory, so we started to use machine learning instead. We compared three natural language libraries for Japanese: BERT (Bidirectional Encoder Representations from Transformers), Albert (A Lite version of BERT), and SpaCy. Despite BERT and SpaCy returning similarly high f-scores (indicating good performance), we decided to use SpaCy because it runs better on ordinary PCs or servers. With sufficient machine learning after the creation of a text corpus (a specialised dataset) specific to labels on herbarium specimens, we successfully developed the application. The project files are available on GitHub*3 (Takano et al. 2024). We then examined whether this system could be applied to non-plant specimen images, i.e., fishes or birds, and found that it could efficiently extract data. Therefore, we decided to publicize this system on the cloud server and share it with other natural history museums in Japan*4. Curators can obtain a unique ID and password and upload specimen images from their collection to extract label data. The digitization of natural history collections in Japan has been long behind other countries, and this system will help to accelerate it. The system mentioned above is specialized for the natural history collections of Japan, but we believe it is possible to build similar programs in other countries, and we hope our experience will contribute to the mobilization of the world’s natural history collections.

Teleworking and Mental Well-Being: A Systematic Review on Health Effects and Preventive Measures

Background: In the aftermath of the Coronavirus pandemic and the resulting lockdown and social distancing policies, a new form of work, already existing in the past, has been further enlarged. Teleworking is “full- or part-time electronic work, on-line or off-line, performed at home by self-employed or office workers” and today represents an important lever for companies, including for sustainability, allowing employees to work flexibly, efficiently and remotely. The relationship between telework and sustainability in economic, social, and environmental aspects is also being questioned. The aim of this systematic review is to investigate the effects this has had on workers’ mental health. Methods: PRISMA guidelines were followed. The research was performed on Pubmed and Scopus without restrictions on study type and time limits. The methodological quality of the studies included was assessed using AMSTAR-2, INSA and NOS scales. A meta-analysis of the main adverse effects found in observational studies was also carried out. Results: A total of 38 articles were included in the systematic review. A large proportion of the studies examined showed a correlation between teleworking and worsening mental health. The meta-analysis showed increased levels of mental ill-health (38.8%), stress (28.4%), isolation (6.3%), anxiety (23%), depression (22.6%), work–family conflicts (19.5%), poor sleep quality (56.4%), fatigue (16.1%) and irritability (39.6%). Conclusions: Although most of the works analyzed show a deterioration in the mental health of workers, positive effects were noted in some. There is the need for more studies to optimally investigate the cause–effect relationship between teleworking and mental health deterioration.

The labor market effects of facilitating social security contributions under part-time employment contracts: Evidence from Colombia

We examine the impact of homogenizing the tax base between part-time and full-time labor contracts in a context with high informality. Using employer–employee matched administrative records and household survey data, we estimate the effects of a reform that eliminated a wedge in regulatory costs across different work schedules in Colombia, reducing the relative costs of formal part-time employment. We find that the reform increased the probability of entering the formal sector for previously informal part-time workers (the target population). Using pre-reform variation in firms’ demand for workers eligible for the policy, we find a 5.5 % increase in formal employment at firms more exposed to the policy. Mean wages at these firms rose by 0.88 % after the reform relative to those at firms that tend to hire fewer workers with no formal sector experience. Firms with more exposure to the reform also experienced higher churn, consistent with the policy creating incentives for firms to rotate across workers at a faster pace.

Occupational and sex differences in active commuting among Canadian workers from 2006 to 2016.

Active commuting (AC) to and from work is associated with numerous health benefits, through increased physical activity. This study examined whether occupation types and part-time work, by sex, were associated with AC in a population-based sample of Canadian workers. Cross-sectional public use microdata files from the 2006 (n=363,048), 2011 (n=370,672), and 2016 (n=362,310) Census of Population were examined. Multinomial logistic regression models were used to estimate the odds of cycling, walking, and using public transit, relative to using a private motorized vehicle, by occupation and sex. Time trends in mode share were also analyzed. In 2016, commuting by private motorized vehicle and cycling were more common among males, while public transit and walking were more common among females. Occupations in art, culture, recreation, and sport were associated with the greatest odds of cycling (odds ratio [OR]=3.02, 99% confidence interval [CI]: 2.65 to 3.39), while those in trades, transportation, natural resources, and manufacturing had the lowest odds of cycling (OR=0.47, 99% CI: 0.44 to 0.51) and walking (OR=0.36, 99% CI: 0.33 to 0.38). Since 2006, relative declines of 1% and 8% in the proportion of workers commuting by driving and walking, respectively, were observed (absolute change of -1% each). Relative increases of 14% and 12% were observed for cycling and public transit, respectively (absolute changes of less than 1% and 1.5%, respectively). This study found that sex and occupation are important correlates of AC among Canadian workers. Further research aimed at understanding occupational barriers and facilitators may inform future AC interventions.

Balancing family and career for female physicians in Germany: insights from asurvey of female urologists

The shortage of skilled labor in medicine is one of the most pressing challenges in healthcare. The increasing number of women in medicine, particularly in the field of urology, raises questions about the compatibility of family and career, especially concerning the work environment and working time models. The aim of this study is to capture the impact of motherhood on the professional lives of female physicians and scientists in the field of urology in Germany. Specific challenges in this surgical specialty and the compatibility of family and career will be highlighted. The working group "Female Physicians and Scientists in Urology" of the German Society of Urology (DGU) surveyed its 1343female members regarding demographic data, professional status, and aspects of work-life balance. Among 487female urologists in Germany, 53.4% had children. Mothers tended to be older, less frequently in training, less often in inpatient settings, and less frequently engaged in surgical activities. Notably, the proportion of full-time working mothers (36.2%) was significantly lower compared to female urologists without children (92.4%). Among female urologists with children, 32.3% reported having changed their workplace because of their children, while 10.7% indicated that their responsibilities had changed at least once after pregnancy. Additionally, 76.9% of mothers had reduced their weekly working hours due to family commitments. Multivariate analysis showed an influence of motherhood on professional status and parttime work. The fact that starting afamily for women in urology in Germany is associated with areduction in working hours and the end of clinical careers suggests aneed for optimizing the compatibility of family and career in Germany. The increasing feminization of the medical profession exacerbates the existing shortage of skilled workers due to the exit of mothers from professional life. To meet the needs of working parents, particularly mothers, urgent adjustments in the work environment are necessary. Promoting flexible working time models and creating supportive conditions are crucial to preventing the loss of skilled professionals and maintaining job satisfaction in this field.

Exploring Summer Classes in Higher Education: A Qualitative Study of Lecturer and Student Views

Summer classes have become increasingly prevalent in higher education institutions worldwide, offering students opportunities to accelerate their learning, reduce course loads, and maintain academic momentum. This qualitative study explores the perspectives of lecturers and undergraduate students on the benefits, drawbacks, and strategies for success of summer classes. Semi-structured interviews were conducted with ten students and two lecturers from a university in Ho Chi Minh City, Vietnam. The findings reveal that the primary perceived benefits of summer classes include the ability to complete courses more quickly, have a lighter subject load during the regular year, and improve academic performance. However, drawbacks cited were the sacrifice of leisure time or income from part-time work and the added pressure of condensed timelines. Recommended strategies comprise proactive promotion of summer class advantages to increase student awareness, careful selection and compensation of skilled instructors, and incorporation of recreational activities to support student well-being. This study contributes qualitative insights to inform the development of effective, student-centered summer programs in higher education.

Using intervention mapping to facilitate and sustain return-to work after breast cancer: protocol for the FASTRACS multicentre randomized controlled trial

BackgroundWomen with breast cancer face many barriers to return to work (RTW) after their cancer. The main objective of the FASTRACS-RCT is to evaluate the impact of the FASTRACS (Facilitate and Sustain Return to Work after Breast Cancer) intervention on the sustainable RTW of breast cancer patients, 12 months after the end of active treatment.MethodsFASTRACS-RCT is a prospective, national, multicentre, randomized, controlled and open-label study. A total of 420 patients with early breast cancer scheduled for surgery and (neo)adjuvant chemotherapy, will be randomly assigned (1:1 ratio) to: (i) the intervention arm comprising four steps over 6 months : Handing over the intervention tools; transitional medical consultation with the general practitioner (GP); pre-RTW visit with the company’s occupational physician (OP); catch-up visit with a hospital-based RTW expert (if sick leave > 10 months) (ii) the control arm to receive usual care. The design of the FASTRACS intervention was informed by intervention mapping for complex interventions in health promotion planning, and involved patients and representatives of relevant stakeholders. Specific tools were developed to bridge the gap between the hospital, the GP, the OP and the workplace: a toolkit for breast cancer patients comprising a theory-based guide; specific checklists for the GP and the OP, respectively; and a theory-based guide for workplace actors (employer, manager, colleagues). The primary endpoint will associate sustainable RTW (full-time or part-time work at 50% or more of working time, for at least 28 consecutive days) and days off work. It will be assessed at 4, 8 and 12 months after the end of active oncological treatment. Secondary endpoints will include quality of life, anxiety, depression, RTW self-efficacy, physical activity, social support, job accommodations, work productivity, job status, and the usefulness and acceptability of the intervention’s tools.DiscussionFASTRACS-RCT will be supplemented by a realist evaluation approach aimed at understanding the influence of context in activating the intervention’s mechanisms and effects. If the expected impact of the intervention is confirmed, the intervention will be adapted and scaled-up for other cancers and chronic diseases to better integrate healthcare and work disability prevention.Trial registrationNCT04846972 ; April 15, 2021.

Primary healthcare providers' knowledge, practices and beliefs relating to preventive sexual and reproductive health care for women from refugee and asylum-seeking backgrounds in Australia: a national cross-sectional survey.

Background Many refugee women and women seeking asylum arrive in high-income countries with unmet preventive sexual and reproductive health (SRH) care needs. Primary healthcare providers (HCPs) are usually refugee and asylum seekers' first point of care. This study aimed to identify HCP characteristics associated with initiating conversations and discussing SRH opportunistically during other health interactions. Methods An anonymous online survey was distributed nationally to representatives of health professional organisations and Primary Health Networks. Hierarchical logistic regression analysed factors including HCP demographics, knowledge and awareness, perceived need for training and professional experience with refugee women were included in the models. Results Among 163 HCPs, those initiating conversations ranged from 27.3% (contraceptive care) to 35.2% (cervical screening). Opportunistic discussions ranged from 26.9% (breast screening) to 40.3% (contraceptive care). Positively associated factors included offering care to refugee women or women seeking asylum at least once every 2months 7.64 (95% CI 2.41;24.22, P P P P P P Conclusions Direct professional experience, frequency of service provision, years of practice, and part time work positively influence HCPs' SRH care practices. Enhancing bilingual health worker programs, outreach, education, and support for SRH and cultural competency training are essential to improving the preventive SRH care of refugee women and women seeking asylum.