Trial document



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  DRKS00022388

Trial Description

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Title

JOBS Program Germany for Health Promotion Among the Unemployed in the Community Setting With Institutions for Employment Promotion

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Trial Acronym

JobsProgramDtl

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URL of the Trial

https://www.gesundheitsforschung-bmbf.de/de/jobs-programm-deutschland-zur-gesundheitsforderung-bei-arbeitslosen-in-der-kommunalen-11088.php

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Brief Summary in Lay Language

Compared to the employed, the unemployed are in worse health conditions, particularly with regards to mental health. At the same time, the unemployed are not well reached by health promotion interventions.

The prevention program "Linking of Employment Promotion and Health Promotion in the Community Setting" by the National Association of Statutory Health Insurance Funds (GKV-Spitzenverband), the health insurance companies, the Federal Employment Agency, Jobcenters, the Association of German Counties, and the Association of German Cities aims at systematically improving the health conditions among the unemployed. For this purpose, the Federal Centre for Health Education (BZgA) coordinates the implementation of the "JOBS program" in Germany.

The "JOBS Program" has improved reintegration into the labor market and health conditions among the unemployed in the USA and Finland. The study assesses whether the "JOBS Program" produces similar positive effects for the unemployed in Germany.

For this purpose, approximately 1,400 unemployed are invited to participate in JOBS trainings. The participating unemployed are randomly assigned to one of two groups that complete JOBS trainings at an interval of six months. Trainings are accompanied by trainer teams and are completed in small groups of 8-15 unemployed for a period of one week in units of five hours a day. Within six months, participants are interviewed by telephone three times in total. Questions include the current employment status and subjective well-being. It is expected that JOBS trainings increase reintegration into the labor market and health conditions.

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Brief Summary in Scientific Language

Unemployment poses a problem for society as well as a big challenge for health promotion and prevention. Meta-analyzes have shown that compared to the employed, the unemployed are in worse health conditions, particularly with regards to mental health. At the same time, the unemployed are not well reached by health promotion interventions.

The prevention program "Linking of Employment Promotion and Health Promotion in the Community Setting" by the National Association of Statutory Health Insurance Funds (GKV-Spitzenverband), the health insurance companies, the Federal Employment Agency, Jobcenters, the Association of German Counties, and the Association of German Cities aims at systematically improving the health conditions among the unemployed. The Federal Centre for Health Education (BZgA) coordinates joint activities in 129 locations. Within this context, the "JOBS program" that was developed by the Michigan Prevention Research Center (MPRC) in the USA is implemented in Germany. The "JOBS program" integrates elements of social learning theories and perceived self-efficiency. The training of the trainers follows the protocol of the Finnish Institute for Occupational Health.

Randomized field studies in the USA and Finland found significant positive effects on reintegration into the labor market and health conditions amongst the unemployed in the treatment group. However, from an international comparative perspective, it should be noted that employment promotion and health promotion among the unemployed are closely linked to the country-specific labor market structure and the health and social security systems, respectively. Therefore, the confirmative study assesses whether the "JOBS Program" produces similar positive effects for the unemployed in Germany.

The study implements a two-armed randomized control trial. Following an information event, a total of approximately 1,400 unemployed who are willing to participate are randomly assigned to an intervention or a waiting control group. Accompanied by trainer teams, the intervention group completes JOBS training in small groups of 15-20 unemployed for a period of one week in units of five hours a day. The "JOBS program" combines job application training with elements of social learning theory and self-efficiency. Participants are interviewed before and after the JOBS training in computer-assisted telephone interviews (CATI). A final CATI takes place six months after completing the JOBS training.

The primary outcomes of the study are reintegration into the labor market, subjective state of health, depressive symptoms, psychological distress, and life satisfaction. Of secondary interest are moderating variables, such as socio-demographic characteristics, the duration of unemployment, and the job-search intensity.

Compared to the waiting control group, the intervention group is expected to be more often and better reintegrated into the labor market. Moreover, the intervention group is also expected to assess their health status more favorably, to have lower levels of depressive symptoms and psychological distress, and to report a higher level of life satisfaction.

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Do you plan to share individual participant data with other researchers?

No

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Description IPD sharing plan:

[---]*

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Organizational Data

  •   DRKS00022388
  •   2020/07/20
  •   [---]*
  •   yes
  •   Approved
  •   keine Vorlage-Nr. vergeben, Ethikkommission des Fachbereichs Humanwissenschaften der Universität Kassel
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Secondary IDs

  • [---]*
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Health Condition or Problem studied

  •   Mental health
  •   Depressive symptoms
  •   Anxiety
  •   Psychological distress
  •   F99 -  Mental disorder, not otherwise specified
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Interventions/Observational Groups

  •   JOBS-Training according to JOBS-Manual (1. job-search skill training, 2. active teaching/learning methods, 3. inoculation against setbacks, 4. trainer referent power, 5. social support), 5 days, 5 hours per day, n=700; The sessions are conceptualized as workshops, let by a pair of co-trainers who facilitate the group activities. In group discussions, participants diagnose problems, identify potential setbacks and difficulties, offering solutions and developing the necessary skills for implementing those solutions. The intervention is based on an adaption of the original JOBS-manual by the Michigan Prevention Research Center (http://www.isr.umich.edu/src/seh/mprc/PDFs/Jobs%20Manual.pdf)
  •   Waiting control group; no intervention for 6 months; thereafter JOBS trainings as in arm 1
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Characteristics

  •   Interventional
  •   [---]*
  •   Randomized controlled trial
  •   Open (masking not used)
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  •   Control group receives no treatment
  •   Prevention
  •   Parallel
  •   III
  •   N/A
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Primary Outcome

Reintegration into the labor market, subjective state of health (self-evaluation), depressive symptoms (WHO-5, PHQ-9), psychological distress (DASS), and life satisfaction (SWLS) are collected via telephone-interviews (CATI) at three occasions (pre-test, post-test, 6-months-follow-up)

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Secondary Outcome

Job satisfaction, job-search intensity and duration of unemployment are collected via telephone-interviews (CATI) at three occasions (pre-test, post-test, 6-months-follow-up)

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • other 
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Recruitment

  •   Planned
  •   2021/04/01
  •   1400
  •   Multicenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   64   Years
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Additional Inclusion Criteria

Unemployed according to Code of Social Law III

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Exclusion Criteria

Insufficient command of German language for CATI, Pupils/Students

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Addresses

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    • Universität Kassel Fachbereich 01, Humanwissenschaften Institut für Sozialwesen, Professur für Theorie und Empirie des Gesundheitswesens
    • Mr.  Prof. Dr.  Alfons  Hollederer 
    • Mönchebergstraße 19
    • 34125  Kassel
    • Germany
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    • Bundeszentrale für gesundheitliche Aufklärung (BZgA)
    • Maarweg 149-161
    • 50825  Köln
    • Germany
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    • Finnish Institute of Occupational Health (FIOH)
    • P.O. Box 18, FI-00032 TYÖTERVEYSLAITOS
    • Helsinki
    • Finland
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    • Universität Kassel, Professur für Methoden empirischer Sozialforschung
    • Mönchebergstraße 19
    • 34125  Kassel
    • Germany
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    •   [---]*
    •   [---]*
    •   [---]*
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    • GKV-Spitzenverband
    • Reinhardstraße 28
    • 10117  Berlin
    • Germany
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    • Universität Kassel Fachbereich 01, Humanwissenschaften Institut für Sozialwesen, Professur für Theorie und Empirie des Gesundheitswesens
    • Mr.  Prof. Dr.  Alfons  Hollederer 
    • Mönchebergstraße 19
    • 34125  Kassel
    • Germany
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    • Universität Kassel Fachbereich 01, HumanwissenschaftenInstitut für Sozialwesen, Professur Theorie und Empirie des Gesundheitswesens
    • Mr.  Daniel  Klein 
    • Mönchebergstraße 19
    • 34125  Kassel
    • Germany
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Sources of Monetary or Material Support

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    • Bundesministerium für Bildung und Forschung
    • Kapelle-Ufer 1
    • 10117  Berlin
    • Germany
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Status

  •   Recruiting planned
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Trial Publications, Results and other Documents

  •   Votum der Ethikkommission liegt vor.
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* This entry means the parameter is not applicable or has not been set.