Results from a Nationwide Evaluation Study of Labor Market-Integrative Health Promotion for the Unemployed: Impact of the JOBS Program Germany

Int J Environ Res Public Health. 2023 Sep 26;20(19):6835. doi: 10.3390/ijerph20196835.

Abstract

Compared to the employed, the unemployed suffer from poorer health, especially in terms of mental health. At the same time, health promotion rarely reaches unemployed people. The "JOBS Program" is an intervention to promote health and labor market integration and has shown positive effects in the USA and Finland. In this confirmatory study, we investigated whether the JOBS Program achieves similar effects in Germany. We applied a randomized controlled trial to compare an intervention group (IVG) with a waiting control group (WCG) before (T0; N = 94) and shortly after (T1; n = 65) the intervention. Concerning our primary outcomes, the JOBS Program Germany was beneficial: Compared to the WCG, the regression estimated that the IVG had (1) a 2.736 scale point higher level of life satisfaction (p = 0.049), (2) a 0.337 scale point higher level of general health (p = 0.025), and (3) a 14.524 scale point higher level of mental well-being (p = 0.004). Although not statistically significant, job search-specific self-efficacy also appeared to be positively associated with the intervention. This study provides evidence of the effectiveness of JOBS Program on the abovementioned outcomes, including for older and long-term unemployed people, supporting the benefits of regular implementation of this program for a wide range of unemployed people in Germany.

Keywords: Germany; JOBS program; health promotion; intervention; mental health; prevention; randomized controlled trial; unemployment.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Germany
  • Health Promotion* / methods
  • Humans
  • Mental Health
  • Self Efficacy
  • Unemployment* / psychology

Associated data

  • DRKS/DRKS00022388

Grants and funding

This research was funded by the German Federal Ministry of Education and Research (BMBF), grant number: BMBF/DLR FKZ: 01EL2001. The ministry had no role in the design of the research, data collection and analysis, decision to publish, or preparation of the manuscript.