Evidence map›Paper›PMID 26380293›Full record

ArticleBioMed research international2015

Effects of a Health Promotion Program Based on a Train-the-Trainer Approach on Quality of Life and Mental Health of Long-Term Unemployed Persons.

Heribert Limm, Mechthild Heinmüller, Harald Gündel, Katrin Liel, Karin Seeger, Ramazan Salman, Peter Angerer

Abstract read
In one paragraph

Article in BioMed research international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Heribert LimmDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany.
Mechthild HeinmüllerDepartment of Occupational, Social and Environmental Medicine, Ludwig-Maximilians-University, Ziemssenstraße 1, 80336 Munich, Germany.
Harald GündelDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital of Ulm, Albert-Einstein-Allee 23, 89081 Ulm, Germany.
Katrin LielDepartment of Occupational, Social and Environmental Medicine, Ludwig-Maximilians-University, Ziemssenstraße 1, 80336 Munich, Germany.
Karin SeegerDepartment of Occupational, Social and Environmental Medicine, Ludwig-Maximilians-University, Ziemssenstraße 1, 80336 Munich, Germany.
Ramazan SalmanEthno-Medical Center e.V. (EMZ), 30169 Hanover, Germany.
Peter AngererInstitute for Occupational Medicine and Social Medicine, Centre for Health and Society, Medical Faculty, Heinrich Heine University Düsseldorf, Universitätsstraße 1, 40225 Düsseldorf, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term unemployment is associated with poorer mental health. The aim of this study was to evaluate the effectiveness of a health promotion program using the train-the-trainer approach on health-related quality of life (HRQoL) and mental health of long-term unemployed persons.

methodsA prospective parallel-group study was conducted among 365 long-term unemployed persons. 287 participants (179 members of the intervention group IG and 108 members of the control group) were reassessed after three months. The intervention comprised both individual sessions based on Motivational Interviewing and participatory group sessions; no health promotion program was administered in the control group. The endpoints were HRQoL (SF-12), depression, and anxiety. The effect size of the change across time in the IG and CG was measured by Cohen's d. To assess the significance of group differences in the change across time, a random effects model was used.

resultsWithin three months HRQoL improved and anxiety and depression decreased significantly in the IG. A significant intervention effect was observed for anxiety (p = 0.012). Effect sizes in the IG were small to moderate in terms of Cohen's d (anxiety: d = -0.33; SF-12 mental: d = 0.31; depression: d = -0.25; SF-12 physical: d = 0.19).

conclusionsThe health promotion program, based on a train-the-trainer approach, showed positive effects on HRQoL and mental health, especially anxiety, of long-term unemployed persons, a highly burdened target group where an improvement in mental health is a crucial prerequisite to social participation and successful reintegration into the job market.

Indexed as

Health PromotionMental HealthUnemploymentAdultAnxietyDepressionFemaleHumansMaleMiddle AgedQuality of LifeYoung Adult

Identifiers

PMID26380293
PMCPMC4561875

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.