Evidence map›Paper›PMID 39543550›Full record

ArticleBMC public health2024

Effectiveness of a three-component intervention supporting unemployed individuals with mental health issues in their job search and mental health recovery (3for1): study protocol of a non-randomized controlled study.

Svenja Schlachter, Sophia Helen Adam, Maximilian Baxendale, Melanie Gantner, Maria Gralla, Florian Junne, Peter Martus, Miriam Mehler, Daniel Nischk, Marina Pumptow and 4 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

14 authors.

Svenja SchlachterDepartment of Psychiatry and Psychotherapy II, Section Public Mental Health, Ulm University and BKH Günzburg, Parkstraße 11, Ulm, 89073, Germany. svenja.schlachter@uni-ulm.de.ORCID 0000-0002-6289-6098
Sophia Helen AdamDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Osianderstraße 5, Tübingen, 72076, Germany.
Maximilian BaxendaleDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.
Melanie GantnerDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.
Maria GrallaDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.
Florian JunneDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Osianderstraße 5, Tübingen, 72076, Germany.
Peter MartusInstitute for Clinical Epidemiology and Applied Biometry, University Hospital Tübingen and Medical Faculty, University of Tübingen, Silcherstr. 5, Tübingen, 72076, Germany.
Miriam MehlerDepartment of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.
Daniel NischkDepartment of Social Psychiatry, Reichenau Centre of Psychiatry, Feursteinstraße 55, Reichenau, 78479, Germany.
Marina PumptowInstitute for Clinical Epidemiology and Applied Biometry, University Hospital Tübingen and Medical Faculty, University of Tübingen, Silcherstr. 5, Tübingen, 72076, Germany.
Rebecca Erschens *Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Osianderstraße 5, Tübingen, 72076, Germany.
Harald Gündel *Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.
Nicolas Rüsch *Department of Psychiatry and Psychotherapy II, Section Public Mental Health, Ulm University and BKH Günzburg, Parkstraße 11, Ulm, 89073, Germany.
Jörn von Wietersheim *Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, Albert-Einstein-Allee 23, Ulm, 89081, Germany.

Funding

Bundesministerium für Arbeit und Soziales 662Z0021X1
6 · The paper itself

Abstract

backgroundThere is a vicious cycle between unemployment and mental health issues. Unemployed individuals with mental health issues require individualized support at multiple levels in order to promote their mental health, and obtain and retain employment. The 3for1-intervention program aims to provide such support with three components (short-term psychotherapy, job coaching based on the Individual Placement and Support approach, and peer support). This study protocol outlines how the effectiveness of this three-component intervention program in terms of re-employment, mental health, and psychosocial outcomes will be evaluated.

methodsThe 3for1-intervention program will be evaluated with a non-randomized controlled trial design in a multi-center study. 500 eligible participants aged between 18 and 60 years from six job centers in Southern Germany will be allocated to a control group or an intervention group. Allocation is time-based, with the control group being recruited first, followed by recruitment of the intervention group. The control group will receive treatment as usual, whereas the intervention group will receive treatment as usual as well as access to the three intervention components over a period of 12 months. Assessment will be conducted at baseline (t0), and 12 (t1) and 18 (t3) months later. The primary outcome will be the proportion of participants who are in employment subject to social insurance contributions at t1. Differences between control and intervention group will be tested with logistic regression analysis, controlling for relevant covariates. Analyses of secondary outcomes will relate to group differences regarding re-employment, health and well-being, social integration, help-seeking, and self-stigma at t1 and t2, applying logistic regression analysis or analysis of covariance. Additionally, usage of health services will be measured to evaluate the intervention program's cost effectiveness. DISCUSSION: The 3for1-intervention aims to improve employability and mental health outcomes of a vulnerable population with high need for assistance. Improvements for this population would benefit the German welfare state as well. This study could provide valuable insights into the feasibility, implementation, and sustainability of this individualized, multi-level support program within German job centers.

trial registrationThis trial is registered with the German Clinical Trials Register: DRKS00029002 (registered on 11 May 2022).

Indexed as

Mental DisordersUnemploymentAdolescentAdultFemaleGermanyHumansJob ApplicationMaleMental Health RecoveryMiddle AgedMulticenter Studies as TopicNon-Randomized Controlled Trials as TopicProgram EvaluationPsychotherapyYoung AdultIndividualized Placement and SupportInterventionLabor market integrationMental healthPeer navigatorPeer supportPsychological distressSupported employmentUnemploymentVocational rehabilitation

Identifiers

PMID39543550
PMCPMC11562621

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Registered trials

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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.