MedPath

Pathways to Employment for the Long-term Unemployed

Conditions
Unemployment
Interventions
Behavioral: Active labor market intervention
Registration Number
NCT04247932
Lead Sponsor
Göteborg University
Brief Summary

This project's aims are twofold (1) to uncover and define the underlying theories of change guiding competing active labor market programs (ALMP) in Sweden, and (2) to assess the relative effectiveness of these competing programs in a theory-based non-randomized controlled trial. The purpose is to assess the extent to which competing ALMPs are effective in moving long-term unemployed individuals (i.e. unemployed for 6 months or more) closer to the labor-market.

Detailed Description

Long-term unemployment has a profound impact on the health and wellbeing of individuals, families, and communities. In addition, the effects of long-term unemployment have been found to impact subgroups differently. Today there is scant knowledge on the mechanisms that are influential in moving individuals from long-term unemployment closer to the labor market. This study is designed to answer six research questions using a variety of methods (mixed-methods) and outcome measures (self-report, official register). In addition, this study leverages official register data to construct an untreated control group. This study will assess the extent to which an emerging theory of becoming job ready holds under experimental scrutiny.

This project will engage ALMP program administrators and service providers in semi-structured interviews. A total of 6 competing ALMPs will be included in the study. The transcribed interview material will be used as a basis for program theory reconstruction. All specified program theories will be presented back to program stakeholders for validation. ALMP program effectiveness will be assessed quasi-experimentally with pre- (T1) and posttest (T2) collection of self-reported data. Additionally, official register data from the Longitudinal integrated database for health insurance and labor market studies (LISA) will be collected for all participants. In addition, a matched sample will be collected from LISA to be used as a non-treated control group on final policy outcomes (e.g., employment, salary/wage). This study also assesses program implementation and economic outcomes of competing the competing ALMPs.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Unemployed for a period of at least 6 months, and
  • 25 years old or younger, or
  • born outside of Sweden, or
  • 55 years old or older without higher education, or
  • has a disability (physical, intellectual, neuropsychiatric, or mental) and
  • receives social insurance benefits, or
  • receives social welfare benefits
Exclusion Criteria
  • referred for services primarily by the Department of Justice

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
MunicipalActive labor market interventionIndividual participants receiving active labor market intervention from municipal providers
Non-profitActive labor market interventionIndividual participants receiving active labor market intervention from non-profit providers
Primary Outcome Measures
NameTimeMethod
Change in employment and earningsbaseline, 6 months post baseline

Employment and earnings data collected from official register data

Secondary Outcome Measures
NameTimeMethod
Change in general healthbaseline, 6 months post baseline

Self report on the General Health Questionnaire (GHQ-12)

Change in perceived employment obstaclesbaseline, 6 months post baseline

Self-report on the Perceived Employment Barriers Scale (PEBS-20)

Change in perceived employment hopebaseline, 6 months post baseline

Self-report on the Employment Hope Scale (EHS-14)

Change in resiliencebaseline, 6 months post baseline

Self report on the Resilience Scale (RS-14)

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