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Pathways to Employment for the Long-term Unemployed

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT04247932
Recruitment Status : Not yet recruiting
First Posted : January 30, 2020
Last Update Posted : July 24, 2020
Swedish research council for health, working life and welfare
Information provided by (Responsible Party):
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.

Condition or disease Intervention/treatment
Unemployment Behavioral: Active labor market intervention

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.

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Study Type : Observational
Estimated Enrollment : 200 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Pathways to the Labor Market for Long-term Unemployed: a Comparison of Labor Market Interventions Effects Mechanisms and Implementation
Estimated Study Start Date : September 1, 2020
Estimated Primary Completion Date : June 2021
Estimated Study Completion Date : December 2021

Group/Cohort Intervention/treatment
Individual participants receiving active labor market intervention from municipal providers
Behavioral: Active labor market intervention
Behavior change intervention

Individual participants receiving active labor market intervention from non-profit providers
Behavioral: Active labor market intervention
Behavior change intervention

Matched sample from register data, no intervention provided

Primary Outcome Measures :
  1. Change in employment and earnings [ Time Frame: baseline, 6 months post baseline ]
    Employment and earnings data collected from official register data

Secondary Outcome Measures :
  1. Change in general health [ Time Frame: baseline, 6 months post baseline ]
    Self report on the General Health Questionnaire (GHQ-12)

  2. Change in resilience [ Time Frame: baseline, 6 months post baseline ]
    Self report on the Resilience Scale (RS-14)

  3. Change in perceived employment obstacles [ Time Frame: baseline, 6 months post baseline ]
    Self-report on the Perceived Employment Barriers Scale (PEBS-20)

  4. Change in perceived employment hope [ Time Frame: baseline, 6 months post baseline ]
    Self-report on the Employment Hope Scale (EHS-14)

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
All individuals receiving intervention from participating service providers during the inclusion period that meet the inclusion criteria.

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT04247932

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Contact: Tina M Olsson, PhD +46 31 786 1011
Contact: Mikaela Starke, PhD +46 31 786 1887

Sponsors and Collaborators
Göteborg University
Swedish research council for health, working life and welfare
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Principal Investigator: Mikaela Starke, PhD Department of Social Work, Gothenburg University
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Responsible Party: Göteborg University Identifier: NCT04247932    
Other Study ID Numbers: 2018-01324
First Posted: January 30, 2020    Key Record Dates
Last Update Posted: July 24, 2020
Last Verified: July 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: De-identified participant data for primary and secondary outcome measures will be made available.
Supporting Materials: Study Protocol
Statistical Analysis Plan (SAP)
Informed Consent Form (ICF)
Clinical Study Report (CSR)
Time Frame: Data will be made available within 6 months of study completion
Access Criteria: Data access requests will be reviewed and must be accompanied by an ethical approval to use data.

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Göteborg University:
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