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Table 1 Summary of study characteristics and main findings of included studies targeted at participants who are unemployed

From: Systematic realist synthesis of health-related and lifestyle interventions designed to decrease overweight, obesity and unemployment in adults

Author

Country

Target group

Sample size (n)

Intervention

Duration (Wks.)

Programme theory

Outcome

Brenninkmeijer et al., 2011 [47]

The Netherlands

Low income/ Unemployed

118

Employment voucher/JOBS intervention

52

Not stated

26% participants reemployed

Britt et al., 2016 [48]

Canada

Unemployed/ underemployed (< 20 hrs/week)

1434

Motivational interview & job search activities

Not stated

Transtheoretical model of change

63.0% participants reemployed

Chung et al., 2019 [49]

Hong Kong

Construction trainees

36

Nutrition education

3

Transtheoretical model (TTM), stages of change

↑daily fruit consumption (P < 0.05)

↑daily vegetable consumption (P < 0.05),

↑healthy eating knowledge (P < 0.05).

No change in healthy eating behaviour

Creed et al., 2001 [50]

Australia

Unemployed

161

Occupational skills training

4-6

Deprivation Model/ Personal Agency theory

↑Improvement in job-search self-efficacy (P < 0.001) & self-esteem

Dambrun et al., 2014 [27]

France

Unemployed

21

Positive psychology

2

Positive psychology

↓depression (p < 0.002) & anxiety (P = 0.05),

↑self-esteem (p < 0.05)

No change in anxiety, self-efficacy, subjective fluctuating happiness

Eden et al., 1993 [51]

Israel

Unemployed

66

Self-efficacy training/behavioural modelling

2.5

Motivation theory/Bandura’s theory of self-efficacy

62.5% participants remployed

↑ self-efficacy & job search activity.

Gabrys et al., 2013 [20]

Germany

Unemployed

51

Physical activity counselling

12

5As approach (assess, advice, agree, assist, arrange)

↑ 9 minutes/day moderate-to- vigorous PA & 81 cpm total PA

González-Marín et al., 2019 [52]

Spain

Unemployed

696

Job search and professional training

52

Not stated

47.3% of women & 40.7% of the men reemployed.

No change in prevalence of poor perceived health.

↑improved mental health.

Harrell et al., 1996 [53]

USA

Trainees

1504

Wellness and fitness programme

9

Not stated

↓ 5.6% in body fat

Hodzic et al., 2015 [54]

Spain

Unemployed

73

Emotional competence training

0.4

Mayer and Salovey’s 4-branch model of emotional intelligence

21.2% participants reemployed

↑ perceived employability (P < 0.05) & entrepreneurial self-efficacy (P < 0.05).

No changes in job search or entrepreneurial intention.

Hulshof et al., 2020 [55]

The Netherlands

Unemployed

421

Job search training

6

Job-demand-resources theory, experiential learning theory

↑psychological capital & re-employment crafting.

Positive effect on job search behaviour, goal setting & wellbeing.

No effect on reemployment

Iseselo et al., 2019 [56]

Tanzania

Unemployed

36

Health only/ entrepreneurship & health/ beekeeping & health or all three combined

65

Not stated

Participants acquired ability to establish sustainable business, increase in entrepreneurial skills, improved healthy lifestyle

Joseph et al., 2001 [57]

USA

Unemployed

52

Self-generated imagery

2

Markus’s theory of possible selves

61.5% participants reemployed

↑self-esteem (P < 0.05) & perceived control (P < 0.05).

↓depression (P < 0.05),

Kreuzfeld et al., 2013 [23]

Germany

Unemployed

119

Health competence & physical activity training

12

Not stated

↓percent body fat (P < 0.017). ↓depression (P < 0.028)

No change in weight & BMI

↑physical activity

Limm et al., 2015 [58]

Germany

Unemployed

287

Motivational interviewing

12

Not stated

Improved perceived mental and physical health scores.

↓anxiety score (−1.03, P = 0.012), No change in depression score

Malmberg-Heimonen et al., 2005 [59]

Finland

Unemployed

672

Job-search training

12

Not stated

No change in re-employment

↓ depression in voluntary group. ↑Increased self-efficacy in voluntary group (P = 0.053)

Malmberg-Heimonen et al., 2019 [60]

Finland

Unemployed

1015

Job search training

Not stated

Not stated

No change in reemployment

Noordzij et al., 2013 [22]

The Netherlands

Unemployed

223

Learning-goal orientation training

2

Goal orientation theory/self-regulation

28% participants reemployed.

↑ job-search (P < 0.05)

Positive effect on affected cognitive self-regulatory variables.

No effect on self-efficacy

Proudfoot et al., 1997 [61]

UK

Unemployed

209

Cognitive-behavioural training

7

Not stated

34% participants reemployed (P = 0.0006)

↑ GHQ score (P < 0.001), self-esteem (P = 0.01), job-seeking/self-efficacy (P = 0.001), motivation for work (P = 0.05), life satisfaction (P = 0.05) & attributional style (P = 0.001)

Reynolds et al., 2010 [62]

Ireland

Unemployed

352

Job search & resilience training

0.2

Not stated

47.7% of participants reemployed(P < 0.001)

Robert et al., 2019 [63]

France

Unemployed

704

Preventive medicine consultation

Not stated

Not stated

No change in reemployment status, no effect on social security or perceived health

Shirom et al., 2008 [64]

Israel

Unemployed

442

Job-search & skill enhancement

1

Not stated

No effect on reemployment and self-efficacy

Stjernswärd et al., 2013 [65]

Sweden

Unemployed

7

Rehabilitation & labour market training

10

Acceptance commitment therapy

↑ self-esteem & occupational aspiration.

6/7 participants reemployed or in training

van Ryn et al., 1992 [66]

USA

Unemployed

308

Job-search skills or self-instructional material

2

Theory of planned behaviour; Theory of reasoned action

↑ job-search self-efficacy (P < 0.001)

Vastamäki et al., 2009 [67]

Finland

Unemployed

74

Labour market activities, personal guidance & unemployment support

24

Sense of coherence theory

14.9% participants reemployed

↑ mean SOC (p < 0.01),

Vinokur et al., 1995 [68]

USA

Unemployed

1801

Job search

1

Not stated

↑reemployment, self-esteem (p < 0.001), job-search self-efficacy (p < 0.001) & confidence in preparedness to handle setbacks (p < 0.001).

Vuori et al., 1999 [69]

Finland

Unemployed

745

Labour market

1-24

Not stated

23.1% participants reemployed

No change in psychological distress

Vuori et al., 2005 [70]

Finland

Unemployed

1227

Job search

1

Social learning techniques

70.4% participants reemployed in a subsidized job, or in vocational training (p < 0.05).

↑self-esteem &↓depressive symptoms.

  1. Abbreviations: BMI body mass index, PA physical activity, SOC sense of coherence, TTM Transtheoretical model