Intervention Summary
Job-Loss Recovery Program
         The Job-Loss Recovery Program is an intervention that uses guided visualization to help individuals who have lost their jobs manage the emotional sequelae of job loss, maintain or restore positive views of self, maximize positive growth, and maintain perceptions of control over the behaviors necessary to get a new job. The primary goal is for participants to become reemployed by enhancing their emotional, cognitive, and behavioral coping skills and by avoiding learned helplessness.  Participants listen to two 20-minute scripted visualizations in which they mentally experience, express, and resolve thoughts and emotions surrounding the job loss; imagine a valued successful possible self; rehearse competent performance at a job interview while imagining attaining their desired job; and are guided in constructing psychological and spiritual growth opportunities, such as developing an "inner mentor." Before each session, participants engage in a relaxation segment in which they slow their breathing and turn their focus inward to decrease muscle tension and facilitate focused thinking.  The Job-Loss Recovery Program can be facilitated by career counselors, employee assistance program (EAP) professionals, outplacement coaches, human resource managers, and clinicians in group or individual meetings with participants. Potential implementation settings include workforce development centers, universities, and job search support groups. Facilitators meet with participants three times over 2–3 weeks to introduce and assign each of the visualization recordings, which participants can listen to during the meeting or at home. The meetings are also used to administer self-assessment questionnaires and discuss the results with participants.  An optional, 8-hour certification training, provided via a series of webinars over 5 weeks, is available for credentialed professionals. 
                            The documents below were reviewed for Quality of Research. The research point of
                            contact can provide information regarding the studies reviewed and the availability
                            of additional materials, including those from more recent studies that may have been conducted. Joseph, L. M., & Greenberg, M. A. The effects of a career transition program on reemployment success in laid-off professionals. Consulting Psychology Journal: Practice and Research, 53(3), 169–181. Joseph, L. M. The effects of guided mental imagery on subsequent reemployment success in recently laid-off white-collar workers (Unpublished doctoral dissertation). San Diego: California School of Professional Psychology. Pages 59–66, 69–71, and 85–87. 
                            The following populations were identified in the studies reviewed for Quality of
                            Research. 
                            External reviewers independently evaluate the Quality of Research for an intervention's
                            reported results using six criteria: 
                            For more information about these criteria and the meaning of the ratings, see Quality of Research.
                         Perceived control over job loss was assessed by a standardized measure with good internal consistency and evidence of concurrent and discriminant validity. The self-report measure used for employment status has face validity. The primary intervention component was delivered the same way for all participants, using prerecorded audio tapes. Intervention exposure was monitored by tracking session attendance, and participant engagement and confidence in the intervention were monitored by administering participant surveys ("manipulation checks") after the third and sixth sessions; no significant differences were found between study groups on these variables. There were no missing data among study completers. Attrition rates were similar for the intervention and comparison groups. The study used a randomized experimental design. Individuals who were unemployed for more than 6 months, looking for part-time or contract work, or currently participating in psychotherapy were excluded from the study, which helped to focus the study on job-seekers most likely to benefit from the intervention while controlling for some confounds. Data measuring perceived control over job loss were analyzed appropriately, and the use of repeated measures boosted the level of statistical power for the tests of change over time. The study lacked fidelity measures specific to the four conceptual areas of the model: emotional expression, ideal self, rehearsal of success, and spiritual reframing. Only the first area was examined in the manipulation checks. Attrition was high, and there were at least two differences between participants who dropped out and study completers (dropouts reported lower monthly income and less anger). There were several limitations or omissions in the study design that increase the risk of confounding factors impacting study outcomes. For example, limited information was provided on the sampling and recruitment approach, and it is possible that sampling or selection bias may have occurred. Although the analyses for the reemployment outcome were appropriate, they did not include any adjustments for covariates. 
                                The materials below were reviewed for Readiness for Dissemination. The implementation
                                point of contact can provide information regarding implementation of the intervention
                                and the availability of additional, updated, or new materials. Job-Loss Recovery Program flyer  Joseph, L. The Job-Loss Recovery Program: The ultimate visualization system for landing a great job now! [CD-ROM]. Riverside, CA: Discovery Dynamics, Inc. Joseph, L. The Job-Loss Recovery Program: The ultimate visualization system for landing a great job now: Program guide. Riverside, CA: Discovery Dynamics, Inc. Joseph, L. Evaluating the impact. Joseph, L. Introduction to the Job-Loss Recovery Program. Riverside, CA: Discovery Dynamics, Inc. Joseph, L. Introduction to the Job-Loss Recovery Program: Module 1 (mp3 track 1). Riverside, CA: Discovery Dynamics, Inc. Joseph, L. Introduction to the Job-Loss Recovery Program: Module 1 (mp3 track 2). Riverside, CA: Discovery Dynamics, Inc. Joseph, L. Level of confidence questionnaire. Joseph, L. Level of distress questionnaire.  Joseph, L. The Job-Loss Recovery Program: Schedule of client activities. Riverside, CA: Discovery Dynamics, Inc. Joseph, L. Instructions for getting the most from the Job-Loss Recovery Program. Joseph, L. Job-Loss Recovery Program: Certification course: Class #1 of 5 [PowerPoint slides]. Riverside, CA: Discovery Dynamics, Inc. Joseph, L. Job-Loss Recovery Program: Certification course: Class #2 of 5 [PowerPoint slides]. Riverside, CA: Discovery Dynamics, Inc. Joseph, L. Job-Loss Recovery Program: Certification course: Class #3 of 5 [PowerPoint slides]. Riverside, CA: Discovery Dynamics, Inc. Joseph, L. Job-Loss Recovery Program: Certification course: Class #4 of 5 [PowerPoint slides]. Riverside, CA: Discovery Dynamics, Inc. Joseph, L. Job-Loss Recovery Program: Certification course: Class #5 of 5 [PowerPoint slides]. Riverside, CA: Discovery Dynamics, Inc. 
                                    External reviewers independently evaluate the intervention's Readiness for Dissemination
                                    using three criteria: For more information about these criteria and the meaning of the ratings, see Readiness for Dissemination.
                                 The program handbook, audio files, and corresponding materials are straightforward and easy to use. A 5-week certification training course is available and includes opportunities for practice, application of learned principles, and instructor feedback. Technical assistance and consultation services are provided implementers as needed, and once certified, implementers can participate in a Web-based networking group. The Schedule of Client Activities provides a concise summary of required elements and sequence of activities, which supports fidelity. Self-assessment questionnaires are provided to monitor client progress. Certification training is optional, and information on available training is difficult to locate on the program Web site. It is unclear whether the client questionnaires are sufficient for ongoing outcome and fidelity monitoring purposes. 
                The cost information below was provided by the developer. Although this cost information
                may have been updated by the developer since the time of review, it may not reflect
                the current costs or availability of items (including newly developed or discontinued
                items). The implementation point of contact can provide current information and
                discuss implementation requirements. Descriptive Information
        
    
             
        
                Areas of Interest
             
            
                Mental health promotion
             
        
             
        
                Outcomes
             
            
                  
        
1: Perceived control after job loss
2: Reemployment status
            
             
        
                Outcome Categories
             
            
                Employment
             
        
             
        
                Ages
             
            
                26-55 (Adult) 
        
55+ (Older adult)
            
             
        
                Genders
             
            
                Male 
        
Female
            
             
        
                Races/Ethnicities
             
            
                White 
        
Race/ethnicity unspecified
            
             
        
                Settings
             
            
                Home 
        
Other community settings
            
             
        
                Geographic Locations
             
            
                Urban
             
        
             
        
                Implementation History
             
            
                The Job-Loss Recovery Program was first implemented in the United States. Career counselors, coaches, and clinicians nationwide and in Australia, Canada, and Italy have taken the certification training and are facilitating the program with individual participants and groups.
             
        
             
        
                NIH Funding/CER Studies
             
            
                Partially/fully funded by National Institutes of Health: No 
        
Evaluated in comparative effectiveness research studies: Yes
            
             
        
                Adaptations
             
            
                No population- or culture-specific adaptations of the intervention were identified by the developer.
             
        
             
        
                Adverse Effects
             
            
                No adverse effects, concerns, or unintended consequences were identified by the developer.
             
        
             
    
                IOM Prevention Categories
             
            
                Indicated
             
        
    
    
     
    
     
    
              
        
                 
              
                  
                   
                      Documents Reviewed
                        Study 1
Supplementary Materials 
Outcomes
                       
                                    
                                
                                         
                                    Outcome 1: Perceived control after job loss 
                                    
                                         
                                    
                                            Description of Measures
                                         
                                        
                                            Perceived control over job loss was measured by the Control subscale of the Dimensions of Stress Scale (DSS–Control). This subscale includes the following four items assessing perceptions of control over a stressful event (job loss in this study) and the belief that one can do something about a stressful event or experience: 
                                    
Participants rate each statement on a 5-point scale from 0 ("strongly disagree") to 4 ("strongly agree"). Scores are obtained by summing responses on the four items after reversing the key for appropriate items.
                                        
                                         
                                    
                                            Key Findings
                                         
                                        
                                            Participants were randomly assigned to the intervention or a placebo imagery comparison group. Participants in the comparison group were given written instructions to sit silently while visualizing themselves executing recent job search plans and activities (for the first half of each session) and visualizing future job search plans and activities (for the second half of each session). 
                                    
Relative to comparison group participants, intervention group participants had a significantly greater increase in their perceptions of control over job loss, both from pretest to posttest (p < .05) and from pretest to 2-month follow-up (p < .05). There were no significant changes over time in the comparison group.
                                        
                                         
                                    
                                            Studies Measuring Outcome
                                         
                                        
                                            Study 1
                                         
                                    
                                         
                                    
                                            Study Designs
                                         
                                        
                                            Experimental
                                         
                                    
                                         
                                
                                            Quality of Research Rating
                                         
                                        
                                            2.4
                                            (0.0-4.0 scale)
                                         
                                    
                                    
                        
                                         
                                    Outcome 2: Reemployment status 
                                    
                                         
                                    
                                            Description of Measures
                                         
                                        
                                            Reemployment status was measured through participant self-report of job status. Participants working in full-time, permanent positions were classified as reemployed.
                                         
                                    
                                         
                                    
                                            Key Findings
                                         
                                        
                                            Participants were randomly assigned to the intervention or a placebo imagery comparison group. Participants in the comparison group were given written instructions to sit silently while visualizing themselves executing recent job search plans and activities (for the first half of each session) and visualizing future job search plans and activities (for the second half of each session). 
                                    
At 2-month follow-up, the reemployment rate was more than 5 times higher in the intervention group than in the comparison group (61.5% vs. 11.5%; p < .001). Similar results were also found at 4-month follow-up (p = .02).
                                        
                                         
                                    
                                            Studies Measuring Outcome
                                         
                                        
                                            Study 1
                                         
                                    
                                         
                                    
                                            Study Designs
                                         
                                        
                                            Experimental
                                         
                                    
                                         
                                
                                            Quality of Research Rating
                                         
                                        
                                            2.0
                                            (0.0-4.0 scale)
                                         
                                    Study Populations
                        
                                
                        
                                     
                                        
                                        Study
                                     
                                    
                                        Age
                                     
                                    
                                        Gender
                                     
                                    
                                        Race/Ethnicity
                                     
                                
                                             
                            
                                                
                                                    Study 1
                                                
                                             
                                            
                                                26-55 (Adult) 
                                            
55+ (Older adult)
                                            
                                                59.6% Male 
                                            
40.4% Female
                                            
                                                83% White 
                                        
17% Race/ethnicity unspecified
                                            
                            Quality of Research Ratings by Criteria (0.0-4.0 scale)
                        
                                    
                            
                            
                        
                                 
                                    
                                    Outcome
                                 
                                
                                    Reliability 
                                
                                    of Measures
                                
                                    Validity 
                                
                                    of Measures
                                
                                    Fidelity
                                 
                                
                                    Missing 
                                
                                    Data/Attrition
                                
                                    Confounding 
                                
                                    Variables
                                
                                    Data 
                                
                                    Analysis
                                
                                    Overall 
                            
                                    Rating
                                
                                         
                                    
                                            1: Perceived control after job loss
                                         
                                        
                                            3.3
                                         
                                        
                                            2.8
                                         
                                        
                                            2.3
                                         
                                        
                                            2.0
                                         
                                        
                                            2.0
                                         
                                        
                                            2.3
                                         
                                        
                                            
                                                2.4
                                         
                                    
                                         
                        
                                            2: Reemployment status
                                         
                                        
                                            2.0
                                         
                                        
                                            1.8
                                         
                                        
                                            2.3
                                         
                                        
                                            2.0
                                         
                                        
                                            2.0
                                         
                                        
                                            2.3
                                         
                                        
                                            
                                                2.0
                                         
                                    Study Strengths 
Study Weaknesses 
     
                     
        
                 
            
                    
                                Materials Reviewed
                            
                                    Readiness for Dissemination Ratings by Criteria (0.0-4.0 scale)
                                
                                    
                                    
                                    
                            
                                         
                                            
                                            Implementation
                                             
                                        
                                            Materials
                                        
                                            Training and Support
                                             
                                        
                                            Resources
                                        
                                            Quality Assurance
                                             
                                        
                                            Procedures
                                        
                                            Overall
                                             
                                    
                                            Rating
                                        
                                                 
                                
                                                    4.0
                                                 
                                                
                                                    3.5
                                                 
                                                
                                                    3.5
                                                 
                                                
                                                
                                                    3.7
                                                 
                                            Dissemination Strengths 
 Dissemination Weaknesses 
 
     
                
           
                     
                        
                        Item Description
                     
                    
                        Cost
                     
                    
                        Required by Developer
                     
                
                             
                        
                                Job-Loss Recovery Program
                             
                            
                                $12.98 for mp3 files, $17.98 for CD-ROM
                             
                            
                                Yes
                             
                        
                             
                        
                                Master set of handouts (includes process checklist, self-assessment questionnaires, Schedule of Client Activities, Instructions For Getting the Most Out of the Job-Loss Recovery Program, and Introduction to the Job-Loss Recovery Program: Modules 1 and 2)
                             
                            
                                Free
                             
                            
                                Yes
                             
                        
                             
                        
                                Job-Loss Recovery Program Guide
                             
                            
                                $9.95 per e-book, $14.95 per hard-copy book
                             
                            
                                Yes
                             
                        
                             
                        
                                Certification training via webinar: 8 hours over 5 weeks, including practice client coaching
                             
                            
                                $479 per participant, with an $80 discount for participants from military, nonprofit, or educational organizations
                             
                            
                                No
                             
                        
                             
                        
                                1-day, on-site consultation and training
                             
                            
                                $975, plus travel costs
                             
                            
                                No
                             
                        
                             
            
                                Phone and email support
                             
                            
                                Free
                             
                            
                                No