Open Access

The wide accessibility of the Internet and web-based programs enable an increased volume of online interventions for mental health treatment. In contrast to traditional face-to-face therapy, online treatment has the potential to overcome some of the barriers such as improved geographical accessibility, individual time planning, and reduced costs. The availability of clients’ treatment data fuels research to analyze the collected data to obtain a better understanding of the relationship among symptoms in mental disorders and derive outcome and symptom predictions. This research leads to predictive models that can be integrated into the online treatment process to assist clinicians and clients. This dissertation discusses different aspects of the development of predictive modeling in online treatment: Categorization of predictive models, data analyses for predictive purposes, and model evaluation. Specifically, the categorization of predictive models and barriers against the uptake of mental health treatment are discussed in the first part of this dissertation. Data analysis and predictive modeling are emphasized in the second part by presenting methods for inference and prediction of mood as well as the prediction of treatment outcome and costs. Prediction of future and current mood can be beneficial in many aspects. Inference of users’ mood levels based on unobtrusive measures or diary data can provide crucial information for intervention scheduling. Prediction of future mood can be used to assess clients’ response to the treatment and expected treatment outcome. Prediction of the expected treatment costs and outcomes for different treatment types allows simultaneous optimization of these objectives and to increase the cost-effectiveness of the treatment. In the third part, a systematic predictive model evaluation incorporating simulation analyses is demonstrated and a method for model parameter estimation for computationally limited devices is presented. This dissertation aims to overcome the current challenges of predictive model development and its use in online treatment. The development of predictive models for varies data collected in online treatment is demonstrated and how these models can be applied in practice. The derived results contribute to computer science and mental health research with client individual data analysis, the development ofpredictive models, and their statistical evaluation.

Die vorliegende Arbeit untersucht das Reiseverhalten verschiedener Generationen in Deutschland (68er, Babyboomer, Generation X und Generation Y) anhand der Kohortenanalyse. Mit Hilfe des Intrinsic Estimators und der Rohdaten der Reiseanalyse für die Jahre 1971 bis 2012 wurden Kohorten-, Alters- und Periodeneffekte für die verschiedenen Merkmale des Reiseverhaltens geschätzt. Deutliche Unterschiede zwischen den Generationen, die unabhängig von Alter und Jahr bestand haben sollten, wurden in Bezug auf die Wahl des Verkehrsträgers, der Unterkunft, der Reiseart und der Destination identifiziert. Bei anderen Merkmalen gab es hingegen weniger oder nur geringe Generationenunterschiede. Die Ergebnisse ermöglichen einen genaueren Blick in die Zukunft des Reisens und geben wichtige Hinweise für die tourismuswirtschaftliche Praxis.

Due to increased life expectancy, a growing number of retirees are spending more and more time in retirement. Life satisfaction in later life therefore becomes an increasingly important societal issue. Good work ability and health are prerequisites for a self-determined transition to retirement, for example allowing for a continuation of gainful employment beyond retirement age. Such continued employment is one way of dealing with the consequences of a historically unique long retirement phase: a self-determined continued employment can have a positive effect on individual well-being, on societal level relieve the burden on the pension insurance system, and on meso-level provide companies with urgently needed human capital. The self-determination of life circumstances is postulated by Self-Determination Theory (SDT) as a basic psychological need with effects on individual well-being. This dissertation investigates work ability as a concept that supports workers, employers, and societies in the extension of working lives, and how work ability is related to the level of self-determination in the transition to retirement, and ultimately life satisfaction. In the first study of this dissertation, the Work Ability Survey-R (WAS-R) was translated from English into German and then evaluated regarding its psychometric properties and construct validity. The WAS-R operationalizes work ability as the interplay of personal and organizational resources and thus allows companies to derive targeted interventions to maintain work ability. In the second study, the WAS-R was examined together with the questionnaire Work-Related Behavior and Experience Pattern (Arbeitsbezogenes Verhaltens- und Erlebensmuster, AVEM) regarding its construct validity. A striking feature of this study was the high number of participants with the answering pattern indicating low work-related ambitions and protection. Persons with this pattern are in danger of entering the risk pattern for burnout in the future. The findings support the validity of the WAS-R. In the third contribution, two studies examined the experience of control (i.e., autonomy) in the transition to retirement as a mediator between previous work ability, health, and financial well-being, and later life satisfaction in retirement. Control was found to partially mediate the relationship between work ability and later life satisfaction. Different mechanisms on later life satisfaction of work ability and health, and the subjective and objective financial situation were found. This dissertation contributes to research on and practice with aging workers in two ways: (1) The German translation of the WAS-R is presented as a useful instrument for measuring work ability, assessing individual and organizational aspects and therefore enabling employers to make targeted interventions to maintain and improve work ability, and eventually enable control during later work life, the retirement transition and even old age. (2) This dissertation corroborates the importance of good work ability and health, even in old age, as well as control in these phases of life. Work ability is indirectly related to life satisfaction in the long period of retirement, mediated by a sense of control in the transition to retirement. This emphasizes the importance of the need for control as postulated by the SDT also in the transition to retirement.

My dissertation embraces four empirical papers addressing socio-economic issues relevant to policy-makers and society as a whole. These papers cover important aspects of human life including health at birth, life satisfaction, unemployment periods and retirement decisions, and are intended to provide a contribution to the respective research areas. The analyses are carried out applying advanced econometric methods and are based on data sets consisting of survey data as well as administrative records. The joint paper with Alessandro Palma and Daniela Vuri "Prenatal Air Pollution Exposure and Neonatal Health" in Chapter 2 investigates the causal impact of prenatal exposure to air pollution on neonatal health in Italy in the 2000s combining detailed information on mother’s residential location from birth certificates with PM10 concentrations from air pollution monitors. Variation in local weekly rainfall is exploited as an instrumental variable for non-random air pollution exposure. Using quasi-experimental variation in rainfall shocks allows to identify the effect of PM10, ruling out potential bias due to confounder pollutants. The paper estimates the effect of exposure for both the entire pregnancy period and separately for each trimester to test whether the neonatal health effects are driven by pollution exposure during a particular gestation period. This information enhances our understanding of the mechanisms at work and help prevent pregnant mothers from most dangerous exposure periods. Additionally, the effects of prenatal exposure to PM10 are estimated by maternal labor market status and maternal education level to understand how the pollution burden is shared across different population groups. This decomposition allows to identify possible mechanisms through which environmental inequality reinforces the negative impact of early-life exposure to air pollution. This study finds that average PM10 and days with PM10 level above the hazard limit reduce birth weight, gestational age, and measures of overall newborn health. Effects are largest for third trimester exposure and for low-income and less educated mothers. These findings imply that further policy efforts are needed to fully protect fetuses from the adverse effects of air pollution and to mitigate the environmental inequality of health at birth. The joint paper with Christian Pfeifer "Life Satisfaction in Germany After Reunification: Additional Insights on the Pattern of Convergence" in Chapter 3 updates previous findings on the total East-West gap in overall life satisfaction and its trend by using data from the German Socio-Economic Panel for the years 1992 to 2013. Additionally, the effects are separately analyzed for men and women as well as for four birth cohorts. The results indicate that reported life satisfaction is, on average, significantly lower in East than in West German federal states and that part of the raw East-West gap is due to differences in household income and unemployment status. The conditional East-West gap decreased in the first years after the German reunification and remained quite stable and sizable since the mid-nineties. The results further indicate that gender differences are small. Finally, the East-West gap is significantly smaller and shows a trend towards convergence for younger birth cohorts. The joint paper with Christian Pfeifer "Unemployment Benefits Duration and Labor Market Outcomes: Evidence from a Natural Experiment in Germany" in Chapter 4 explores the effects 2 of a major reform of unemployment benefits in Germany on the labor market outcomes of individuals with some health impairment. The reform induced a substantial reduction in the potential duration of regular unemployment benefits for older workers. This work analyzes the reform in a wider framework of institutional interactions, which allows to distinguish between its intended and unintended effects. The results based on routine data collected by the German Statutory Pension Insurance and a Difference-in-Differences design provide causal evidence for a significant decrease in the number of days in unemployment benefits and increase in the number of days in employment. However, they also suggest a significant increase in the number of days in unemployment assistance, granted upon exhaustion of unemployment benefits. Transitions to unemployment assistance represent an unintended effect, limiting the success of a policy change that aims to increase labor supply via reductions in the generosity of the unemployment insurance system. The single-authored paper "How Older Workers Respond to Raised Early Retirement Age: Evidence from a Kink Design in Germany" in Chapter 5 explores how an increase in the early retirement age affects labor force participation of older workers. The analysis is based on a social security reform in Germany, which raised the early retirement age over several birth cohorts to boost employment of older people and ultimately alleviate the burden on the public pension system. Detailed administrative data from the Federal Employment Agency allow to distinguish between employment and unemployment as well as disability pensions and retirement benefits claims. Using a Regression Kink design in a quasi-experimental framework, I show that the raised early retirement age had positive employment effects and negative effects on retirement benefits claims. The reform did not affect unemployment benefits or disability pensions claims. My results also show that some population groups are more sensitive to a reduction in retirement options and more likely to seek benefits from other government programs. In this respect, I find that workers in manufacturing sector respond to the raised early retirement age by claiming benefits from the disability insurance program designed to compensate for reduced earnings capacity due to severe health problems. The treatment heterogeneity analysis further suggests that high-wage workers are more likely to delay exits from employment, which is in line with incentives but might also indicate an increased inequality within the affected birth cohorts induced by the reform. Finally, women seem to rely on alternative sources of income such as retirement benefits for women, or spouse's or partner's income not observed in the data. All things considered, workers did not adjust to the increased early retirement age by substituting early retirement with other government programs but rather responded to the reform in line with the policy intent. At the same time, the findings point to heterogeneous behavioral responses across different population groups. This implies that raising the early retirement age is an effective policy tool to increase employment only among older people who have the real choice to delay employment exits. Therefore, reforms that raise statutory ages should ensure social support for workers only marginally attached to the labor market or not able to work longer due to potential health problems or other circumstances.

In sub-Saharan Africa, women own or partly own one third of all businesses, thereby having a large potential to contribute to the economic development and societal well-being in this region. However, women-owned businesses tend to lag behind men-owned businesses in that they make lower profits, grow more slowly, and create fewer jobs. To identify reasons for this gap and effective means to promote women entrepreneurs, large parts of the entrepreneurship literature have compared male and female entrepreneurs with regard to individual characteristics, paying only limited attention to the underlying environmental conditions. This is problematic as women entrepreneurs operate under different conditions than men, with particularly pronounced differences in sub-Saharan Africa. Against this backdrop, the goal of this dissertation is to contribute to a more profound understanding of women entrepreneurship in sub-Saharan Africa and its promotion through training by examining critical context factors. Specifically, I analyze two context factors that influence women’s entrepreneurial performance and the success of training interventions: 1) women entrepreneurs’ husbands and 2) the entrepreneurship trainer. These analyses are embedded in considerations of the cultural, social, and economic conditions women entrepreneurs in sub-Saharan Africa are facing. In Chapter 2, I conduct a systematic literature review on spousal influence in entrepreneurship and identify six recurrent types of influence. Complementing the literature originating from Western settings, I develop propositions on how the sub-Saharan context affects husbands’ influence on women entrepreneurship in this region. In Chapter 3, I build on a cultural theory and an economic theory of the household to develop and empirically test a theoretical model of husbands’ constraining and supportive influences on women entrepreneurship in sub-Saharan Africa. The empirical results point to three distinct types of husbands that differ significantly in their impact on women entrepreneurs’ business success. In Chapter 4, I explore the influence of the trainer on the effectiveness of entrepreneurship training in sub-Saharan Africa by drawing on an unsuccessful training implementation. Qualitative analyses indicate that the use of adequate teaching methods is critical towards training success. Overall, this dissertation makes an important contribution towards a better understanding of women entrepreneurs in sub-Saharan Africa and their promotion by shifting the perspective from a purely individualist to a more contextualized view of women entrepreneurship.