Determining Intervention Content and Strategies for a Community-Based Comprehensive Intervention for Preventing Musculoskeletal Disorders Among Korean-Chinese Migrant Workers

Tuesday, July 12, 2011: 3:45 PM

Duckhee Chae, MSN, RN1
Hyeonkyeong Lee, PhD, RN1
Sun Hye Moon, BSN, RN1
Kyongeun Lee, BSN, RN1
Hwa-Eun Jin, PhD2
(1)Dept. of Nursing Environments and Systems, Yonsei University College of Nursing, Seoul, South Korea
(2)Exercise Physiology Laboratory Department of Physical Education, Yonsei University, Seoul, South Korea

Learning Objective 1: The learner will be able to describe facilitators and barriers to stretching program and the need for an acculturation workshop among Korean-Chinese migrant workers.

Learning Objective 2: The learner will be able to discuss benefits from CBPR approach to plan and implement successful migrant community programs.

Purpose:

Community-based participatory research (CBPR) approach was used in developing a  community-based comprehensive intervention for preventing musculoskeletal disorders among Korean-Chinese migrant workers. At the beginning of the research process, the purpose of the study was to establish collaboration with community partners and to determine content and strategies for stretching exercise and cultural adaptation interventions.

 Methods:  

Three committee meetings were conducted with migrant community stakeholders, followed by one focus group with eight female Korean-Chinese migrant workers. The committee consisted of five stakeholders from church, free-clinic, and resource centers for Korean-Chinese migrant workers. Overall research process and intervention strategies were discussed with researchers during the committee meetings. The focus group participants discussed facilitators and barriers to stretching exercise as well as the need for cultural adaptation workshops,  followed by practicing stretching exercise and discussing difficulties in following the exercise. The semi-structured interview questions and stretching program were initially developed by researchers and refined through expert review and committee meetings. The focus group discussion was tape-recorded and transcribed, and a transcript-based content analysis was conducted. 

 Results:

As major facilitators to stretching, the participants named setting regular times for stretching, comparing health status before and after the completion of stretching program, writing exercise diaries, and awarding successful participants. The participants addressed fatigue and lack of leisure time as barriers to stretching. The topics to be included in the workshop were dancing, healthy food, musical instruments, communication skills, and singing. A six-minute stretching was appropriate for the participants with the exception of a hamstring-stretching exercise

Conclusion:

A CBPR approach engaged migrant community stakeholders as partners in developing community-based interventions for migrant workers. The focus group was useful for determining facilitators and barriers to a stretching program, identifying the need for cultural adaptation workshops, and testing the applicability of the stretching program to Korean-Chinese migrant workers.