TY - JOUR
T1 - Development of a multimedia intervention to improve pneumoconiosis prevention in construction workers using RE-AIM framework
AU - Chen, Jieling
AU - Wong, Cho Lee
AU - Law, Bernard Man Hin
AU - So, Winnie Kwok Wei
AU - Leung, Doris Yin Ping
AU - Chan, Carmen Wing Han
N1 - Publisher Copyright:
© The Author(s) 2020. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.
PY - 2021/10/1
Y1 - 2021/10/1
N2 - Pneumoconiosis is a common occupational lung disease among construction workers. Educational interventions targeting specific ethnic groups of construction workers are of benefit for pneumoconiosis prevention. The aim of this study was to develop a multimedia educational intervention for pneumoconiosis prevention for South Asian construction workers, and to evaluate its feasibility, acceptability and effectiveness in increasing knowledge of pneumoconiosis, modifying beliefs about pneumoconiosis, and enhancing intention to implement measures for its prevention among the workers. This evaluation was performed using the Reach-Effectiveness-Adoption-ImplementationMaintenance framework. A one-group design was adopted and intervention mapping was used to guide the process of intervention development, while the Health Belief Model guided the development of intervention content. The intervention was delivered at construction sites, ethnic minority associations and South Asian community centres. Data were collected via surveys completed at preintervention, post-intervention and 3 months after the intervention. A total of 1002 South Asian construction workers participated in the intervention. The participants reported a moderate-to-large increase in knowledge, perceived susceptibility, perceived severity, perceived benefits, cues to action and self-efficacy (Cohen's d: 0.37 0.89), a small reduction in perceived barriers (Cohen's d ¼ 0.12) and a moderate improvement in attitudes and intention to practice (Cohen's d: 0.45, 0.51) at postintervention. A follow-up survey of 121 participants found that the implementation of preventive measures appeared to increase. Overall, the findings demonstrate that the implementation of a culturally adapted multimedia educational intervention could be an effective approach to improving knowledge, self-efficacy and intention regarding pneumoconiosis prevention among South Asian construction workers.
AB - Pneumoconiosis is a common occupational lung disease among construction workers. Educational interventions targeting specific ethnic groups of construction workers are of benefit for pneumoconiosis prevention. The aim of this study was to develop a multimedia educational intervention for pneumoconiosis prevention for South Asian construction workers, and to evaluate its feasibility, acceptability and effectiveness in increasing knowledge of pneumoconiosis, modifying beliefs about pneumoconiosis, and enhancing intention to implement measures for its prevention among the workers. This evaluation was performed using the Reach-Effectiveness-Adoption-ImplementationMaintenance framework. A one-group design was adopted and intervention mapping was used to guide the process of intervention development, while the Health Belief Model guided the development of intervention content. The intervention was delivered at construction sites, ethnic minority associations and South Asian community centres. Data were collected via surveys completed at preintervention, post-intervention and 3 months after the intervention. A total of 1002 South Asian construction workers participated in the intervention. The participants reported a moderate-to-large increase in knowledge, perceived susceptibility, perceived severity, perceived benefits, cues to action and self-efficacy (Cohen's d: 0.37 0.89), a small reduction in perceived barriers (Cohen's d ¼ 0.12) and a moderate improvement in attitudes and intention to practice (Cohen's d: 0.45, 0.51) at postintervention. A follow-up survey of 121 participants found that the implementation of preventive measures appeared to increase. Overall, the findings demonstrate that the implementation of a culturally adapted multimedia educational intervention could be an effective approach to improving knowledge, self-efficacy and intention regarding pneumoconiosis prevention among South Asian construction workers.
KW - construction worker
KW - health beliefs
KW - pneumoconiosis
KW - RE-AIM
KW - South Asian
UR - http://www.scopus.com/inward/record.url?scp=85118902724&partnerID=8YFLogxK
U2 - 10.1093/heapro/daab006
DO - 10.1093/heapro/daab006
M3 - Journal article
C2 - 33576371
AN - SCOPUS:85118902724
SN - 0957-4824
VL - 36
SP - 1439
EP - 1449
JO - Health Promotion International
JF - Health Promotion International
IS - 5
ER -