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Results of a Cluster Randomized Controlled Trial to Promote the Use of Respiratory Protective Equipment among Migrant Workers Exposed to Organic Solvents in Small and Medium-Sized Enterprises

Author

Listed:
  • Wen Chen

    (Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
    Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou 510080, China)

  • Tongyang Li

    (Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
    Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou 510080, China)

  • Guanyang Zou

    (Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou 510080, China
    Institute for International Health and Development, Queen Margaret University, Edinburgh EH21 6UU, UK)

  • Andre M.N. Renzaho

    (School of Social Science and Psychology, Western Sydney University, Penrith 2751, Australia)

  • Xudong Li

    (Guangdong Prevention and Treatment Center for Occupational Diseases, Guangzhou 510300, China)

  • Leiyu Shi

    (Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA)

  • Li Ling

    (Department of Medical Statistics, School of Public Health, Sun Yat-sen University, Guangzhou 510080, China
    Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou 510080, China)

Abstract

Background : Existing evidence shows an urgent need to improve respiratory protective equipment (RPE) use, and more so among migrant workers in small and medium-sized enterprises (SMEs). The study aimed to assess the effectiveness of a behavioral intervention in promoting the appropriate use of RPE among internal migrant workers (IMWs) exposed to organic solvents in SMEs. Methods : A cluster randomized controlled trial was conducted among 1211 IMWs from 60 SMEs in Baiyun district in Guangzhou, China. SMEs were deemed eligible if organic solvents were constantly used in the production process and provided workers with RPE. There were 60 SMEs randomized to three interventions on a 1:1:1 ratio, namely a top-down intervention (TDI), a comprehensive intervention, and a control group which did not receive any intervention. IMWs in the comprehensive intervention received a module encompassing three intervention activities: An occupational health education and training component (lectures and leaflets/posters), an mHealth component in the form of messages illustrative pictures and short videos, and a peer education component. The TDI incorporated two intervention activities, namely the mHealth and occupational health education and training components. The primary outcome was the self-reported appropriate RPE use among IMWs, defined as using an appropriate RPE against organic solvents at all times during the last week before measurement. Secondary outcomes included IMWs’ occupational health knowledge, attitude towards RPE use, and participation in occupational health check-ups. Data were collected and assessed at baseline, and three and six months of the intervention. Generalized linear mixed models were performed to evaluate the effectiveness of the trial. Results : Between 3 August 2015 and 29 January 2016, 20 SMEs with 368 IMWs, 20 SMEs with 390 IMWs, and 20 SMEs with 453 IMWs were assigned to the comprehensive intervention, the TDI, and the control group, respectively. At three months, there were no significant differences in the primary and secondary outcomes among the three groups. At six months, IMWs in both intervention groups were more likely to appropriately use RPE than the control group (comprehensive intervention: Adjusted odds ratio: 2.99, 95% CI: 1.75–5.10, p < 0.001; TDI: 1.91, 95% CI: 1.17–3.11, and p = 0.009). Additionally, compared with the control group, the comprehensive intervention also improved all three secondary outcomes. Conclusions : Both comprehensive and top-down interventions were effective in promoting the appropriate use of RPE among IMWs in SMEs. The comprehensive intervention also enhanced IMWs’ occupational health knowledge, attitude, and practice. Trial registration : ChiCTR-IOR-15006929. Registered on 15 August 2015.

Suggested Citation

  • Wen Chen & Tongyang Li & Guanyang Zou & Andre M.N. Renzaho & Xudong Li & Leiyu Shi & Li Ling, 2019. "Results of a Cluster Randomized Controlled Trial to Promote the Use of Respiratory Protective Equipment among Migrant Workers Exposed to Organic Solvents in Small and Medium-Sized Enterprises," IJERPH, MDPI, vol. 16(17), pages 1-17, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3187-:d:262826
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    1. Sheppard, Blair H & Hartwick, Jon & Warshaw, Paul R, 1988. "The Theory of Reasoned Action: A Meta-analysis of Past Research with Recommendations for Modifications and Future Research," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 15(3), pages 325-343, December.
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    1. Loganathan Salvaraji & Shamsul Bahari Shamsudin & Richard Avoi & Sahipudin Saupin & Lee Kim Sai & Surinah Binti Asan & Haidar Rizal Bin Toha & Mohammad Saffree Jeffree, 2022. "Ecological Study of Sick Building Syndrome among Healthcare Workers at Johor Primary Care Facilities," IJERPH, MDPI, vol. 19(24), pages 1-13, December.
    2. Agata Basińska-Zych & Agnieszka Springer, 2021. "Organizational and Individual Outcomes of Health Promotion Strategies—A Review of Empirical Research," IJERPH, MDPI, vol. 18(2), pages 1-27, January.

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