RESEARCH PAPER
ENGAGE-A3 model: communication risk to involve Myanmar workers in AIDS prevention
 
More details
Hide details
1
Chulalongkorn University, Bangkok, Thailand
 
 
Submission date: 2021-01-24
 
 
Final revision date: 2021-10-16
 
 
Acceptance date: 2021-10-24
 
 
Publication date: 2022-04-18
 
 
HIV & AIDS Review 2022;21(2):144-154
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Communicating health information to Myanmar transnational workers (MTWs) poses several challenges, including language barriers, unsatisfied needs for health information, use of in­appropriate channels or time of communication, and unsustainable outcomes of intervention. The human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) most at-risk group is composed of migrants worldwide, including Thailand, where HIV prevalence is high. This study aimed to develop an AIDS risk communication model for MTWs in Thailand.

Material and methods:
Researchers created a proposed model on the basis of lessons learned and literature reviews. A focus group discussion with a panel of experts, in either working with migrants or communicating health risk, was conducted to receive feedback on improving the proposed model.

Results:
The findings revealed that ENGAGE-A3 model (Earning trust, ENvironmental scanning, Getting local help, Action, Gamification, and Evaluating) can lead to assessment, awareness, and advocacy of AIDS risk in MTWs. The total mean score of experts’ opinions on the appropriateness of ENGAGE-A3 model was at a level of “very appropriate”, with a mean score of 4.26.

Conclusions:
The obstacles to communicating risk to MTWs can be reduced by using the model found in this research, while the strengths of community were utilized to maximize impacts of intervention.

 
REFERENCES (91)
1.
UNAIDS. Latest statistics on the status of the AIDS epidemic [fact sheet]; 2017. Available from: http://www.unaids.org/en/resou....
 
2.
Thailand migration report; 2014. Available from: https://thailand.iom.int/thail....
 
3.
Ford K, Chamratrithirong A. Migrant seafarers and HIV risk in Thai communities. AIDS Educ Prev 2008; 20: 454-463.
 
4.
Ford K, Chamratrithirong A, Apipornchaisakul K, Panichapak P, Pinyosinwat T. Social integration, AIDS knowledge and factors related to HIV prevention among migrant workers in Thailand. AIDS Behav 2014; 18: 390-397.
 
5.
Rakprasit J, Nakamura K, Seino K, Morita A. Healthcare use for communicable diseases among migrant workers in comparison with Thai workers. Ind Health 2017; 55: 67-75.
 
6.
Boonchutima S, Sukonthasab S, Sthapitanonda P. Educating Burmese migrants working in Thailand with HIV/AIDS public health knowledge – a perspective of public health officers. HIV AIDS Rev 2017; 16: 226-235.
 
7.
UNAIDS. Migration and HIV/AIDS in Thailand: a desk review of migrant labour sectors. Bangkok: International Organization for Migration; 2010.
 
8.
Boonchutima S, Sukonthasab S, Sthapitanonda P. Myanmar migrants’ access to information on HIV/AIDS in Thailand. J Sports Sci Health 2020; 21: 111-124.
 
9.
Thetkathuek A, Daniell W. Migrant workers in agriculture: a view from Thailand. J Agromedicine 2016; 21: 106-112.
 
10.
Srivirojana N, Punpuing S, Robinson C, Sciortino R, Vapattanawong P. Marginalization, morbidity and mortality: a case study of Myanmar migrants in Ranong Province, Thailand. J Popul Soc Stud 2014; 22: 35-52.
 
11.
Soe KT, Laosee O, Limsatchapanich S, Rattanapan C. Prevalence and risk factors of musculoskeletal disorders among Myanmar migrant workers in Thai seafood industries. Int J Occup Saf Ergon 2015; 21: 539-546.
 
12.
Puangyoykeaw K, Nishide Y. Needs perception, position, and contentment: an empirical study of Myanmar immigrant workers in Thailand. Eur J Bus Soc Sci 2014; 3: 93-101.
 
13.
Sethaput C, Pluemcharoen S, Boonchaiwattana J. Adolescent migrants and reproductive health in Thailand: the importance of confidentiality and privacy at health facilities. Adolescent migrants in the Greater Mekong Sub-region: are they equipped to protect themselves against sexual and reproductive health risks? Nakhorn Pathom: Institute for Population and Social Research, Mahidol University; 2007; p. 49-63.
 
14.
Limanonda B, Peungposop N. Policy review: access to health care service and health insurance among migrant workers in Thailand. Raks Thai Foundation; 2011.
 
15.
Denduang N, Denduang S. Violence against female migrant workers from Myanmar in Thailand: case studies in Samut Sakhon, Ranong and Tak provinces. Raks Thai Foundation (in Thai); 2012.
 
16.
Leiter K, Suwanvanichkij V, Tamm I, Iacopino V, Beyrer C. Human rights abuses and vulnerability to HIV/AIDS: the experiences of Burmese women in Thailand. Health Hum Rights 2006; 9: 88-111.
 
17.
Tangmunkongvorakul A, Musumari PM, Srithanaviboonchai K,.
 
18.
et al. ’When I first saw a condom, I was frightened’: qualitative study of sexual behaviour, love and life of young cross-border migrants in urban Chiang Mai, Thailand. PLoS One 2017; 12: e0183255.
 
19.
Weine SM, Kashuba AB. Labor migration and HIV risk: a systematic review of the literature. AIDS Behav 2012; 16: 1605-1621.
 
20.
Jitthai N, Yongpanichkul S, Bijaisoradat M. Migration and HIV/AIDS in Thailand: triangulation of biological, behavioural and programmatic response data in selected provinces; 2010. Available from: http://www.migrationcenter.mah....
 
21.
UNICEF. Situational analysis of young people at high risk of HIV exposure in Thailand. Bangkok: United Nations Children’s Emergency Fund; 2008.
 
22.
Musumari PM, Chamchan C. Correlates of HIV testing experience among migrant workers from Myanmar residing in Thailand: a secondary data analysis. PLoS One 2016; 11: e0154669.
 
23.
Boonchutima S, Sukonthasab S, Sthapitanonda P. Educating Burmese migrants working in Thailand with HIV/AIDS public health knowledge – a perspective of public health officers. HIV AIDS Rev Int J HIV Relat Probl 2017; 16: 226-235.
 
24.
Guttman N, Salmon CT. Guilt, fear, stigma and knowledge gaps: ethical issues in public health communication interventions. Bioethics 2004; 18: 531-552.
 
25.
Kesornsri S, Sitthimongkol Y, Hegadoren KM. Mental health problems among migrant workers: challenges for nurses in Thailand.
 
26.
J Nurs Sci 2014; 32: 9-19.
 
27.
Green SE. A rhetorical theory of diffusion. Acad Manag Rev 2004; 29: 653-669.
 
28.
Bakić-Mirić NM, Bakić NM. Successful doctor–patient communication and rapport building as the key skills of medical practice. Vol. 15. Facta Univers; 2008. p. 74-79.
 
29.
Worsley A. Perceived reliability of sources of health information. Health Educ Res 1989; 4: 367-376.
 
30.
Airhihenbuwa C, Okoror T, Shefer T, et al. Stigma, culture, and HIV and AIDS in the Western Cape, South Africa: an application of.
 
31.
the PEN-3 cultural model for community-based research. J Black Psychol 2009; 35: 407-432.
 
32.
Bessette G. Involving the Community: A Guide to Participatory Development Communication; 2004.
 
33.
Yoon CS. Participatory communication for development. Bessette G,.
 
34.
Rajasundaram CV. Participatory development communication: a West African agenda. Ottawa: IDRC; 1996.
 
35.
Benjarongkij Y. Planning and evaluation for strategic communication. Bangkok: Faculty of Communication, Arts, Chulalongkorn University; 2011.
 
36.
Bogum, Ramesh Bogam RR, Saoji V, Sahasrabudhe R, Saoji A. Participatory learning of medical students through development of innovative training modules for community health workers. Int J Med Students 2016; 4: 100-103.
 
37.
Josiah Willock RJ, Mayberry RM, Yan F, Daniels P. Peer training of community health workers to improve heart health among African American women. Health Promot Pract 2015; 16: 63-71.
 
38.
Zhang Q, Huhn KJ, Tan AM, Douglas RE. Testing is healthy. TimePlay campaign: Evaluation of sexual health promotion gamification intervention targeting young adults. Can J Public Health 2017; 108: E85.
 
39.
Becker MH, Maiman LA. Sociobehavioral determinants of compliance with health and medical care recommendations. Med Care 1975; 13: 10-24.
 
40.
Becker MH, Maiman LA, Kirscht JP, Haefner DP, Drachman RH. The Health Belief Model and prediction of dietary compliance: a field experiment. J Health Soc Behav 1977; 18: 348-366.
 
41.
Janz NK, Becker MH. The Health Belief Model: a decade later.
 
42.
Health Educ Q 1984; 11: 1-47.
 
43.
Montgomery SB, Joseph JG, Becker MH, Ostrow DG, Kessler RC, Kirscht JP. The Health Belief Model in understanding compliance with preventive recommendations for AIDS: how useful? AIDS Educ Prev 1989; 1: 303-323.
 
44.
Rosenstock IM, Strecher VJ, Becker MH. Social learning theory and the Health Belief Model. Health Educ Q 1988; 15: 175-183.
 
45.
Stufflebeam DL, Shinkfield AJ. Evaluation theory, models, and applications. San Francisco: Jossey-Bass; 2007.
 
46.
Shitaye A, Abseno N, Degu G, Wondmikun Y, Amsalu S. Knowledge and attitude towards voluntary counseling and testing for HIV: a community based study in northwest Ethiopia. Ethiop J Health Dev (EJHD) 2017; 18: 83-90.
 
47.
Morgan MG. Risk communication: a mental models approach. Cambridge, New York: Cambridge University Press; 2002.
 
48.
Griffin RJ, Dunwoody S, Neuwirth K. Proposed model of the relationship of risk information seeking and processing to the development of preventive behaviors. Environ Res 1999; 80 (2 Pt 2): S230-245.
 
49.
Griffin RJ, Neuwirth K, Dunwoody S, Giese J. Information sufficiency and risk communication. Media Psychol 2004; 6: 23-61.
 
50.
Ford LA, Yep GA. Working along the margins: developing community-based strategies for communicating about health with marginalized groups. In: Handbook of health communication. Routledge;.
 
51.
p. 241-261.
 
52.
Ovalle I, Loza O, Peralta-Torres D, Martinez J, Hernandez K, Mata H.
 
53.
Increasing our advocacy capacity through HIV community mobilization: perspectives from emerging and mid-career professionals. Health Promot Pract 2017; 18: 11-14.
 
54.
Schiavo R, Hilyard KM, Skinner EC. Community-based risk communication in epidemics and emerging disease settings. In: Zimmerman RS, DiClemente RJ, Andrus JK, Society of Public Health Education (SOPHE), editors Introduction to global health promotion. San Francisco: Jossey-Bass; 2016. p. 271-302.
 
55.
Dillard JP, Shen L. On the nature of reactance and its role in persuasive health communication. Commun Monogr 2005; 72: 144-168.
 
56.
Rains SA, Turner MM. Psychological reactance and persuasive health communication: a test and extension of the intertwined model. Hum Commun Res 2007; 33: 241-269.
 
57.
Reynolds B, W Seeger M. Crisis and emergency risk communication as an integrative model. J Health Commun 2005; 10: 43-55.
 
58.
Murphy D, Balka E, Poureslami I, Leung DE, Cruz T, Nicol A. Communicating health information: the community engagement model for video production. Can J Commun 2007; 32: 383-400.
 
59.
Farr AC, Witte K, Jarato K, Menard T. The effectiveness of media use in health education: evaluation of an HIV/AIDS radio campaign in Ethiopia. J Health Commun 2005; 10: 225-235.
 
60.
Jung M, Arya M, Viswanath K. Effect of media use on HIV/AIDS-.
 
61.
related knowledge and condom use in Sub-Saharan Africa: a cross-sectional study. PLoS One 2013; 8: e68359.
 
62.
Keating J, Meekers D, Adewuyi A. Assessing effects of a media campaign on HIV/AIDS awareness and prevention in Nigeria: results from the VISION Project. BMC Public Health 2006; 6: 123.
 
63.
Gupta K, Singh SK. Social networking, knowledge of HIV/AIDS and risk-taking behavior among migrant workers. J Popul-Jakarta 2003; 9: 51-80.
 
64.
Baelden D, Van Audenhove L, Vergnani T. Using new technologies for stimulating interpersonal communication on HIV and AIDS. Telemat Inform 2012; 29: 166-176.
 
65.
Dunbar PJ, Madigan D, Grohskopf LA, et al. A two-way messaging system to enhance antiretroviral adherence. J Am Med Inform Assoc 2003; 10: 11-15.
 
66.
Lou CH, Zhao Q, Gao ES, Shah IH. Can the Internet be used effectively to provide sex education to young people in China? J Adolesc Health 2006; 39: 720-728.
 
67.
McCallum S. Gamification and serious games for personalized.
 
68.
health. Stud Health Technol Inform 2012; 177: 85-96.
 
69.
Witte K, Allen M. A meta-analysis of fear appeals: implications for effective public health campaigns. Health Educ Behav 2000; 27: 591-615.
 
70.
Noar SM, Palmgreen P, Chabot M, Dobransky N, Zimmerman RS. A 10-year systematic review of HIV/AIDS mass communication campaigns: have we made progress? J Health Commun 2009; 14: 15-42.
 
71.
Hinyard LJ, Kreuter MW. Using narrative communication as a tool for health behavior change: a conceptual, theoretical, and empirical overview. Health Educ Behav 2007; 34: 777-792.
 
72.
Airhihenbuwa CO, Obregon R. A critical assessment of theories/models used in health communication for HIV/AIDS. J Health Commun 2000; 5 Suppl: 5-15.
 
73.
Albrecht SL, Andreetta M. The influence of empowering leadership, empowerment and engagement on affective commitment and turnover intentions in community health service workers: test of a model. Leadersh Health Serv 2011; 24: 228-237.
 
74.
Hastings LJ, Barrett LA, Barbuto JE, Bell LC. Developing a paradigm model of youth leadership development and community engagement: a grounded theory. J Agric Educ 2011; 52: 19-29.
 
75.
Longo DR. Understanding health information, communication, and information seeking of patients and consumers: a comprehensive and integrated model. Health Expect 2005; 8: 189-194.
 
76.
Kahlor L. PRISM: a planned risk information seeking model. Health Commun 2010; 25: 345-356.
 
77.
Catania JA, Kegeles SM, Coates TJ. Towards an understanding of risk behavior: an AIDS risk reduction model (ARRM). Health Educ Q 1990; 17: 53-72.
 
78.
Fountain J, Patel K, Buffin J. Community engagement: the Centre for Ethnicity and Health model; 2007. Available from: https://clok.uclan.ac.uk/2584/....
 
79.
Eksteen R, Bulbulia A, Van Niekerk A, Ismail G, Lekoba R.
 
80.
Ukuphepha: a multi-level community engagement model for.
 
81.
the promotion of safety, peace and health. J Psychol Afr 2012; 22: 499-508.
 
82.
Ryan RM, Deci EL. Intrinsic and extrinsic motivations: classic definitions and new directions. Contemp Educ Psychol 2000; 25: 54-67.
 
83.
Vallerand RJ. Intrinsic and extrinsic motivation in sport and physical activity: a review and a look at the future. In: editors Handbook of sport psychology Tenenbaum G, Eklund R. Hoboken. New York: John Wiley & Sons; 2012. p. 59-83.
 
84.
Munro S, Lewin S, Swart T, Volmink J. A review of health behaviour theories: how useful are these for developing interventions to promote long-term medication adherence for TB and HIV/AIDS? BMC Public Health 2007; 7: 104.
 
85.
Boonchutima S, Sukonthasab S, Satapitanonta P. Developing an HIV/AIDS risk communication intervention model among Myanmar migrant workers in a factory in Samut Sakhon, Thailand. HIV AIDS Rev 2019; 18: 285-295.
 
86.
Airhihenbuwa CO, Webster JD. Culture and African contexts of HIV/AIDS prevention, care and support. SAHARA 2004; 1: 4-13.
 
87.
Moore MJ. The transtheoretical model of the stages of change and the phases of transformative learning: comparing two theories of transformational change. J Transform Educ 2005; 3: 394-415.
 
88.
Cornish F, Priego-Hernandez J, Campbell C, Mburu G, McLean S.
 
89.
The impact of community mobilisation on HIV prevention in middle and low income countries: a systematic review and critique. AIDS Behav 2014; 18: 2110-2134.
 
90.
Miller RL, Janulis PF, Reed SJ, Harper GW, Ellen J, Boyer CB; Adolescent Medicine Trials Network for HIV/AIDS Interventions. Creating youth-supportive communities: outcomes from the Connect-.
 
91.
to-Protect®(C2P) structural change approach to youth HIV prevention. J Youth Adolesc 2016; 45: 301-315.
 
eISSN:1732-2707
ISSN:1730-1270
Journals System - logo
Scroll to top