Effects of a community-based participatory educational program on knowledge, attitude, and practice for preventing work-related musculoskeletal disorders risks among rural workers: A quasi-experimental study 10.55131/jphd/2024/220122

Main Article Content

Manuchet Manotham
Nattapon Pansakun
Tuangphorn Phikulthong
Santipan Chiablam

Abstract

Work-related musculoskeletal disorders (WMSDs) have become a paramount concern in occupational health, significantly affecting the well-being and efficiency of laborers across diverse sectors. This research aims to investigate the effects of a community-based participatory educational program on enhancing knowledge, attitude, and practice (KAP) for preventing WMSD risks among rural workers in Phayao province, Thailand. A single-group quasi-experimental design was employed, with assessments conducted at the baseline (T1), post-program (T2), and follow-up post-program (T3) stages. The participants attended an eight-week educational program. Data collection tools included demographic characteristics, assessment of KAP related to WMSDs, and evaluation of WMSD risks. The data were analyzed using descriptive statistics and repeated-measures analysis of variance. In total, 90 participants were included in the study, with an average age of 47.6 ± 10.6 years. More than two-thirds of the participants were classified as general workers. The results indicated a significant increase in knowledge scores, rising from 6.78 ± 1.59 at baseline to 9.56 ± 0.70 post-program and maintaining at 8.59 ± 1.06 after follow-up (p-value < 0.001, η2 = 0.681). Attitude scores also demonstrated a significant improvement, increasing from 36.43 ± 6.92 to 46.66 ± 1.94 post-program and remaining at 45.97 ± 2.05 after follow-up (p-value < 0.001, η2 = 0.674). Practice scores witnessed a substantial increase from 19.31 ± 6.49 at baseline to 38.54 ± 1.18 post-program, maintaining at 37.79 ± 1.34 after follow-up (p-value < 0.001, η2 = 0.881). Furthermore, the results indicated a notable decrease in WMSD risks post-program intervention, sustained after follow-up. The study suggests that integrating a community-based educational program successfully enhanced participants’ KAP related to WMSD risks. These findings provide valuable insights to the expanding body of evidence, offering pertinent information for policymakers.

Article Details

How to Cite
1.
Manotham M, Pansakun N, Phikulthong T, Chiablam S. Effects of a community-based participatory educational program on knowledge, attitude, and practice for preventing work-related musculoskeletal disorders risks among rural workers: A quasi-experimental study: 10.55131/jphd/2024/220122. J Public Hlth Dev [Internet]. 2024 Mar. 8 [cited 2024 Dec. 21];22(1):294-307. Available from: https://he01.tci-thaijo.org/index.php/AIHD-MU/article/view/267671
Section
Original Articles
Author Biographies

Manuchet Manotham, Department of Community Health, School of Public Health, University of Phayao, Phayao, Thailand

Department of Community Health, School of Public Health, University of Phayao, Phayao, Thailand

Nattapon Pansakun, Department of Health Promotion, School of Public Health, University of Phayao, Phayao, Thailand

Department of Health Promotion, School of Public Health, University of Phayao, Phayao, Thailand

Tuangphorn Phikulthong, Department of Health Promotion, School of Public Health, University of Phayao, Phayao, Thailand

Department of Health Promotion, School of Public Health, University of Phayao, Phayao, Thailand

Santipan Chiablam, Department of Environmental Health, School of Public Health, University of Phayao, Phayao, Thailand

Department of Environmental Health, School of Public Health, University of Phayao, Phayao, Thailand

References

Perruccio AV, Yip C, Badley EM, Power JD. Musculoskeletal disorders: A neglected group at public health and epidemiology meetings? Am J Public Health. 2017;107(10):1584-85. doi: 10.2105/AJPH.2017.303990.

Gomez-Galan M, Perez-Alonso J, Callejon-Ferre AJ, Lopez-Martinez J. Musculoskeletal disorders: OWAS review. Ind Health. 2017;55(4):314-37. doi: 10.2486/indhealth.2016-0191.

Prall J, Ross M. The management of work-related musculoskeletal injuries in an occupational health setting: The role of the physical therapist. J Exerc Rehabil. 2019;15(2):193-9. doi: 10.12965/jer.1836636.318.

Nag PK. Musculoskeletal disorders: Office menace. Office Buildings: Health, Safety and Environment. 2019:105-26. doi: 10.1007/978-981-13-2577-9_4.

Oakman J, Clune S, Stuckey R. Work-related musculoskeletal disorders in Australia. Safe Work Australia: Canberra, Australia. 2019.

Choobineh A, Shakerian M, Faraji M, Modaresifar H, Kiani J, Hatami M, et al. A multilayered ergonomic intervention program on reducing musculoskeletal disorders in an industrial complex: A dynamic participatory approach. Int J Ind Ergon. 2021;86:103221. doi: 10.1016/ j.ergon.2021.103221.

Das D, Kumar A, Sharma M. A systematic review of work-related musculoskeletal disorders among handicraft workers. Int J Occup Saf Ergon. 2020;26(1):55-70. doi: 10.1080/ 10803548.2018.1458487.

Osborne A, Blake C, Fullen BM, Meredith D, Phelan J, McNamara J, et al. Prevalence of musculoskeletal disorders among farmers: A systematic review. Am J Ind Med. 2012;55(2):143-58. doi: https://doi.org/10.1002/ ajim.21033.

Umer W, Antwi-Afari MF, Li H, Szeto GPY, Wong AYL. The prevalence of musculoskeletal symptoms in the construction industry: A systematic review and meta-analysis. Int Arch Occup Environ Health. 2018;91(2):125-44. doi: 10.1007/ s00420-017-1273-4.

Vieira ER, Schneider P, Guidera C, Gadotti IC, Brunt D. Work-related musculoskeletal disorders among physical therapists: A systematic review. J Back Musculoskelet Rehabil. 2016;29(3):417-28. doi: 10.3233/BMR-150649.

Ellapen T, Narsigan S. Work related musculoskeletal disorders among nurses: Systematic review. J Ergonomics. 2014;4:S4-003. doi: 10.4172/2165-7556.S4-003.

Akbar KA, Try P, Viwattanakulvanid P, Kallawicha K. Work-related Musculoskeletal Disorders among Farmers in The Southeast Asia Region: A systematic review. Safety and Health at Work. 2023;14(3):243-49. doi: 10.1016/j.shaw.2023.05.001.

Ong-Artborirak P, Kantow S, Seangpraw K, Tonchoy P, Auttama N, Choowanthanapakorn M, Boonyathee, S. Ergonomic risk factors for musculoskeletal disorders among ethnic lychee–longan harvesting workers in Northern Thailand. Healthcare. 2022;10(12):2446. doi: 10.3390/healthcare10122446.

Anwer S, Li H, Antwi-Afari MF, Wong AYL. Associations between physical or psychosocial risk factors and work-related musculoskeletal disorders in construction workers based on literature in the last 20 years: A systematic review. Int J Ind Ergon. 2021;83:103113. doi: 10.1016/ j.ergon.2021.103113.

Das D, Kumar A, Sharma M. A systematic review of work-related musculoskeletal disorders among handicraft workers. Int J Occup Saf Ergon. 2020;26(1):55-70. doi: 10.1080/ 10803548.2018.1458487.

Chokprasit P, Yimthiang S, Veerasakul S. Development and efficacy evaluation of a personalised self-care programme for reducing work-related musculoskeletal disorders among rubber farmers in Thailand. Heliyon. 2023;9(10):e20664. doi: 10.1016/ j.heliyon.2023.e20664.

Safarian MH, Rahmati-Najarkolaei F, Mortezapour A. A comparison of the effects of ergonomic, organization, and education interventions on reducing musculoskeletal disorders in office workers. Health Scope. 2019;8(1): e68422. doi: 10.5812/jhealthscope. 68422.

Farrokhnia T, Rezai M, Vaziri M-H, Vaziri F. Investigating the effect of educational intervention on musculoskeletal disorders in dentists. World Fam Med J. 2018;16(2):307-13. doi: 10.5742/MEWFM.2018.93275.

Sohrabi MS, Babamiri M. Effectiveness of an ergonomics training program on musculoskeletal disorders, job stress, quality of work-life and productivity in office workers: a quasi-randomized control trial study. Int J Occup Saf Ergon. 2022;28(3):1664-71. doi: 10.1080/10803548.2021.1918930.

Nazari RM. A community-based pilot study exploring work-related musculoskeletal disorders (WMSD) perception among recently relocated syrian refugees in Canada. Master's thesis, University of Waterloo. 2020.

Nordin AN, Rohani JM, Abidin NZ, Zein RM, Zuki AAM. Knowledge, attitude and practices of musculoskeletal disorder injuries from Malaysian industries employers’ perspective. Int J Eng Res Technol. 2018;7(3.24):28-31.

Hussaini A. Musculoskeletal symptoms and disorders, and related knowledge, attitude and practices among female textile workers in Karachi, Pakistan—a cross-sectional study. The Global Health Network Collections. 2023. doi:10.21428/3d48c34a.ffe67f88.

Lin SC, Chen IJ, Yu WR, Lee SYD, Tsai TI. Effect of a community-based participatory health literacy program on health behaviors and health empowerment among community-dwelling older adults: A quasi-experimental study. Geriatric Nursing. 2019;40(5):494-501. doi: 10.1016/ j.gerinurse.2019.03.013.

Tengkawan J, Septisari AA, Ihyauddin Z, Karuniawaty TP, Nurbaiti L, Dewi NE, et al. Improving knowledge, attitude, and practices of complementary feeding using practical intervention training for parents living in Central Lombok, Indonesia: A community-based study. WHO-SEAJPH. 2022;11(1): 54-60. doi: 0.4103/WHO-SEAJPH.WHO-SEAJPH_336_20.

Chaiklieng S, Suggaravetsiri P, Poochada W, Thinkhamrop W, Dacherngkhao T. The burden of work-related diseases and injuries among agriculturists: A three-year retrospective study in Thailand. Safety. 2022;8(4):78. doi: 10.3390/safety 8040078.

Sunisa C, Chuthamas C, Pornnapa S. Situations of work-related diseases and injuries among agriculturists in the upper northeast regions of Thailand. F1000Res. 2023;11:145. doi: 10.12688/f1000research.73221.2.

Kaewdok T, Sirisawasd S, Taptagaporn S. Agricultural risk factors related musculoskeletal disorders among older farmers in Pathum Thani province, Thailand. J Agromedicine. 2021;26(2): 185-92. doi: 10.1080/1059924X. 2020.1795029.

Saupe JL. Some useful estimates of the Kuder-Richardson formula number 20 reliability coefficient. Educ Psychol Meas. 1961;21(1):63-71. doi: 10.1177/ 001316446102100.

Gliem JA, Gliem RR, Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales. Midwest research to practice conference in adult, continuing, and community education; 2003.

Department of Disease Control Thailand. Guidelines for providing occupational health services to workers in the community regarding ergonomics [Internet]. 2017 [cited 2023 Mar 22]. Available from: https://ddc.moph. go.th/uploads/publish/1319720220921082619.pdf.

Chen E, Leos C, Kowitt SD, Moracco KE. Enhancing community-based participatory research through human-centered design strategies. Health Promot Pract. 2020;21(1):37-48. doi: 10.1177/152483991985055.

Liao X, Nguyen TPL, Sasaki N. Use of the knowledge, attitude, and practice (KAP) model to examine sustainable agriculture in Thailand. Regional Sustainability. 2022;3(1):41-52. doi: 10.1016/j.regsus.2022.03.005.

Oetzel JG, Zhou C, Duran B, Pearson C, Magarati M, Lucero J, et al. Establishing the psychometric properties of constructs in a community-based participatory research conceptual model. AJHP. 2015;29(5):e188-e202. doi: 10.4278/ ajhp.130731-QUAN.

Karimi A, Dianat I, Barkhordari A, Yusefzade I, Rohani-Rasaf M. A multicomponent ergonomic intervention involving individual and organisational changes for improving musculoskeletal outcomes and exposure risks among dairy workers. Appl Ergon. 2020;88:103159. doi: 10.1016/j.apergo.2020.103159.

Heidarimoghadam R, Mohammadfam I, Babamiri M, Soltanian AR, Khotanlou H, Sohrabi MS. Study protocol and baseline results for a quasi-randomized control trial: An investigation on the effects of ergonomic interventions on work-related musculoskeletal disorders, quality of work-life and productivity in knowledge-based companies. Int J Ind Ergon. 2020;80:103030. doi: 10.1016/ j.ergon.2020.103030

Shuai J, Yue P, Li L, Liu F, Wang S. Assessing the effects of an educational program for the prevention of work-related musculoskeletal disorders among school teachers. BMC Public Health. 2014;14(1):1211. doi: 10.1186/ 1471-2458-14-1211.

Odu JO, Hamedon T, Mahmud A, Baharudin R. Effectiveness of health education module on work safety culture in improving knowledge, attitudes and practices: A cluster randomized controlled trial among public sector administrative workers in Nigeria. Med J Malaysia. 2023;7 8(3):308-17.

Elsayed H. Effect of Educational Intervention about work-related musculoskeletal disorders on restaurant workers in Toshiba Alarabi factories at Benha city. Int J Novel Res Healthc Nurs. 2017;4(3):1-15.

Abareshi F, Yarahmadi R, Solhi M, Farshad AA. Educational intervention for reducing work-related musculoskeletal disorders and promoting productivity. Int J Occup Saf Ergon. 2015;21(4):480-5. doi: 10.1080/ 10803548.2015.1087729.

Santaweesuk S, Chapman RS, Siriwong W. Effects of an injury and illness prevention program on occupational safety behaviors among rice farmers in Nakhon Nayok province, Thailand. Risk Manag Healthc Policy. 2014:51-60. doi: 10.2147/RMHP.S55810.

Vandamme E. Concepts and challenges in the use of knowledge-attitude-practice surveys: Literature review. Department of Animal Health Institute of Tropical Medicine: Antwerp, Belgium, 2009;1:1-7.

Organization WH. Advocacy, communication and social mobilization for TB control: A guide to developing knowledge, attitude and practice surveys. No. WHO/HTM/STB/ 2008.46. World Health Organization; 2008.

Jepson RG, Harris FM, Platt S, Tannahill C. The effectiveness of interventions to change six health behaviours: a review of reviews. BMC Public Health. 2010;10(1):538. doi: 10.1186/1471-2458-10-538.

Abdollahi T, Pedram Razi S, Pahlevan D, Yekaninejad MS, Amaniyan S, Leibold Sieloff C, et al. Effect of an ergonomics educational program on musculoskeletal disorders in nursing staff working in the operating room: A quasi-randomized controlled clinical trial. Int J Environ Res Public Health . 2020;17(19):7333. doi: 10.3390/ ijerph17197333.