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A Qualitative Study of the Adaptation Process of Dietary Education Program for Marriage Immigrant Women using the Normalization Process Theory

일상화 과정 이론에 근거한 결혼이주여성 대상 식생활 교육 프로그램 일상화 과정에 대한 질적 연구

Kim, In Seon;Hwang, Ji-Yun
김인선;황지윤

  • Received : 2019.05.16
  • Accepted : 2019.06.12
  • Published : 2019.06.30

Abstract

This study was a qualitative investigation of the process of adaptation of nutrition education programs by marriage immigrant women who completed education programs for training of food citizen leaders. Focus group interviews of seven marriage immigrant women from Vietnam, China, Mongolia and Russia were conducted and analyzed based on the Normalization Process Theory (NPT). Participants were aware of the purpose of the education program (coherence) and their confidence in organizing and reconstructing the knowledge of nutrition was increased after education (reflexive monitoring). However, they had difficulties attending long-term education programs (cognitive participation) and overcoming language barriers (collective action). Although the program was beneficial for the participants in that they could apply acquired nutrition knowledge to their everyday life as food citizen leaders, the continuous monitoring and feed-back system (management), customized application, and consideration of personal and social factors need to be developed and facilitated. In addition, various programs targeting marriage immigrant women may increase economic independence of these women. The NPT proved beneficial in conceptualizing the barriers and facilitators to implementing nutrition education. The successful implementation of nutrition intervention needs special support to overcome barriers to cognitive participation and collective action.

Keywords

Female immigrants;normalization process theory;dietary education;focus-group interview

References

  1. Ahn SH, Kwon JS, Kim KM, Yoon JS, Kim HK. 2015. Evaluation of Consumer Nutrition Education Program to Reduce Sodium Intake Based on Social Cognitive Theory. Korean journal of community nutrition, 20(6):433-446 https://doi.org/10.5720/kjcn.2015.20.6.433
  2. Asano K, Yoon J, Ryu SH. 2015. Japanese Female Marriage Immigrants" Dietary Life and Health-related Characteristics by Level of Dietary Adaptation after Immigration to Korea. The East Asian Society of Dietary
  3. Baek JY, Yi HY, Hwang JY, Kim K. 2017. Effects of Nutrition Education Program Based on Social Cognitive Theory for Low Sodium Consumption among Housewives Living in Certain Regions of Seoul. Journal of the Korean Society of Food Science and Nutrition, 46(10):1243-1252
  4. Bamford C, Heaven B, May C, Moynihan P. 2012. Implementing Nutrition Guidelines for Older People in Residential Care Homes: A Qualitative Study using Normalization Process Theory. Implementation Science, 7(1):106 https://doi.org/10.1186/1748-5908-7-106
  5. Choi JH. 2011. Study of Stress and Family Strength of Immigrant Women in International Marriages. Korean Journal of Family Welfare, 16(4):29-46
  6. de Brun T, de-Brun MO, van Weel-Baumgarten E, van Weel C, Dowrick C, Lionis C, O'Donnell CA, Burns N, Mair FS, Saridaki A, Papadakaki M, Princz C, van den Muijsenbergh M, MacFarlane A. 2015. Guidelines and Training Initiatives that Support Communication in Cross-Cultural Primary-Care Settings: Appraising their Implementability using Normalization Process Theory. fampra, 32(4):420-425
  7. Holtrop JS, Potworowski G, Fitzpatrick L, Kowalk A, Green LA. 2016. BMC Health Services Research, 16:386 https://doi.org/10.1186/s12913-016-1613-1
  8. James. The applicability of normalization process theory to speech and language therapy: a review of qualitative research on a speech and language intervention. 2011. Implementation Science, 6:95
  9. Jeong GH, Koh HJ, Kim KS, Kim SH, Kim JH, Park HS, Lee YS, Han YR, Kim KW. 2009. A Survey on Health Management of during Pregnancy, Childbirth, and the Postpartum of Immigrant Women in a Multi-cultural Family. Korean J Women Health Nurs, 15(4):262-269
  10. Jeong HS, Yoon JY. 2016. Female Marriage Immigrants' Information Awareness, Perception and Familiarity on Korean Food Culture by Personal Characteristics and Food Neophobia Degree. Korean Society of Food & Cookery Science, 32(2):233-243 https://doi.org/10.9724/kfcs.2016.32.2.233
  11. Kim HS. 2016. The Qualitative Study on Internationally Married Women's Work Experience in Social Enterprises. Korean Academy Of Social Welfare, 51(0):41-77
  12. Kim JE, Kim JM, Seo SH. 2011. Nutrition Education for Female Immigrants in Multicultural Families Using a Multicultural Approach: In-depth Interviews with Female Immigrants and Nutrition Education Professionals. Journal of Nutrition and Health, 44(4):312-325
  13. Lee EJ, Jun MK. 2014. A Study of Vietnamese Immigrant Women's 'Adaptation Experiences', With in The Sociocultural Context of Their Home Country. Journal of Korean Home Management Association, 32(5):63-86
  14. Lee H. 2010. A Qualitative Study on the Community Participation Experiences of Married Immigrant Women in Rural Areas. Korean Academy of Social Welfare, 62(3):219-245
  15. Lee JS. 2012. The Factors for Korean Dietary Life Adaptation of Female Immigrants in Multi-cultural Families in Busan. Journal of the Korean Society of Food Science and Nutrition, 41(6):807-815
  16. Lee MH. 2016. Meal Management Behaviors for Korean Dietary Acculturation of Multicultural Families, 32(1):76-83 https://doi.org/10.9724/kfcs.2016.32.1.76
  17. Lee SB, Jeong YR, Ahn HJ, Ahn MJ, Ryu SA, Kang NE, Oh SY. 2015. The Development of a Nutrition Education Program for Low-income Family Children by applying the Social Cognitive Theory and Health Belief Model. Korean journal of community nutrition, 20(3):165-177 https://doi.org/10.5720/kjcn.2015.20.3.165
  18. May C, Finch T, Mair F, Ballini L, Dowrick C, Eccles M, Gask L, MacFarlane A, Murrary E, Rapley T, Rogers A, Treweek S, Wallace P, ANderson G, Burns J, Heaven B. 2007. Understanding the implementation of complex interventions in health care: the normalisation process model. BMC Health Serv Res, 7:148 https://doi.org/10.1186/1472-6963-7-148
  19. May C, Finch T. 2009. Implementation, embedding and integration: an outline of normalization process theory. Sociology, 43:535-554
  20. May C, Sibley A, Hunt K. 2013. The nursing work of hospital-based clinical practice guideline implementation: An explanatory systematic review using Normalization Process Theory. International Journal of Nursing Studies 51(2):289-299
  21. May C, Cummings A, Girling M, Bracher M, Mair F, May CM, Murray E, Myall M, Rapley T, Finch T. 2018. Using Normalization Process Theory in feasibility studies and process evaluations of complex healthcare interventions: a systematic review. Implementation Science, 13:80 https://doi.org/10.1186/s13012-018-0758-1
  22. McEvoy R, Ballini L, Maltoni S, O'Donnell CA, Mair FS, MacFarlane A. 2014. A Qualitative Systematic Review of Studies using the Normalization Process Theory to Research Implementation Processes. Implementation Science, 9(1):2 https://doi.org/10.1186/1748-5908-9-2
  23. Murray E, Treweek S, Pope C, MacFarlane A, Ballini L, Dowrick C, Finch T, Kennedy A, Mair F, O'Donnell C. 2010. Normalisation Process Theory: A Framework for Developing, Evaluating and Implementing Complex Interventions. BMC medicine, 8(1):63 https://doi.org/10.1186/1741-7015-8-63
  24. Oh SM, Yu YL, Choi HI, Kim KW. 2012. Implementation and Evaluation of Nutrition Education Programs Focusing on Increasing Vegetables, Fruits and Dairy Foods Consumption for Preschool Children. Korean journal of community nutrition, 17(5):517-529 https://doi.org/10.5720/kjcn.2012.17.5.517
  25. So JS, Han SN. 2012. Diet-related Behaviors, Perception and Food Preferences of Multicultural Families with Vietnamese Wives. Korean journal of community nutrition, 17(5):589-602 https://doi.org/10.5720/kjcn.2012.17.5.589
  26. Wang HS. 2006. Problems and Solutions of International Marriage Immigrant Women's Language. National Institute of Korean Language, Korea, pp 48-50
  27. Ministry of Justice. Republic of Korea 2017. Available from: http://www.immigration.go.kr/immigration/index.do, [accessed 2018.01.12.]

Acknowledgement

Supported by : 한국연구재단