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Lee and Kim: Metaanalysis about the Effectiveness of Intervention Programs for Married Immigrant Women
Original Article

Korean J Women Health Nurs 2015;21(4):342-354.

Published online: 17 December 2015

DOI: https://doi.org/10.4069/kjwhn.2015.21.4.342

Metaanalysis about the Effectiveness of Intervention Programs for Married Immigrant Women

Mi Ok Lee1, Sinhyang Kim2,

1Andong Science College of Nursing, Andong, Korea

2Graduate School of Nursing, Chung-ang University, Cheonan, Korea

Corresponding author: Kim, Sinhyang Graduate School of Nursing, Chung-Ang University, 257-8 Seobu-daero, Dongnam-gu, Cheonan 330-940, Korea. Tel: +82-2-820-5672, Fax: +82-54-852-9907, E-mail: hyang8468@daum.net

Received 23 July 20153 November 2015       Accepted 9 December 2015

Copyright © 2015 Korean Society of Women Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of thisstudywas to test theeffect sizeof interventionprograms formarriedimmigrant women as well as to suggest the basic data for health care practices for married migrant women.

Methods

Metaanalysis wasconductedwith27articlesfromdomesticKoreamaster'sanddoctoratedegreedissertations andKoreaacadem-ic journals from2007 to 2014.

Results

Overall average effect sizewas 1.17and'parental education' of Intervention Variables was the biggest effect size. Intervention Variables were also identified to be the most desirable in cases whentotal sessionswereapplied with10-18sessions, 1 sessionper week, 90-120minutes per sessionactivitytime andwithless than10subjects ingroupsize. Regardingeffect variables, psychological variablegroupwas identified to show the biggest effect size and in sub-variables, self-efficacy was identified to show the biggest effect size.

Conclusion

If interventionprograms for married immigrant womenis expandedandconductedbased onthe results of this study, the program would have significant affect psychological, social andphysical healthof the married migrant women who currently occupy the important status in our society.

Keywords: Married immigrant women, Intervention program, Metaanalysis

REFERENCES

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Figure 1.
Literature searches and results.
kjwhn-21-342f1.tif
Table 1.
Summary of Characteristics of Studies Included Metaanalysis
No Researchers (year) Source Program name Outcomes TS WS SM Exp-/ Cont- RM DA ABS PBS SSC SSSC MPT PE FT
1 Lee my et al (2007) Journal Collective counseling Self-esteem, marriage of satisfaction 10 2 60 6/6 Y N N N Y N Y N N
2 Jeon MY (2008) Thesis Self-help group Social support, empowerment 12 1 120 10/10 N Y N N Y N N N N
3 Kim MG. (2009) Thesis Art therapy Marriage of satisfaction, social support 10 2 90 6/9 N Y N N Y N N N N
4 Lee JH (2009) Thesis Parent education Maternal role confidence, parenting stress - - - 15/15 Y N N N Y N N Y N
5 Baek HS. (2010) Thesis Collective counseling Self-esteem, self-efficacy 10 1 90 8/12 Y Y N N Y N N N N
6 Jeong SH. (2010) Thesis Art therapy Marriage of satisfaction, depreess, Self-esteem 18 1 90 7/7 Y N N N N N N N N
7 Jung JS et al. (2010) Journal Collective counseling Self-efficacy 10 1 90 8/ Y Y N N Y N N N N
8 Kim EH et al (2010) Journal Educational program of pregnancy and delivery Knowledge related pregnancy Knowledge about newborn care Postpartum self-efficacy 3 1 120 16/17 Y Y N N Y Y Y Y N
9 Kim SH (2010) Thesis Art therapy Marriage of satisfaction self-esteem 19 2 60 9/9 N N N N N N N N N
10 Jo LH et al. (2011) Journal Parent education Self-esteem, parenting attitude 10 5 180 12/12 Y Y N N N N N N N
11 Kook HY (2011) Thesis Parent education Efficacy parents 8 1 180 14/14 N Y N N N N N N N
12 Kim JH (2011) Thesis Music therapy Acculturative stress, depression 8 1 90 8/7 N Y N N Y N N N N
13 Kim YH. (2011) Thesis Group sandplay therapy Social anxiety, loneliness 10 1 90 6/5 N N N N N N N N N
14 Lee MS et al. (2011) Journal Dance therapy Acculturative stress life satisfaction 6 - 60 24/30 Y N N N N N N N N
15 Lee HS et al. (2011) Journal Picture story reading Self-confidence 12 1 60 7/7 N Y N N Y N N N N
16 Ha YJ (2011) Thesis Horticultural therapy Acculturative stress, mental health, depression, anxiety 24 2 90 34/30 N Y N N Y Y Y N N
17 Im EM (2012) Thesis Parent education Self-esteem, social competence 8 1 60 12/12 Y N N N N N N N N
18 Lee GM et al. (2012) Journal Newborn care education Knowledge about child rearing, stress of child rearing, child rearing self-efficacy 3 1 90 17/16 Y Y N N Y Y Y Y N
19 Lee JY et al. (2012) Journal Korean language learning program Depression, anxiety, stree, communication 10 1 120 5/6 Y N N N N N N N N
20 Park SK (2012) Journal Collective counseling Marriage of satisfaction, happy, self-esteem 10 1 60 10/10 Y N N N N N N N N
21 Shin JW (2012) Journal Art therapy Acculturative stress, self-esteem, quality of life, mental health 12 1 60 12/10 N N N N N N N N N
22 Seo JY et al. (2013) Journal Infection prevention Knowledge of infection prevention 8 2 90 25/28 Y Y N N Y Y Y Y N
23 Yang YJ et al. (2013) Journal Art therapy Acculturative stress 10 2 120 11/11 Y N N N N N N N N
24 Im Em et al. (2014) Journal Parent education Self-esteem, social competence 10 1 - 12/12 Y Y N N N N N N N
25 Kim JH (2014) Thesis Empowerment Knowledge for contraception, perceived control of contraceptive communication related to sexuality, general communication, sexual autonomy, self efficacy for contraception 10 1 90 23/23 Y Y N N Y Y Y Y N
26 Kim NY (2014) Thesis Salutogenic Acculturative stress, quality of life, sense of coherence 12 2 60 29/32 Y Y N N Y Y Y N Y
27 Ko YJ (2014) Thesis Laughter therapy Acculturative stress, anxiety salivary Cortisol, depression, 4 2 60 19/22 Y Y Y Y Y Y Y Y Y

TS=total sesson; WS=week sesson; SM=time per 1 sessionl; Exp.=experimental group; Cont.=control group; RM=randomization; DA=dropout accounted; ABS=assessor's blind stated; PBS=participant's blind stated; SSOsubject selection criteria; SSSOsample size selection criteria; MPT=mediation providers training; PE=proliferation of an experiment; FT=Future test.

Table 2.
Methodology of Analyzed Studies (N=27)
Categories Yes No
n (%) n (%)
Randomization 18 (66.7) 9 (33.3)
Assessor's blind stated 3 (10.7) 24 (89.3)
Participant's blind stated 3 (10.7) 24 (89.3)
Dropout accounted 16 (59.3) 11 (40.7)
Subject selection criteria 15 (55.5) 12 (44.5)
Sample size selection criteria 7 (25.9) 20 (74.1)
Mediation providers training 8 (29.6) 19 (70.4)
Proliferation of an experiment 6 (22.2) 21 (77.8)
Future test 2 (7.4) 25 (92.6)
Table 3.
Effect Sizes of Study Variables
Variables     K ES U3 (%) 95% % CI I2
The total average effect size   83 1.17 88 0.92 1.10 60.89 209.64∗∗∗
Intervention Program Parent education 21 1.55 94 1.21 1.89 58.18  
variables type Psychological counseling 6 1.32 91 0.55 2.09 66.31 25.20∗∗∗
    Art therapy 32 1.17 88 0.93 1.40 59.40
    Social skills 24 0.89 81 0.69 1.10 49.36  
  Total session Session 10~18 55 1.22 89 1.03 1.40 53.12  
    Session 9 or less 20 1.12 87 0.82 1.42 70.47 21.20∗∗∗
    Session 19~24 6 0.71 76 0.41 1.02 34.58  
  Week session Once a week 56 1.35 91 1.19 1.51 86.63 15.74∗∗∗
    More than twice a week 23 0.77 79 0.54 1.07 61.17
  1 hour activity 60 minutes or less 25 1.09 86 0.82 1.36 66.62  
  session 90~120 minutes 50 1.14 87 0.96 1.32 49.29 23.80∗∗∗
    More than 150 minutes 4 1.01 84 0.13 1.90 81.30  
  Group size 10 or less people 39 1.40 92 1.17 1.64 40.62  
    11~20 people 27 1.35 91 1.09 1.61 62.59 53.40∗∗∗
    More than 21 people 17 0.65 74 0.49 0.81 29.68  
Effect Social Social support 2 1.54 94 0.77 2.30 0.00  
variables variable Integration sense 6 1.11 87 0.64 1.57 55.14 3.20∗∗
    Communication 5 1.10 86 0.63 1.57 31.70
    Knowledge 5 0.97 83 0.38 1.56 74.13  
    Sub total 18 1.09 86 0.82 1.36 52.80 36.09∗
  Physical Cortisol levels 1 0.83 80 0.19 1.47 0.00 2.98
  variable Immune 1 0.05 52 -0.56 0.66 0.00
    Sub total 2 0.44 67 -0.33 1.20 62.08 2.98
  Psychological Self esteem 9 1.86 97 1.25 2.48 65.06  
  variable Efficacy 10 1.59 94 1.10 2.07 65.39  
    Depressed 7 1.50 93 0.81 2.18 70.36  
    Anxiety 4 1.42 92 0.58 2.26 70.34  
    Negative automatic thoughts 2 1.42 92 0.65 2.18 0.00 34.62∗∗∗
    Quality of life 5 0.99 84 0.28 1.69 69.42
    Parenting stress 5 0.96 83 0.34 1.57 59.46  
    Marital satisfaction 4 0.93 82 0.33 1.54 41.62  
    Mental health 2 0.86 81 0.05 1.67 59.61  
    Acculturation stress 15 0.85 80 0.61 1.08 23.79  
    Sub total 63 1.24 89 1.06 1.42 62.09 7.15∗∗∗

K=number of studies; ES=effect size; U

3 =percentile of non-overlap; CI=confidence interval; I

2 =the proportion of true variance; Q=Q-value between subgroups; ∗p .05, ∗∗ ＜ p .01, ∗∗∗ ＜ p .001. ＜

Table 4.
Meta-regression Analysis of Control Variables
Variables Slope coefficients Standard error 95% CI p
Year -0.04 0.04 -0.12 0.04 0.32
Survey areas 0.07 0.07 -0.07 0.20 0.33
Design type -0.14 0.19 -0.50 0.23 0.46
Publication type 0.28 0.16 -0.03 0.58 0.07
Sample calculation based on -0.48 0.14 -0.75 -0.21 0.00
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