Table 1. Challenges and Strategies for Implementing This Pilot Study.

Key Challenges	Strategies
Overseas Partnerships
Identifying appropriate contacts; gaining entrée through credible professional and cultural brokers Developing collaboration that benefits all parties Demonstrating reputation and credibility Developing trust; building rapport over time Leadership and staff changes within partnering organizational and governmental offices Sustaining continual periodic contact and visits	Calling upon previously established professional and personal relationships Framing and specifying outcomes that could benefit partners, beyond than just for research team Presentations that include research team's prior training, background, and accomplishments Periodic in-person visits and meeting in the Philippines; delivering on stated commitments on schedule Prioritizing in-person meetings with new leadership and staff when key personnel changes occur Leveraging funding for travel; scheduling brief in-person courtesy calls during project down times; asking trusted local, in-country colleagues to check-in with partner organizations
Instrumentation
Identifying and selecting survey instruments that have project-relevance and cultural-relevance Developing survey tool and protocol that was linguistically correct, culturally acceptable, and scientifically valid	Literarature review spanning variety of disiciplines; review of constructs and associated survey instruments with in-country colleagues and partners Collaborative Iterative Translation (not translation-back-translation), pilot testing among target population.
Cultural Sensitivity
Working with immigrants at a given historical period. Respectful relationships with participants and community partners.	Not assuming Filipino-Americans are fully culturally sensitive to Filipino perspective (particularly when dealing with study participants) Staff members who were born in the Philippines. Among U.S.-based staff, having recently visited the Philippines. Collaboration with both Filipinos and Filipino Americans.
Recruitment
Capturing and enrolling migrant participants within reasonable period before emigrating	Partnership with Philippines governmental agency that regulates permanent migration
Retention
Establishing contact with migrant participants promptly after arriving in U.S. Sustaining long-term participant engagement and interest Collecting data from migrant participants spread across multiple U.S. states	Collecting actual/anticipated arrival date in U.S. Multiple forms and ways of maintaining contact (contact information from family/friends in the Philippines and USA; using phone calls and e-mail); culturally sensitive staff