Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Effectiveness of a Health Educational Program Based on Self-Efficacy and Social Support for Preventing Liver Fluke Infection in Rural People of Surin Province, Thailand

  • Published : 2016.04.11
Download PDF
⟨ Previous Next ⟩

Abstract

Opisthorchiasis is a major problem in Thailand particularly in northeast region which also has a high incidence of cholangiocarcinomas. Since health modification is needed, this quasi-experimental study aimed to assess the effectiveness of a health education program based on self-efficacy and social support in Tha Tum district, Surin province, Thailand. A total of 70 participants were purposive selected with a history of opisthorchiasis. Participants were divided into experimental and control groups, each with 35 subjects. The experimental group received a health education program composed of: (1) knowledge improvement, lectured with multimedia, demonstration, brochure, and handbook; (2) group discussion about their health beliefs, sharing their ideas and experience; and (3) social support from village health volunteers (VHV), heads of villages (HV), friends, and members of families, and public health officer (PHO). Follow-up was by PHO/VHV/HV, with provision of certificates and flasg for household that did not eat raw fish. Data were collected by predesigned questionnaires after implementation of the program for 3 months. Comparative data was analyzed by paired simple t-test and independent t-test. The results revealed that the experimental group had mean score of knowledge higher more than before the experiment (mean difference=3.1, t=3.915, 95%CI-3.3, -1.8 p-value=0.001), and the control group (mean difference=2.5, t=4.196, 95%CI=1.4, 3.6, p-value=0.001) with statistical significance. The mean scores of practice were higher than before the experiment (mean difference=4.6, t=4.331, 95%CI-5.3, -3.1, p-value=0.001), and control group (mean difference=4.4, t=6.142, 95%CI=4.2, 7.9, p-value=0.001). The mean scores of perceived susceptibility and perceived severity of opisthorchiasis, al well as perceived benefits and perceived barriers to prevention of opisthorchiasis, were also higher than before the experiment and in the control group (p-value <0.001). In conclusion, this was a successful health education program for liver fluke avoidance. Therefore, it may useful for further behavior modification in the other epidemic areas.

Keywords

References

  1. Becker MH, Maiman LA (1975). A new approach to explaining sick role behavior in low income population American of Public Health. Southeast Asian J Trop Med Public Health, 3, 330-6.
  2. Best JW (1977). Research in education (3rd ed). Englewood Cliffs, NJ: Prentice-Hall.
  3. Bloom BS. (1971). Handbook on formative and summative of student learning. New York: Mc Graw-Hill Book Company.
  4. Harinasuta C, Vajrasthira S (1960). Opisthorchiasis in Thailand. Ann Trop Med Parasitol, 54, 100-05. https://doi.org/10.1080/00034983.1960.11685962
  5. House JS, Kahn RL (1985). Measures and concepts of social support. In S. Cohen & S. L. Syme (Eds.), Social support and health. New York, NY: Academic Press, 83-108
  6. IARC. (1994). Infection with liver flukes (Opisthorchis viverrini, Opisthorchis felineus and Clonrochis sinensis). IARC Monogr Eval Carcinog Risks of Hum, 61, 121-75.
  7. Janz NK, Becker MH (1984). The health belief model: A decade later. Health education Quarterly, 11, 1-47. https://doi.org/10.1177/109019818401100101
  8. Kaewkes S (2003). Taxonomy and biology of liver flukes. Acta Trop, 88, 177-86. https://doi.org/10.1016/j.actatropica.2003.05.001
  9. Kaewpitoon N, Kaewpitoon SJ., Pengsaa P., et al (2007). Knowledge, attitude and practice related to liver fluke infection in northeast Thailand. World J Gastroenterol, 13, 1837-40. https://doi.org/10.3748/wjg.v13.i12.1837
  10. Kaewpitoon N, Kaewpitoon SJ, Pengsaa P (2008). Opisthorchiasis in Thailand: review and current status. World J Gastroenterol, 14, 2297-302. https://doi.org/10.3748/wjg.14.2297
  11. Kaewpitoon N, Kaewpitoon SJ, Pengsaa P, et al (2008). Opisthorchis viverrini: the carcinogenic human liver fluke. World J Gastroenterol, 14, 666-74. https://doi.org/10.3748/wjg.14.666
  12. Kaewpitoon SJ, Kaewpitoon N, Rujirakul et al (2015). The Carcinogenic Liver Fluke Opisthorchis viverrini among Rural Community People in Northeast Thailand: a Cross-Sectional Descriptive Study using Multistage Sampling Technique. Asian Pac J Cancer Prev, 16, 7803-7. https://doi.org/10.7314/APJCP.2015.16.17.7803
  13. Kaewpitoon N, Kootanavanichpong N, Kompor P, et al (2015). Review and Current Status of Opisthorchis viverrini Infection at the Community Level in Thailand. Asian Pac J Cancer Prev, 16, 6825-30 https://doi.org/10.7314/APJCP.2015.16.16.6825
  14. Preuksaraj S, Jeeradit C, Satilthai A, et al (1982). Prevalence and intensity of intestinal helminthiasis in rural Thailand. Con Dis J, 8, 221-69.
  15. Sadun EH (1955). Studies on Opisthorchis viverrini in Thailand. Am J Hyg, 62, 81-115.
  16. Sithithaworn P, Andrews RH, Nguyen VD, et al (2012). The current status of opisthorchiasis and clonorchiasis in the Mekong Basin. Parasitol Int, 61, 10-6. https://doi.org/10.1016/j.parint.2011.08.014
  17. Songserm N, Bureelerd O, Thongprung S, et al (2015). Community participation in cholangiocarcinoma prevention in ubon ratchathani, Thailand: Relations with Age and Health Behavior. Asian Pac J Cancer Prev, 16, 7375-9. https://doi.org/10.7314/APJCP.2015.16.16.7375
  18. Sripa B, Kaewkes S, Intapan PM, et al (2010). Food-borne trematodiases in Southeast Asia: epidemiology, pathology, clinical manifestation and control. Adv Parasitol, 72, 305-50. https://doi.org/10.1016/S0065-308X(10)72011-X
  19. Sripa B, Tangkawattana S, Laha T, et al (2015). Toward integrated opisthorchiasis control in northeast Thailand: the Lawa project. Acta Trop, 141, 361-7. https://doi.org/10.1016/j.actatropica.2014.07.017
  20. Thamavit W, Bhamarapravati N, Sahaphong S, et al. (1978). Effects of dimethylnitrosamine on induction of cholangiocarcinoma in Opisthorchis viverrini-infected Syrian golden hamsters. Cancer Res, 38, 4634-9.
  21. Wongsaroj T, Nithikathkul C, Rojkitikul Wet al (2014). National survey of helminthiasis in Thailand. Asian Biomedicine, 8, 779-83 https://doi.org/10.5372/1905-7415.0806.357
  22. Wykoff DE, Harinasuta C, Juttijutada P, Winn MM (1965). Opisthorchis viverrini in Thailand-the life cycle and comparison with O. felineus. J Parasitol, 51, 207-14. https://doi.org/10.2307/3276083

Cited by

  1. Effect of Educational Intervention Based on the Health Belief Model and Self-Efficacy in Promoting Preventive Behaviors in a Cholangiocarcinoma Screening Group pp.1543-0154, 2018, https://doi.org/10.1007/s13187-018-1424-7