Kaewpitoon Soraya J, Thanapatto Sirisuda, Nuathong Wimonya, Rujirakul Ratana, Wakkuwattapong Parichart, Norkaew Jun, Kujapun Jirawoot, Padchasuwan Natnapa, Kaewpitoon Natthawut
Parasitic Disease Research Unit, Suranaree University of Technology, Nakhon Ratchasima, Thailand E-mail :
Asian Pac J Cancer Prev. 2016;17(3):1111-4. doi: 10.7314/apjcp.2016.17.3.1111.
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.
华支睾吸虫病在泰国是一个主要问题，尤其是在东北部地区，该地区胆管癌的发病率也很高。由于需要改善健康状况，这项准实验研究旨在评估泰国素林府塔通区一项基于自我效能感和社会支持的健康教育项目的效果。共有70名有华支睾吸虫病病史的参与者被 purposive 挑选出来。参与者被分为实验组和对照组，每组35名受试者。实验组接受了一个健康教育项目，该项目包括：（1）通过多媒体、示范、宣传册和手册进行知识提升讲座；（2）关于他们健康信念的小组讨论，分享他们的想法和经验；（3）来自乡村卫生志愿者（VHV）、村长（HV）、朋友、家庭成员和公共卫生官员（PHO）的社会支持。由PHO/VHV/HV进行随访，为不吃生鱼的家庭提供证书和旗帜。在项目实施3个月后，通过预先设计的问卷收集数据。比较数据通过配对简单t检验和独立t检验进行分析。结果显示，实验组的知识平均得分比实验前更高（平均差异=3.1，t=3.915，95%CI -3.3，-1.8，p值=0.001），且高于对照组（平均差异=2.5，t=4.196，95%CI =1.4，3.6，p值=0.001），具有统计学意义。实践平均得分高于实验前（平均差异=4.6，t=4.331，95%CI -5.3，-3.1，p值=0.001），且高于对照组（平均差异=4.4，t=6.142，95%CI =4.2，7.9，p值=0.001）。华支睾吸虫病的感知易感性和感知严重性得分，以及预防华支睾吸虫病的感知益处和感知障碍得分，也高于实验前和对照组（p值<0.001）。总之，这是一个成功的预防肝吸虫的健康教育项目。因此，它可能对其他流行地区的进一步行为改变有用。 （注：“purposive”未准确翻译，可能是“有目的的”之类意思，因原文此处表述不太清晰准确）
