Phatisena Panida, Eaksanti Tawatchai, Wichantuk Pitsanee, Tritipsombut Jaruwan, Kaewpitoon Soraya J, Rujirakul Ratana, Wakkhuwattapong Parichart, Tongtawee Taweesak, Matrakool Likit, Panpimanmas Sukij, Norkaew Jun, Kujapun Jirawoot, Chavengkun Wasugree, Kompor Porntip, Pothipim Mali, Ponphimai Sukanya, Padchasuwan Natnapa, Kaewpitoon Natthawut
Public Health Program, Faculty of Public Health, Nakhon Ratchasima Rajabhat University, Nakhon Ratchasima, Thailand E-mail :
Asian Pac J Cancer Prev. 2016;17(6):2889-94.
This study aimed to modify behavior regarding liver fluke and cholangiocarcinoma prevention in Chumphuang district, Nakhon Ratchasima province, Thailand through integrated learning. A total of 180 participants were included through purposive selection of high-risk scores on verbal screening. Participants attended the health education program which applied the health belief model included family based, knowledge station based, academic merit based and community based learning. Data were collected using a questionnaire composed of 4 parts: 1) personal information, 2) knowledge, 3) perceived susceptibility, severity, benefits, and barriers, 4) practice regarding liver fluke and cholangiocarcinoma prevention. The result revealed that the majority were female (79.9%), age ≥60 years old (33.2%), primary school educational level (76.1%), and agricultural occupation (70.1%). The mean scores of knowledge, perception, and practice to liver fluke and cholangiocarcinoma prevention, before participated the integrative learning were low, moderate, and low, respectively. Meanwhile, the mean score of knowledge, perceived susceptibility, severity, benefits, and barriers, and practice regarding liver fluke and cholangiocarcinoma prevention, were higher with statistical significance after participation in the integrated learning. This finding indicates that health education programs may successfully modify health behavior in the rural communities. Therefore they may useful for further work behavior modification in other epidemic areas.
本研究旨在通过综合学习改变泰国呵叻府春蓬区预防肝吸虫和胆管癌的行为。通过对言语筛查高危得分进行有目的的选择，共纳入了180名参与者。参与者参加了应用健康信念模型的健康教育项目，该项目包括基于家庭、基于知识站、基于学术价值和基于社区的学习。使用由4部分组成的问卷收集数据：1）个人信息，2）知识，3）感知易感性、严重性、益处和障碍，4）预防肝吸虫和胆管癌的实践。结果显示，大多数参与者为女性（79.9%），年龄≥60岁（33.2%），小学教育水平（76.1%），从事农业职业（70.1%）。在参与综合学习之前，参与者对预防肝吸虫和胆管癌的知识、认知和实践的平均得分分别较低、中等和较低。同时，参与综合学习后，参与者对预防肝吸虫和胆管癌的知识、感知易感性、严重性、益处和障碍以及实践的平均得分均有统计学意义的提高。这一发现表明，健康教育项目可能成功改变农村社区的健康行为。因此，它们可能有助于在其他流行地区进一步开展行为改变工作。
