Moonsan Sirapatsorn, Songserm Nopparat, Phitchayapirath Piyaporn
Department of Health Sciences, Faculty of Public Health, Ubon Ratchathani Rajabhat University, Ubon Ratchathani, 34000, Thailand.
Mukdahan Provincial Public Health Office, Mukdahan, Thailand.
J Cancer Educ. 2025 Apr;40(2):210-217. doi: 10.1007/s13187-024-02498-7. Epub 2024 Sep 2.
Although Opisthorchis viverrini (OV) is a neglected tropical disease, the International Agency for Research on Cancer (IARC) listed it as a human carcinogen 30 years ago. Cholangiocarcinoma (CCA) is the ultimate pathology outcome. However, it remains a significant public health problem in the Greater Mekong Subregion and Asia. Its widespread impact on human health requires urgent action using various strategies. This study aimed to investigate and prioritize the need for developing teaching and learning management of OV and CCA among primary school students in Thailand endemic areas. The samples consisted of 36 Grade 6 students. This study was conducted by using a needs questionnaire. Data were analyzed using Mean and Standard Deviation. The needs were prioritized using the Modified Priority Needs Index (PNI modified). The findings revealed a moderate overall need for teaching and learning management development. The area with the highest need was learning activity organization (PNI = 0.410), followed by audiovisual equipment (PNI = 0.276) and buildings (PNI = 0.265). The teaching content the students needed most included CCA prevention, risk factors, and disease symptoms (58.33%). Based on the findings, it is suggested that teachers design various learning activities and emphasize hands-on activities for students. Additionally, administrators should allocate budgets to improve buildings and audiovisual equipment, and relevant organizations should establish policies to promote learning on these issues in educational institutions. Essential lessons from this study can provide a starting point for executives and public health personnel worldwide to apply to develop educational strategies for cancer education and cancer prevention and control.
虽然湄公河肝吸虫（OV）是一种被忽视的热带疾病，但30年前国际癌症研究机构（IARC）就将其列为人类致癌物。胆管癌（CCA）是最终的病理结果。然而，它在大湄公河次区域和亚洲仍然是一个重大的公共卫生问题。其对人类健康的广泛影响需要采取各种策略紧急应对。本研究旨在调查泰国流行地区小学生中开展湄公河肝吸虫和胆管癌教学与学习管理的需求，并确定其优先次序。样本包括36名六年级学生。本研究采用需求问卷进行。数据采用均值和标准差进行分析。需求的优先次序采用修正的优先需求指数（PNI修正版）确定。研究结果显示，对教学与学习管理发展的总体需求适中。需求最高的领域是学习活动组织（PNI = 0.410），其次是视听设备（PNI = 0.276）和建筑（PNI = 0.265）。学生最需要的教学内容包括胆管癌预防、危险因素和疾病症状（58.33%）。基于研究结果，建议教师设计各种学习活动，并强调学生的实践活动。此外，管理人员应分配预算以改善建筑和视听设备，相关组织应制定政策，在教育机构中促进关于这些问题的学习。本研究的重要经验可为全球管理人员和公共卫生人员提供一个起点，以应用于制定癌症教育及癌症预防与控制的教育策略。
