title: Behavioral Modification Regarding Liver Fluke and Cholangiocarcinoma with a Health Belief Model Using Integrated Learning.
abstract: 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.
authors.affiliation: Public Health Program, Faculty of Public Health, Nakhon Ratchasima Rajabhat University, Nakhon Ratchasima, Thailand E-mail : natthawut.k@hotmail.com.
authors.forename: Panida
authors.initials: P
authors.lastname: Phatisena
authors.forename: Tawatchai
authors.initials: T
authors.lastname: Eaksanti
authors.forename: Pitsanee
authors.initials: P
authors.lastname: Wichantuk
authors.forename: Jaruwan
authors.initials: J
authors.lastname: Tritipsombut
authors.forename: Soraya J
authors.initials: SJ
authors.lastname: Kaewpitoon
authors.forename: Ratana
authors.initials: R
authors.lastname: Rujirakul
authors.forename: Parichart
authors.initials: P
authors.lastname: Wakkhuwattapong
authors.forename: Taweesak
authors.initials: T
authors.lastname: Tongtawee
authors.forename: Likit
authors.initials: L
authors.lastname: Matrakool
authors.forename: Sukij
authors.initials: S
authors.lastname: Panpimanmas
authors.forename: Jun
authors.initials: J
authors.lastname: Norkaew
authors.forename: Jirawoot
authors.initials: J
authors.lastname: Kujapun
authors.forename: Wasugree
authors.initials: W
authors.lastname: Chavengkun
authors.forename: Porntip
authors.initials: P
authors.lastname: Kompor
authors.forename: Mali
authors.initials: M
authors.lastname: Pothipim
authors.forename: Sukanya
authors.initials: S
authors.lastname: Ponphimai
authors.forename: Natnapa
authors.initials: N
authors.lastname: Padchasuwan
authors.forename: Natthawut
authors.initials: N
authors.lastname: Kaewpitoon
mesh_terms: D000818:Animals; D001521:Behavior Therapy; D001650:Bile Duct Neoplasms / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D001653:Bile Ducts, Intrahepatic / Q000469:parasitology*; D018281:Cholangiocarcinoma / Q000209:etiology / Q000517:prevention & control* / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D009889:Opisthorchiasis / Q000150:complications / Q000469:parasitology / Q000517:prevention & control*; D009891:Opisthorchis / Q000472:pathogenicity; D011379:Prognosis; D013785:Thailand