ArticleAsian Pacific journal of cancer prevention : APJCP2022
Development of a School-Based Health Literacy Model for Liver Fluke Prevention and Control Using Participatory Action Research.
Article in Asian Pacific journal of cancer prevention : APJCP, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed, 8 citations in OpenAlex.
- Impact of Community-Based Health Education and Sanitation Interventions onInternational journal of environmental research and public health · 2026Article
- Cancer Education-Based Learning Management to Enhance Health Literacy for Cholangiocarcinoma Prevention Among Primary School Students in Endemic Areas of Thailand: The Muk-KAMSComD Model.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Promoting health equity through health literacy interventions in educational institutions: a scoping review.Frontiers in public health · 2026Article
- One Health integrated strategies for sustainable control of Opisthorchis viverrini infections in rural endemic areas of Thailand.Infectious diseases of poverty · 2025Article
- [Educational strategy for prevention of cervical cancer in Indigenous peoples: a participatory action research experience].Cadernos de saude publica · 2025Article
- Effectiveness of an intervention program to develop e-cigarette control leaders at the University in Lampang Province, Thailand.Tobacco prevention & cessation · 2024Article
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Authors and funding
7 authors at 5 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundLiver fluke caused by Opisthorchis viverrini is a serious health problem in the northeastern region of Thailand. It is associated with endemic cholangiocarcinoma (CCA) in this region. This study was performed to develop a school-based health literacy model for liver fluke prevention and control using participatory action research. Method: The participants of this study included 3 school administrators, 5 teachers, 45 senior high school students, 2 health officers, and 5 health volunteers. in Phanom Phrai District, Roi-et Province, Thailand. The study employed mixed methods for data collection, including qualitative methods namely policy analysis, interview, and problem-solving as well as quantitative methods namely pre and post-tests and implementation of health literacy. Six months later, researchers evaluated the outcome. The average scores of the participants' health literacy and their practical skills were measured.
resultThe participants' health literacy and practical skill mean score increased after the intervention (mean difference=20.20, 95%CI 15.37-25.03, p-value <0.001) and (mean difference=21.10, 95%CI 19.10-23.10, p-value <0.001). School activities were concluded regarding public relations for one time a week, exhibitions, learning summary speech contests, and organizing a school food safety club. In addition, school rules were agreed and included: (1) cooked food consumption (2), stopping undercooked cyprinoid fish by the household cooker (3), correcting misunderstanding in each household in the community (4), hygienic defection, and (5) reminding friends to stop consumption of undercooked food.
conclusionThe results indicated that school-based model was effective. The stakeholder experiences and learning processes using teamwork will help the development of skills to cooperate and coordinate students choosing the best method for Liver fluke prevention and control. Moreover, they should continue to improve the suitable network for each school to ensure that the models are sustainable.
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