The Effect of Health Behavior Modification Program for Liver Fluke Prevention among the Risk Group in Rural Communities, Thailand

Document Type : Research Articles


1 Parasitic Disease Research Center, Institute of Medicine, Suranaree University of Technology, Nakhon Ratchasima, Thailand.

2 Faculty of Public Health, Vongchavalitkul University, Nakhon Ratchasima, Thailand.


This quasi-experimental research aimed to study the effect of health behavior modification program in relation to
knowledge, self-efficacy, expectation, and practice for liver fluke prevention among the risk group from Bueng Samrong
sub-district, Kaeng Sanam Nang district, Nakhon Ratchasima province, Northeast Thailand. The total of 66 participants
was assigned to experimental and comparison group, 33 participants in each group, 12-weeks intervene period. The
experimental group was received health behavioral modification programs based on health education, self-efficacy,
motivation, social support and networking. Pre-and-post-tests were measured using predesigned questionnaires. The
comparative analysis was analyzed by paired sample t-test and independent sample t-test at the 0.05 level of significance.
The results revealed that the experimental group had significantly greater knowledge, self-efficacy, expectation, and
practice for liver fluke prevention than those in the comparison group (p < 0.05). In conclusion, this was a successful
health education program for liver fluke avoidance. Participants were gained the correct knowledge and had the higher
self-efficacy, expectation, and practice regrading liver fluke prevention. Therefore, it may useful for further behavior
modification in the other epidemic areas.


Main Subjects