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Effect of Educational Intervention Based on the Health Belief Model and Self-Efficacy in Promoting Preventive Behaviors in a Cholangiocarcinoma Screening Group

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Abstract

Cholangiocarcinoma (CCA) is a neoplasm known as one of the most common causes of cancer-related deaths in Southeast Asia, particularly in Thailand, Laos, and Cambodia. Prevention and health education are required. Therefore, this study aimed to determine the effectiveness of an educational intervention to prevent CCA among a rural population in Thailand based on the health belief model (HBM) and self-efficacy frameworks. In this quasi-experimental study, 60 participants (30 participants in the experimental group and 30 participants in the control group) were selected in 2017. The educational intervention for the experimental group consisted of seven training sessions (introduction to CCA, risk factors, complications, benefits and barriers to proper consumption of cooked fish, carcinogenic agents, behavioral protection, and self-efficacy in applying preventive behaviors). A questionnaire that consisted of demographic information, knowledge, and HBM constructs (perceived susceptibility, severity, benefits, barriers, cues to action, and self-efficacy) was used to measure CCA preventive behaviors before and 3 months after the intervention. Data were analyzed using SPSS-22 via chi-squared, paired t-tests, and independent samples t tests at a significance level of 0.5. Three months after the intervention, the experimental group showed a significant increase in the knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, self-efficacy, and CCA preventive behaviors compared to the control group. This study showed the effectiveness of the intervention based on the HBM constructs and self-efficacy in the adoption of CCA preventive behaviors 3 months post intervention in the risk group. Thus, these models may serve as a framework for designing and implementing educational interventions for the prevention of CCA.

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References

  1. Akamatsu N, Sugawara Y, Hashimoto D (2011) Surgical strategy for bile duct cancer: advances and current limitations. World J Clin Oncol 10(2):94–107

    Article  Google Scholar 

  2. Becker MH, Maiman LA, Kirscht JP (1974) A new approach to explaining sick role behavior in low income population. Am J Public Health 64(3):205–216

    Article  CAS  Google Scholar 

  3. Bloom BS (1971) Handbook on formative and summative of student learning. Mc Graw-Hill Book Company, New York

    Google Scholar 

  4. Edwards SW, Spofford EM, Price C, Wright HL, Salao K, Suttiprapa S, Sripa B (2018) Opisthorchiasis-induced cholangiocarcinoma: how innate immunity may cause cancer. Adv Parasitol 101:149–176

    Article  Google Scholar 

  5. House JS, Kahn RL (1985) Measures and concepts of social support. In: Cohen S, Syme SL (eds) Social support and health. Academic Press, New York, pp 83–108

    Google Scholar 

  6. IARC (1994) Infection with liver flukes (Opisthorchis viverrini, Opisthorchis felineus and Clonrochis sinensis). IARC Monogr Eval Carcinog Risks Hum 61:121–175

    Google Scholar 

  7. Janz NK, Becker MH (1984) The health belief model: a decade later. Health Educ Q 11(1):1–47

    Article  CAS  Google Scholar 

  8. Kaewpitoon N, Kaewpitoon SJ, Pengsaa P, Pilasri C (2007) Knowledge, attitude and practice related to liver fluke infection in northeast Thailand. World J Gastroenterol 13(12):1837–1840

    Article  Google Scholar 

  9. Kaewpitoon N, Kaewpitoon SJ, Pengsaa P (2008) Opisthorchiasis in Thailand: review and current status. World J Gastroenterol 14(15):2297–2302

    Article  Google Scholar 

  10. Kaewpitoon N, Kootanavanichpong N, Kompor P, Chavenkun W, Kujapun J, Norkaew J, Ponphimai S, Matrakool L, Tongtawee T, Panpimanmas S, Rujirakul R, Padchasuwan N, Pholsripradit P, Eksanti T, Phatisena T, Loyd RA, Kaewpitoon SJ (2015) Review and current status of Opisthorchis viverrini infection at the community level in Thailand. Asian Pac J Cancer Prev 16(16):6825–6830

    Article  Google Scholar 

  11. Kaewpitoon SJ, Loyd RA, Rujirakul R, Wakkuwattapong P, Tongtawee T, Matrakool L et al (2016a) Primary care intervention to prevent and control cholangiocarcinoma: lesson from Nakhon Ratchasima, Thailand. J Med Assoc Thail 99(Suppl 7):S144–S150

    Google Scholar 

  12. Kaewpitoon SJ, Rujirakul R, Loyd RA, Panpimanmas S, Matrakool L, Tongtawee T, Kompor P, Norkaew J, Chavengkun W, Wakkhuwattapong P, Kujapun J, Ponphimai S, Phatisena T, Eaksunti T, Polsripradist P, Joosiri A, Sukkasam I, Padchasuwan N, Kaewpitoon N (2016b) Surveillance of populations at risk of cholangiocarcinoma development in rural communities of Thailand using the Korat-CCA verbal screening test. Asian Pac J Cancer Prev 17(4):2205–2209

    Article  Google Scholar 

  13. Kaewpitoon SJ, Rujirakul R, Wakkuwattapong P, Benjaoran F, Norkaew J, Kujapun J, Ponphimai S, Chavenkun W, Kompor P, Padchasuwan N, Kaewpitoon N (2016c) Development of a health education modification program regarding liver flukes and cholangiocarcinoma in high risk areas of Nakhon Ratchasima province using self-efficacy and motivation theory. Asian Pac J Cancer Prev 17(6):2947–2951

    PubMed  Google Scholar 

  14. Kaewpitoon SJ, Thanapatto S, Nuathong W, Rujirakul R, Wakkuwattapong P, Norkaew J, Kujapun J, Padchasuwan N, Kaewpitoon N (2016d) Effectiveness of a health educational program based on self-efficacy and social support for preventing liver fluke infection in rural people of Surin province, Thailand. Asian Pac J Cancer Prev 17(3):1111–1114

    Article  Google Scholar 

  15. Kaewponpek R (2009) The effectiveness of application by protection motivation theory and social support for preventive behavior of opisthorchiasis to cholangiocarcinoma among primary school student in Saithong sub district, Subunreuang district, Nonbualamphu province, Thailand. Master of Public Health thesis in Health Education and Health Promotion, Graduate School, Khon Kaen University. Thai

  16. Kompor P, Muang Karn R, Norkaew J, Kujapun J, Photipim M, Ponphimai S et al (2016) Population-based intervention for liver fluke prevention and control in Meuang Yang district, Nakhon Ratchasima province, Thailand. Asian Pac J Cancer Prev 17(2):685–689

    Article  Google Scholar 

  17. Landis SH, Murray T, Bolden S, Wingo PA (1998) Cancer statistics, 1998. CA Cancer J Clin 48(1):6–29

    Article  CAS  Google Scholar 

  18. Padchasuwan N, Kaewpitoon SJ, Rujirakul R, Wakkuwattapong P, Norkaew J, Kujapun J, Ponphimai S, Chavenkun W, Kompor P, Kaewpitoon N (2016) Modifying health behavior for liver fluke and cholangiocarcinoma prevention with the health belief model and social support theory. Asian Pac J Cancer Prev 17(8):3721–3725

    PubMed  Google Scholar 

  19. Patel T (2002) Worldwide trends in mortality from biliary tract malignancies. BMC Cancer 2:10

    Article  Google Scholar 

  20. Phatisena P, Eaksanti T, Wichantuk P, Tritipsombut J, Kaewpitoon SJ, Rujirakul R, Wakkhuwattapong P, Tongtawee T, Matrakool L, Panpimanmas S, Norkaew J, Kujapun J, Chavengkun W, Kompor P, Pothipim M, Ponphimai S, Padchasuwan N, Kaewpitoon N (2016) Behavioral modification regarding liver fluke and cholangiocarcinoma with a health belief model using integrated learning. Asian Pac J Cancer Prev 17(6):2889–2894

    PubMed  Google Scholar 

  21. Seti S (2009) The effect of comparison preventive liver fluke behavior between application health belief model with participation and handbook in risk group’s cancer of liver, Nonsang District, Nongbualamphu Province. Master of Public Health thesis in Health Education and Health Promotion, Graduate School, Khon Kaen University. Thai.

  22. Shin HR, Oh JK, Masuyer E (2010) Epidemiology of cholangiocarcinoma: an update focusing on risk factors. Cancer Sci 101(3):579–585

    Article  CAS  Google Scholar 

  23. Sithithaworn P, Andrews RH, Nguyen VD, Wongsaroj T, Sinuon M, Odermatt P et al (2012) The current status of opisthorchiasis and clonorchiasis in the Mekong Basin. Parasitol Int 61(1):10–16

    Article  Google Scholar 

  24. Sripa B (2008) Concerted action is needed to tackle liver fluke infections in Asia. PLoS Negl Trop Dis 2(5):e232

    Article  Google Scholar 

  25. Sripa B, Kaewkes S, Sithithaworn P, Mairiang E, Laha T, Smout M, Pairojkul C, Bhudhisawasdi V, Tesana S, Thinkamrop B, Bethony JM, Loukas A, Brindley PJ (2007) Liver fluke induces cholangiocarcinoma. PLoS Med 4(7):e201

    Article  Google Scholar 

  26. Sripa B, Kaewkes S, Intapan PM, Maleewong W, Brindley PJ (2010) Food-borne trematodiases in Southeast Asia: epidemiology, pathology, clinical manifestation and control. Adv Parasitol 72:305–350

    Article  Google Scholar 

  27. Sripa B, Tangkawattana S, Laha T, Kaewkes S, Mallory FF, Smith JF, Wilcox BA (2015) Toward integrated opisthorchiasis control in northeast Thailand: the Lawa project. Acta Trop 141(Pt B):361–367

    Article  Google Scholar 

  28. Thongnamuang S, Duangsong R (2012) The effectiveness of application by health belief model and social support for preventive behavior of opisthorchiasis and cholangiocarcinoma among primary school students in Moeiwadi district, Roi-Et province, Thaiiland. KKU Res J (GS) 12(2):80–91

    Google Scholar 

  29. Viriuagul C (2015) Effectiveness of health belief regarding health modification in the population at risk for liver cancer and cholangiocarcinoma in Kokkland sub-district, Lau Amnat, Amnat Charoen province, Thailand. J ODPC 10th Ubon Ratchathani 13(1):43–51

    Google Scholar 

  30. Wongsaroj T, Nithikathkul C, Rojkitikul W, Nakai W, Royal L, Rammasut P (2014) National survey of helminthiasis in Thailand. Asian Biomed 8(6):779–783

    Article  Google Scholar 

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Funding

The present study was supported by a grant from the Parasitic Disease Research Center, Institute of Medicine, and the SUT research and development fund, Suranaree University of Technology (SUT), Thailand.

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Authors and Affiliations

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

    Wirangrong Srithongklang, Benchapan Panithanang, Pontip Kompor, Prasit Pengsaa, Natthawut Kaewpitoon, Parichart Wakkhuwatapong & Soraya J. Kaewpitoon

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

    Wirangrong Srithongklang, Benchapan Panithanang & Pontip Kompor

Authors
  1. Wirangrong Srithongklang
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  2. Benchapan Panithanang
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  3. Pontip Kompor
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  4. Prasit Pengsaa
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  5. Natthawut Kaewpitoon
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  6. Parichart Wakkhuwatapong
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  7. Soraya J. Kaewpitoon
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Correspondence to Natthawut Kaewpitoon.

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Srithongklang, W., Panithanang, B., Kompor, P. et al. Effect of Educational Intervention Based on the Health Belief Model and Self-Efficacy in Promoting Preventive Behaviors in a Cholangiocarcinoma Screening Group. J Canc Educ 34, 1173–1180 (2019). https://doi.org/10.1007/s13187-018-1424-7

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  • DOI: https://doi.org/10.1007/s13187-018-1424-7

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