Developing a health behavior modification program through Community Participation for the liver flukes risk group in Du Subdistrict, Prang Ku District, Sisaket Province

Abstract

The research on Developing a health behavior modification program through Community Participation for the liver flukes risk group in Du Subdistrict, Prang Ku District, Sisaket Province. aims to Developing a health behavior modification program through Community Participation for the liver flukes risk group in Du Subdistrict, Prang Ku District, Sisaket Province. This research is an action research model based on the concept of Kemmis and McTaggart, along with the application of Health belief model to design activities through the quality development process according to the DEMMING CYCLE (PDCA). Each cycle consists of 4 steps as follows: Planning, Action, Observation, and Reflection. It is divided into 3 phases: Phase 1: Study of the context and assessment of the operational situation of solving related problems to lead to problem management in caring for the risk group of liver fluke patients. Phase 2: Research and Development: Development of behavior modification programs. Phase 3: Quasi-Experimental Research to compare the effectiveness of behavior modification programs in preventing and controlling liver fluke disease. Samples The sample group for this participatory action research has determined collaboration in 3 sectors based on the concept of the triangle that moves mountains. There is a total sample population of 50 people. The tools used are an interview form and a data collection form, the Fogus group. The data from phase 1 and phase 2 were used to create a health behavior modification program for groups at risk for liver fluke disease with community participation. The sample group used to evaluate the program was 85 people. The results were evaluated before and after the 16-week experiment using a questionnaire.

The research results found that the results of the liver fluke screening in 2022-2024 were as follows: 5.06 percent, 4.97 percent, and 2.64 percent. People's health behaviors tend to eat food made from undercooked fish, such as koi pla, pla som, pla jom, and pla ra, and improper waste disposal. The control and prevention of liver fluke disease by the sub-district health promotion nurses used the method of giving people who were found to be given Praziquentel and providing group health education and individual health education to the found group. The health behavior modification program for the liver fluke risk group with community participation is the HUG DU model, as follows: Health belief model (health behavior modification program) Understanding (building mutual understanding of agreements on measures and guidelines for liver fluke prevention by the community) Guide (recommendations, guidance, and methods of cooking cooked fish dishes to prevent parasitic diseases) Do (implementing behavior modification) Unity Team (community participation, social support) The results of the program trial found that the experimental group after receiving the liver fluke risk group health behavior modification program With 16 weeks of community participation, there was a statistically significant difference in the behavior of preventing liver fluke disease at the .05 level (  = 3.72, t = 9.67) This health behavior modification program can be used as a model to create public participation in preventing liver fluke disease in other areas.