Effects of Health Belief Development Program Among Parents on Perceptions and Hand-Foot-Mouth Disease Preventive Behaviors for Preschool-Aged Children in Child Development Center
Keywords:
health belief, hand-foot-mouth disease, preventive behaviors, child development centerAbstract
Abstract
This quasi-experimental research studied the effects of a health belief development program on the perception of and preventive behaviors regarding hand-foot-mouth disease (HFMD) among parents of preschool-aged children in a child development center. The sample was 60 parents aged 21-59 recruited by multi-stage sampling and divided into experimental (n = 30) and control groups (n = 30). The experimental instrument was the health belief model program: a video and a handbook for disease preventive behaviors. Data collection tools were questionnaires. Data were analyzed by descriptive statistics, Chi-Square, Fisher’s exact test and independent t-test.
The results revealed that, after the intervention, the experimental group had high level mean scores for perceived susceptibility and perceived severity (M = 4.36, SD = 0.46; M = 4.50, SD = 0.38 respectively). The highest mean score was for perceived benefits (M = 4.63, SD = 0.31). A lower mean score was found for perceived barriers (M = 1.42, SD = 0.34), and a moderate mean score for HFMD preventive behaviors (M = 2.66, SD = 0.21). There were several changes in health beliefs: in the experimental group, post-intervention scores for perceived susceptibility, perceived severity, and perceived benefits of HFMD preventive behaviors were significantly higher than in the control group (t = 2.370, p = .010; t = 2.158, p = .018; t = 1.935, p = .029, and t = 2.160, p = .017 respectively). Similarly, the experimental group’s post-intervention perceived barriers score was significantly lower than the control group’s score (t = -3.083, p = .002).
The results suggest that community nurse practitioners, health workers and related parties could use this program as a guideline for prevention of hand-foot-mouth disease for preschool-aged children in child development center through the participation of parents.
References
Bureau of Epidemiology, Department of Disease Control. (2017). Epidemiological Survellance Report. Retrieved January 4, 2018, from http//www.boe.moph.go.th// [In Thai]
Bureau of Epidemiology and Department of Disease Control. (2020). Epidemiological Surveillance Report. Retrieved February 1, 2020, from http//www.boe.moph.go.th// [In Thai]
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nded.). New Jersey: Lawrence Erlbaum Associates.
Luby, P., & Halder, K. (2008). Associations among handwashing indicators, wealth, and
symptoms of childhood respiratory illness in urban bangladesh. Med in Health, 13(6), 835-844.
Luby, P., Huda, T., Halder, A.K., & Unicomb, L. (2011). The effect of handwashing at recommended times with water alone and with soap on child diarrhea in rural Bangladesh: an observational study. Journal PubMed, 8(6), 1037-1048.
Peansukwech, U., & Banchonhuttakit, P. (2017). Effect of health education program in childhood prevention of hand foot mouth disease by the application of health belief model and social support of caregivers and child’s parents in child care center at Muang district, khon kaen province. Srinagarind Medical Journal, 29(2),1-5. [In Thai]
Pensuk, P., & Banchonhuttakit, P. (2013). Effects of behavioral modification for hand foot mouth disease prevention among parents of pre-school children in child development center; Ban Kruat disdrict, Burirum province. Journal of Public Health, 8(1), 81-93. [In Thai]
Phuphaibul, R. (2013). Nursing care plan for healthy and ill children. Bangkok: Dharma Council Printing. [In Thai]
Polit, D.F. (1996). Data Analysis and Statistics for Nursing Research. Stamford: CT Appleton & Large.
Rosenstock, I. M. (1974). The health belief model and preventive health behavior. Health Education Monographs, 2(4), 328-335.
Rabenau, H.F., Richter, M., & Doerr, H.W. (2010). Hand foot mouth disease in China: Patterns of spread and transmissibility during 2008-2009. Epidemiology, 22(6), 781-792.
Sanongyard, J., Jametim, N., Dhanawan, W., & Maungchang, Y. (2016). The effects of program over three-dimensional comic book knowledge to Infection control among parents by applying health belief patterns, social support, and epidemiological principles of child parents in child development centers Suphan Buri province. Chonburi Hospital Journal, 40(3), 217-226. [In Thai]
Ubon Ratchathani Province Office for Local Administration. (2018). Development center
information pre school-aged children in Ubon Ratchathani province. [In Thai]
Vanichanan, C., & Putthacharoen, O. (2017). Infectious diseases across the regions. Bangkok: Tri Thep Book Process. [In Thai]
World Health Organization [WHO]. (2011). A guide to clinical management and public health response for hand, foot mouth disease (HFMD) 2011. Retrieved from http://www.who.int/nmh/publications/ncd-progress-monitor-2011/en/
World Health Organization [WHO]. (2017). Communicable diseases progress monitor 2017. Retrieved from http://www.who.int/nmh/publications/ncd-progress-monitor-2017/en/
