The Effect of a Participatory Learning Program on Opisthorchiasis Preventive Behaviors of At-risk Populations in a Community


  • Janetitsiri Trakultasanor Faculty of Nursing, Chiang Mai University
  • Sivaporn Aungwattana Faculty of Nursing, Chiang Mai University
  • Decha Tamdee Faculty of Nursing, Chiang Mai University


Participatory Learning Program, Opisthorchiasis Preventive Behaviors, At-Risk Populations in Community


Opisthorchiasis is a major contributor to the development of cholangiocarcinoma. Despite long-term efforts to control opisthorchiasis, incidence of the disease continues to persist. Therefore, it is crucial for at-risk populations to adopt preventive behaviors against opisthorchiasis. This quasi-experimental research aimed to compare preventive behaviors for opisthorchiasis among an at-risk community population before and after receiving a participatory learning program. The study also aimed to compare the preventive behaviors between a group that received the program and a group that received regular services over an 8-week period. The sample consisted of 54 individuals from at-risk populations in a community, divided into an experimental group of 27 individuals and a control group of 27 individuals. The study was conducted in Ban Had district in Khon Kaen province. The research tools included the participatory learning program developed by the researcher. Data collection tools included a general information questionnaire and a questionnaire on opisthorchiasis preventive behaviors. The content validity index (S-CVI) of the tools was .99, and reliability was assessed using Cronbach's alpha coefficient with a reliability value of .87. Data analysis was performed using descriptive statistics, Mann-Whitney U test, and Wilcoxon matched-pairs signed-ranks test.

The results showed that the experimental group, who received the participatory learning program for 8 weeks, had a mean score (M = 87.66, SD = 3.05) for opisthorchiasis preventive behaviors which was significantly higher than their pre-program score (M = 71.08, SD = 4.13) (p < .001). The experimental group also had a significantly higher mean score compared to the control group which received regular services (M = 69.56, SD = 2.99) (p < .001).

This study demonstrates that the participatory learning program can effectively promote opisthorchiasis preventive behaviors among at-risk populations in a community.


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How to Cite

Trakultasanor, J., Aungwattana, S., & Tamdee, D. (2024). The Effect of a Participatory Learning Program on Opisthorchiasis Preventive Behaviors of At-risk Populations in a Community. Nursing Journal CMU, 51(1), 128–140. Retrieved from



Research Article