Evaluating effect of a community-based participatory action program on knowledge of melioidosis in Northeastern Thailand
Keywords:
ประเทศไทย, เมลิออยโดสิส, ความรู้, ความตระหนัก, การวิจัยเชิงปฏิบัติการแบบมีส่วนร่วมAbstract
Background and Purpose: Melioidosis is a public health problem in northeast Thailand, where it is associated with high mortality. We aimed to determine awareness and knowledge of melioidosis among the community in this region to inform prevention and education work. We also aimed to develop and implement an appropriate educational campaign using focus group discussions. Methods: We carried out community-based participatory action research in the Thawat Buri district of Roi Et Province in northeastern Thailand. We administered a structured pre-test questionnaire on knowledge and awareness of melioidosis to 372 residents. We also held five focus group discussions with a total of 39 participants to develop a strategy to increase knowledge of melioidosis in their community. After implementing the campaign, we re-assessed knowledge of melioidosis among the same 372 residents using the post-test questionnaire. Results: Overall,36% of respondents had heard of melioidosis, mainly from healthcare providers (35.1%). Of those unaware of melioidosis, 61.8% had only elementary education, and 73.9% worked in agriculture. The focus group discussions suggested using local songs (Mor-Lam music) to raise awareness of melioidosis. A Mor-Lam song was created to describe the symptoms, transmission, and prevention of melioidosis, and it was broadcast daily. Residents’ knowledge about melioidosis improved significantly from 14% to 80% after the campaign. Conclusion: This community’s baseline knowledge and awareness of melioidosis were poor. We recommend providing information about melioidosis and strengthening engagement of stakeholders at different levels in the health system. Using Mor-Lam music may be helpful to educate people about this disease.
References
Chantratita N, Phunpang R, Yarasai A, et al. Characteristics and one year outcomes of melioidosis patients in Northeastern Thailand: a prospective, multicenter cohort study. Lancet Reg Health Southeast Asia. 2023;9:100118. doi:10.1016/j.lansea.2022.100118
Hinjoy S, Hantrakun V, Kongyu S, et al. Melioidosis in Thailand: present and future. Trop Med Infect Dis. 2018;3(2):38. doi:10.3390/tropicalmed3020038
Kongkaew W, Thiptara A, Kaewkalong S, Hinjoy S. Situation of melioidosis in Thailand, 2006-2015. Thai-NIAH eJournal 2017;12:80-102.
Hantrakun V, Kongyu S, Klaytong P, et al. Clinical epidemiology of 7126 melioidosis patients in Thailand and the implications for a national notifiable diseases surveillance system. Open Forum Infect Dis. 2019;6(12):ofz498. doi:10.1093/ofid/ofz498
Ong CEL, Wongsuvan G, Chew JSW, et al. Presence of Burkholderia pseudomallei in soil and paddy rice water in a rice field in Northeast Thailand, but not in air and rainwater. Am J Trop Med Hyg. 2017;97(6):1702-1705. doi:10.4269/ajtmh.17-0515
Seng R, Saiprom N, Phunpang R, et al. Prevalence and genetic diversity of Burkholderia pseudomallei isolates in the environment near a patient's residence in Northeast Thailand. PLoS Negl Trop Dis. 2019;13(4):e0007348. doi:10.1371/journal.pntd.0007348
Limmathurotsakul D, Golding N, Dance DA, et al. Predicted global distribution of Burkholderia pseudomallei and burden of melioidosis. Nat Microbiol. 2016;1(1):15008. doi:10.1038/nmicrobiol.2015.8
Pitman MC, Luck T, Marshall CS, Anstey NM, Ward L, Currie BJ. Intravenous therapy duration and outcomes in melioidosis: a new treatment paradigm [published correction appears in PLoS Negl Trop Dis. 2015 Apr;9(4):e000 3737]. PLoS Negl Trop Dis. 2015;9(3):e0003586. doi:10.1371/journal.pntd. 0003586
Chetchotisakd P, Chierakul W, Chaowagul W, et al. Trimethoprim-sulfamethoxazole versus trimethoprim-sulfamethoxazole plus doxycycline as oral eradicative treatment for melioidosis (MERTH): a multicentre, double-blind, non-inferiority, randomised controlled trial. Lancet. 2014; 383(9919):807-814. doi:10.1016/S0140-6736(13)61951-0
Wiersinga WJ, Virk HS, Torres AG, et al. Melioidosis. Nat Rev Dis Primers. 2018;4:17107. doi:10.1038/nrdp.2017.107
Chansrichavala P, Wongsuwan N, Suddee S, et al. Public awareness of melioidosis in Thailand and potential use of video clips as educational tools. PLoS One. 2015;10(3):e0121311. doi:10.1371/ journal.pone.0121311
Benavides JA, Caparrós C, da Silva RM, et al. The power of music to prevent and control emerging infectious diseases. Front Med (Lausanne). 2021;8: 756152. doi:10.3389/fmed.2021.756152
Huffman T. Participatory/action research/CBPR. In: The International Encyclopedia of Communication Research Methods. 2017:1-10. Wiley Online Library. doi:10.1002 /9781118901731.iecrm0180
Adam A. Sample size determination in survey research. J Sci Res Rep. 2020;26:90-97. doi:10.9734/JSRR/2020/v26i530263
Moser A, Korstjens I. Series: Practical guidance to qualitative research. Part 3: Sampling, data collection and analysis. Eur J Gen Pract. 2018;24(1):9-18. doi:10.1080/13814788.2017.1375091
Seale C. Quality issues in qualitative inquiry. Qualitative Social Work. 2002;1:97-110. doi:10.1177/1473325002001001747
Aekplakorn W, Abbott-Klafter J, Premgamone A, et al. Prevalence and management of diabetes and associated risk factors by regions of Thailand: Third National Health Examination Survey 2004. Diabetes Care. 2007;30(8): 2007-2012. doi:10.2337/dc06-2319
Limmathurotsakul D, Wongsuvan G, Aanensen D, et al. Melioidosis caused by Burkholderia pseudomallei in drinking water, Thailand, 2012. Emerg Infect Dis. 2014;20(2):265-268. doi:10.3201/eid2002.121891
Muangjaiphet, P. and P. Suggaravetsiri, Prevalence and factors associated with Melioidosis in Ubon Ratchathani province. Journal of the Office of DPC 7 Khon Kaen. 2019;26(2):1-13.
Suputtamongkol Y, Chaowagul W, Chetchotisakd P, et al. Risk factors for melioidosis and bacteremic melioidosis. Clin Infect Dis. 1999;29(2):408-413. doi:10.1086/520223
Cox SN, Guidera KE, Simon MJ, et al. Interactive malaria education intervention and its effect on community participant knowledge: the malaria awareness program in Vhembe District, Limpopo, South Africa. Int Q Community Health Educ. 2018;38(2):147-158. doi:10.1177/0272684X17749 573
Tchuenche JM, Dube N, Bhunu CP, Smith RJ, Bauch CT. The impact of media coverage on the transmission dynamics of human influenza. BMC Public Health. 2011;11(Suppl 1):S5. doi:10.1186/1471-2458-11-S1-S5
Kingsley PV, Arunkumar G, Tipre M, Leader M, Sathiakumar N. Pitfalls and optimal approaches to diagnose melioidosis. Asian Pac J Trop Med. 2016;9(6):515-524. doi:10.1016/j.apjtm.2016.04.003
Suntornsut P, Wongsuwan N, Malasit M, et al. Barriers and recommended interventions to prevent melioidosis in Northeast Thailand: a focus group study using the behaviour change wheel. PLoS Negl Trop Dis. 2016;10(7):e0004823. doi:10.1371/journal.pntd.0004 823
Domthong P, Domthong U, Faisatjathum S. Scoring system predicting mortality in melioidosis. Eur Respir J. 2019;54(Suppl63):PA2910. doi:10.1183/ 13993003.congress-2019.PA2910
Wakefield MA, Loken B, Hornik RC. Use of mass media campaigns to change health behaviour. Lancet. 2010;376(9748):1261-1271. doi:10.1016/S0140-6736 (10)60809-4
Wellings K, Macdowall W. Evaluating mass media approaches to health promotion: a review of methods. Health Educ. 2000;100:23-32. doi:10.1108/ 09654280010309021
Welch V, Petkovic J, Pardo Pardo J, Rader T, Tugwell P. Interactive social media interventions to promote health equity: an overview of reviews. Health Promot Chronic Dis Prev Can. 2016;36(4):63-75. doi:10.24095 /hpcdp.36.4.01
Jane M, Hagger M, Foster J, Ho S, Pal S. Social media for health promotion and weight management: a critical debate. BMC Public Health. 2018;18(1): 932. doi:10.1186/s12889-018-5837-3
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Chulabhorn Royal Academy
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของราชวิทยาลัยจุฬาภรณ์
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับราชวิทยาลัยจุฬาภรณ์ และคณาจารย์ท่านอื่น ในราชวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
