Effects of Planned Teaching Program on Caregivers’ Knowledge and Practice in Care for Children with Acute Diarrhea

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Orawan Lasawad
Sudaporn Payakkaraung
Parnnarat Sangperm


           Purpose: This study aimed at investigating the effects of planned teaching program on caregivers’ knowledge and practice in care for children with acute diarrhea.

          Design: A quasi-experimental study.

          Methods: The research subjects consisted of 30 caregivers who took their children aged between 2 and 10 years old, suffering from acute diarrhea, to receive medical service at pediatric outpatient departments of two private hospitals. Data were collected between June and November 2017. The subjects were divided into the control and experimental groups with 15 subjects each. The experimental group took part in the planned teaching program which consisted of activities determined in lesson plan including knowledge given with the use of computer media, demonstration and return-demonstrations along with a session of question and discussion, as well as provision of advice and praises to the caregivers. Meanwhile, the control group received a usual care. The instruments for data collection consisted of two assessment forms for knowledge and practice. The data were analyzed by using descriptive statistics, independent t-test, and paired t-test.

          Main Findings: The findings of the study revealed that, in the experimental group, caregiver’s mean score of knowledge after participating in the program was significantly higher than that before participating in the program (t = -12.118, p < .05). Compared to their counterparts, caregivers in the experimental group also had significantly higher mean score of knowledge after participating in the program (t = - 5.478, p < .05). The program showed its effect on practice of the caregivers; that is, 80% of the caregivers (or 12 out of 15) could practice correctly by obtaining practice score more than 80%.

          Conclusion and recommendations:  The planned teaching program helped increase knowledge and proper practice among caregivers in care for children with acute diarrhea. The findings suggest the usefulness of integrating computer media, demonstration and return-demonstration in teaching caregivers.


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Lasawad, O., Payakkaraung, S., & Sangperm, P. (2019). Effects of Planned Teaching Program on Caregivers’ Knowledge and Practice in Care for Children with Acute Diarrhea. Nursing Science Journal of Thailand, 37(3), 63–78. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/197613
Research Papers


1. The United Nations Children’s Fund (UNICEF), World Health Organization (WHO). Diarrhoea: why children are still dying and what can be done [Internet]. New York, USA/Geneva, Switzerland: UNICEF/WHO; 2009 [cited 2015 Oct 14]. Available from: https://apps.who.int/iris/bitstream/handle/10665/44174/9789241598415_eng.pdf?sequence=1

2. Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health. Reported case of acute diarrhea in Thailand 2014 [Internet]. Nonthaburi: Ministry of Public Health; 2015 [cited 2015 Aug 24]. Available from: http://www.boe.moph.go.th/files/report/20141118_73833751.pdf. (in Thai).

3. Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health. Disease situation that required epidemiological surveillance in Lower Southern Thailand, May 2019 (data as of May 31, 2019) [Internet]. Nonthaburi: Department of Disease Control, Ministry of Public Health; 2019 [cited 2019 Aug 1]. Available from: https://ddc.moph.go.th/uploads/files/50df825f499753547a127558a84f9f3f.pdf. (in Thai).

4. Theerawitthayalert R, Chongthawonsatid S, Narasetaphan P. Knowledge and behavior of care-taker on prevention of diarrhoeal disease in children. Disease Control Journal. 2009;35(1):39-46. (in Thai).

5. Pantenburg B, Ochoa TJ, Ecker L, Ruiz J. Feeding of young children during diarrhea: caregivers’ intended practices and perceptions. Am J Trop Med Hyg. 2014;91(3):555-62.

6. Álvarez Aldeán J, Aristegui J, Lopez-Belmonte JL, Pedros M, Sicilia JG. Economic and psychosocial impact of rotavirus infection in Spain: a literature review. Vaccine. 2014;32(30):3740-51.

7. Dennehy PH. Acute diarrheal disease in children: epidemiology, prevention, and treatment. Infect Dis Clin North Am. 2005;19(3):585-602.

8. Brisson M, Senecal M, Drolet M, Mansi JA. Health-related quality of life lost to rotavirus-associated gastroenteritis in children and their parents: a Canadian prospective study. Pediatr Infect Dis J. 2010;29(1):73-5.

9. Wilson ME, Megel ME, Enenbach L, Carlson KL. The voices of children: stories about hospitalization. J Pediatr Health Care. 2010;24(2):95-102.

10. Burke RM, Rebolledo PA, Embrey SR, Wagner LD, Cowden CL, Kelly FM, et al. The burden of pediatric diarrhea: a cross-sectional study of incurred costs and perceptions of cost among Bolivian families. BMC Public Health. 2013;13:708. doi: 10.1186/1471-2458-13-708.

11. Lee WS, Chai PF, Ismail Z. Impact on parents during hospitalization for acute diarrhoea in young children. Singapore Med J. 2012;53(11):755-9.

12. Varavithya W, Wajaradul C, Aanpreung P, Phuapradit P, Poovorawan Y, Vivatvakin B, et al. Clinical practice guideline for treatment of acute diarrhea [Internet]. Bangkok: The Royal College of Pediatricians of Thailand & Pediatric Society of Thailand; 2016 [cited 2019 Aug 1]. Available from: http://www.thaipediatrics.org/Media/media-20161222110358.pdf. (in Thai).

13. Nir V, Nadir E, Schechter Y, Kline-Kremer A. Parents’ attitude toward oral rehydration therapy in children with mild-to-moderate dehydration. ScientificWorldJournal. 2013;828157. doi: 10.1155/2013/828157.

14. Anidi I, Bazargan M, James FW. Knowledge and management of diarrhea among underserved minority parents/caregivers. Ambul Pediatr. 2002;2(3):201-6.

15. Bachrach LR, Gardner JM. Caregiver knowledge, attitudes, and practices regarding childhood diarrhea and dehydration in Kingston, Jamaica. Rev Panam Salud Publica. 2002;12(1):37-44.

16. Nookong A, Payakkaraung S, Pongsaranuntakul Y, Chudapongse S. Caregivers’ management for children with asthma. Journal of Nursing Science. 2012;30(1):49-60. (in Thai).

17. Sillah F, Ho HJ, Chao JC. The use of oral rehydration salt in managing children under 5 y old with diarrhea in the Gambia: knowledge, attitude, and practice. Nutrition. 2013;29(11-12):1368–73.

18. Yingrengreung S. The effectiveness of health education program with group process on maternal health behaviors in primary care of diarrheal disease in children under two years at Queen Sirikit National Institute of child health [master’s thesis]. Bangkok: Srinakharinwirot University; 1998. 129 p. (in Thai).

19. Ma-on O. Effects of potential development program on caregiver’s caring behavior for acute diarrhea in children [master’s thesis]. Khon Kaen: Khon Kaen University; 2009. 149 p. (in Thai).

20. World Health Organization. Integrated management of childhood illness: distance learning course [Internet]. Geneva, Switzerland: WHO; 2014 [cited 2016 Dec 9]. Available from: http://www.who.int/iris/bitstream/10665/104772/6/9789241506823_Module-4_eng.pdf

21. Songkram N. Multimedia for learning: design and development. Bangkok: Chulalongkorn University Printing House; 2010. 163 p. (in Thai).

22. Khotrakul S. Education psychology. Bangkok: Chulalongkorn University Printing House; 2009. 524 p. (in Thai).

23. Suknithi J, Thampanichawat W, Wichiencharoen K, Lerthamatewe W. Impact of oral stimulation program on nursing mothers’ knowledge of oral stimulation and prematurely born infants’ suckling ability. Thai Journal of Nursing Council. 2012;27(1):78-91. (in Thai).

24. Anderson LW, Krathwohl DR, Airasian PW, Cruikshank KA, Mayer RE, Pintrich PR, et al. A taxonomy for learning, teaching and assessing: a revision of Bloom’s taxonomy of education objectives. New York: Addison Wesley Longman; 2001. 302 p.

25. Manussthit S. Acute diarrhea. In: Pongprasopchai S, Thanwandi T, Manussthit S, editors. Clinical practice in gastroenterology. Bangkok: Bangkok Wetchasan Printing House; 2012. p.108-19. (in Thai).

26. Freedman SB, Couto M, Spooner L, Haladyn JK. The implementation of a gastroenteritis education program. Am J Emerg Med. 2011;29(3):271-7.

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