Effects of health education program through TikTok application to prevent Opisthorchis viverrini and Cholangiocarcinoma of primary school students in Amnat Charoen, Thailand

Authors

  • Thanu Department of Public Health, Faculty of Public Health, Ubon Ratchathani Rajabhat University, Thailand
  • Assoc. Prof. Nopparat Department of Health Sciences, Faculty of Public Health, Ubon Ratchathani Rajabhat University, Thailand
  • Wilawun Department of Community Health, Faculty of Public Health, Ubon Ratchathani Rajabhat University, Ubon Ratchathani, Thailand
  • Comsun Department of Public Health, Faculty of Public Health, Ubon Ratchathani Rajabhat University, Ubon Ratchathani, Thailand

DOI:

https://doi.org/10.62992/az9sfx38

Keywords:

Cholangiocarcinoma, Health education, Opisthorchiasis, Primary school students, TikTok

Abstract

Background: Opisthorchis viverrini (OV) is Thailand's most important cause of Cholangiocarcinoma (CCA). The prevention of such diseases must begin in childhood. They use smartphones or social networking services in multiple applications. TikTok is one of the applications to watch entertainment, news, and information to provide health knowledge.

Objectives: This quasi-experimental study aimed to investigate the effects of a health education program through the TikTok application to prevent OV and CCA among primary school students in Amnat Charoen, Thailand.

Methods: The knowledge tests and data collection were administered before and after the experiment. In the experimental group, 70 students from grade 6 received a health education program through the TikTok application. In the comparison group, 70 students received a health education program through brochures. Two types of research tools were employed: (1) the experimental tool, which was a health education program through the TikTok application, and (2) the data collection tool, which was a questionnaire consisting of 4 parts with Cronbach’s alpha values of 0.72 and 0.75, respectively. The Kuder-Richardson 20 (KR-20) of the knowledge questionnaire was 0.78. The outcome variables were knowledge, health beliefs, and prevention behaviour. Data were analyzed using descriptive statistics, including frequency, percentage, mean, and standard deviation, as well as inferential statistics, including paired t-tests and independent t-tests.            

Results: The findings revealed that after the experiment, the experimental group’s mean scores of knowledges (Mean Difference=4.50; 95%CI:3.82-5.17), health beliefs (6.23; 95%CI: 5.08-7.38), and prevention behaviour (4.63; 95%CI: 3.52-5.74) of OV and CCA were significantly higher than those before the experiment (p<0.001).  Also, they were considerably higher than those in the comparison group (p<0.001).

Conclusion:  The health education program through the TikTok application can increase knowledge, health beliefs, and prevention behaviour of OV and CCA among primary school students. Therefore, applying it to other populations and diseases will be helpful.

 

References

Sripa B, Suwannatrai AT, Sayasone S, Do DT, Khieu V, Yang Y. Current status of human liver fluke infections in the Greater Mekong Subregion. Acta tropica. 2021;224:106133.

Zheng J-X, Zhu H-H, Xia S, Qian MB, Nguyen HM, Sripa B, et al. Natural variables separate the endemic areas of Clonorchis sinensis and Opisthorchis viverrini along a continuous, straight zone in Southeast Asia. Infectious diseases of poverty. 2024;13(1):24.

Khuntikeo N, Padthaisong S, Loilome W, Klanrit P, Ratchatapusit S, Techasen A, et al. Mismatch Repair Deficiency Is a Prognostic Factor Predicting Good Survival of Opisthorchis viverrini-Associated Cholangiocarcinoma at Early Cancer Stage. Cancers. 2023;15(19).

Qian MB, Keiser J, Utzinger J, Zhou XN. Clonorchiasis and opisthorchiasis: epidemiology, transmission, clinical features, morbidity, diagnosis, treatment, and control. Clinical microbiology reviews. 2024;37(1):e0000923.

Wiwanitkit V. Expected rate of liver fluke-related cholangiocarcinoma in endemic area of liver fluke with antiparasitic drug distribution program for disease control in Thailand. Journal of cancer research and therapeutics. 2022;18(4):927-30.

Sripa B, Leonardo L, Hong SJ, Ito A, Brattig NW. Status and perspective of asian neglected tropical diseases. Acta tropica. 2022;225:106212.

Rojanamatin J, Ukranun W, Supaattagorn P, Chiawiriyabunya I, Wongsena M CAea. Cancer in Thailand Vol.X, 2016-2018. In: Medical Record and Databased Cancer Unit MDD, editor. Bangkok: National Cancer Institute; 2021.

Gao F, Xu X, Sun Y. Clinical characteristics and prognosis of early-onset cholangiocarcinoma: a population-based study. Scandinavian journal of gastroenterology. 2024;59(2):183-91.

Wattanawong O, Iamsirithaworn S, Kophachon T, Nak-Ai W, Wisetmora A, Wongsaroj T, et al. Current status of helminthiases in Thailand: A cross-sectional, nationwide survey, 2019. Acta tropica. 2021;223:106082.

Amnat Charoen Provincial Public Health Office. Situation of opisthorchiasis and cholangiocarcinoma in Amnat Charoen Province. Amnat Charoen Amnat Charoen Provincial Public Health Office; 2017.

Karsaesen B, Sota C. The development of opisthorchiasis prevention model in Chanuman Subdistrict, Chanuman District, Amnat Charoen Province. KKU J Public Health Res. 2019;3(21):777-82.

Songserm N, Woradet S, Sripa B, Ali A. Sustainable Prevention of Cholangiocarcinoma Through Community Participation in a High-incidence Area in Thailand. Asian Pacific journal of cancer prevention : APJCP. 2020;21(3):777-82.

Gillis RL, Nilsen ES. Children's use of information quality to establish speaker preferences. Developmental Psychology. 2013;49(3):480-90.

Lukić S, Petrović J. The quality of information provided by the most popular dementia videos on TikTok. Frontiers in public health. 2023;11:1266415.

Nicolla S, Lazard AJ, Austin LL, Freelon D, Reyes HLM, Moracco KE. TikToks Lead to Higher Knowledge and Perceived Severity of Sexual Violence among Adolescent Men. Journal of youth and adolescence. 2023;52(12):2449-63.

Salka Bassel AM, Almsaddi Firas, Kaakarli Hamza, Nesi Lauren, Lim Kenneth. TikTok as an Educational Tool for Kidney Stone Prevention. J Cureus. 2023;15.

Tian Y, Liu S, Zhang D. Clearness qualitative comparative analysis of the spread of TikTok health science knowledge popularization accounts. Digital Health. 2023;9:20552076231219116.

Amnat Charoen Educational Service Area Office. Government information service system. Amnat Charoen: Amnat Charoen Educational Service Area Office; 2022.

Panithanang B, Srithongklang W, Kompor P, Pengsaa P, Kaewpitoon N, Wakkhuwattapong P, et al. The Effect of Health Behavior Modification Program for Liver Fluke Prevention among the Risk Group in Rural Communities, Thailand. Asian Pac Cancer Prev. 2018;19(9):2673-80.

Langstan P, Duangsong R. Effects of health education program with short video on behavior modification for liver fluke prevention among risk groups aged 40-59 years in Selaphum District, Roi-Et Province. J Health Educ. 2017;2(43):64-74.

Laksanasut S. Effects of utilizing TikTok Application on English speaking skills development of English as a foreign language (EFL) high school students amidst the Covid-19 pandemic situation. J Learning Innovation Technology. 2022;1(2):61-71.

Wisoram N, Somjai K, Maneepan N. The effects of health education group program with electronic media (Facebook) on skill development for adolescent pregnancy prevention among grade 7 students at Buriram Province. Burirum: Buriram Rajabhat University; 2021.

Songserm N, Korsura P, Woradet S, Ali A. Risk Communication Through Health Beliefs for Preventing Opisthorchiasis-Linked Cholangiocarcinoma: A Community- Based Intervention in Multicultural Areas of Thailand. Asian Pac Cancer Prev. 2021;22(10):3181-7.

Chayngam T, Ruangjarat L, Dechan S. Effect of health education program on health belief model application with social support for behavioral change to prevent opisthorchiasis and cholangiocarcinoma of people aged 40 years over in Muangmai Sub-district, Sriboonruang District, Nongbua Lamphu Province. J Council Community Public Health. 2020;2(3):1-15.

Deeprom C, Sirisuwan P. Prevention behaviors of the liver fluke among screened people for liver fluke in Bansonghong, Rongkham Sub-District, Rongkham District, Kalasin Province. KKU J Public Health Res. 2018;2(11):1-15.

Koonjaetong R, Chantaluk S, Treedech S, Phantupo S. Health Literacy for the Opisthorchiasis Prevention behavior among population In the 7 Region Health Center. Disease Control Journal. 2021;47(Suppl 2):1191-202.

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Published

07-06-2024

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1.
Effects of health education program through TikTok application to prevent Opisthorchis viverrini and Cholangiocarcinoma of primary school students in Amnat Charoen, Thailand. IJPHAP [Internet]. 2024 Jun. 7 [cited 2024 Dec. 3];3(5):94-106. Available from: https://ijphap.com/index.php/home/article/view/77