Effects of a behavioral promotion program on hand-foot-mouth disease prevention by applying the protection motivation theory among parents in early childhood development centers in Saraburi Province

Authors

  • Sunantha Chamnansil Faculty of Public Health, Mahidol University
  • Siriporn Santre Faculty of Public Health, Mahidol University
  • Chawapon Sarnkhaowkhom Faculty of Public Health, Mahidol University
  • Manirat Therawiwat Faculty of Public Health, Mahidol University

DOI:

https://doi.org/10.14456/dcj.2025.50

Keywords:

hand-foot-mouth disease, parents, early childhood development center, behavioral promotion program on hand-foot-mouth disease prevention, protection motivation theory

Abstract

This quasi-experimental study with a two-group pretest-posttest design aimed to examine the effects of a behavioral promotion program on hand-foot-mouth disease prevention. The Protection Motivation Theory was applied to conduct a study among parents in early childhood development centers in Saraburi Province from February 3 to March 28, 2025. A total of 100 parents were purposively selected from 2 childhood development centers and randomly assigned into experimental and comparison groups, with 50 participants in each group. The experimental group received an 8-week intervention consisting of classroom activities, online learning, and reminder messages via the LINE application. Data were collected using a self-administered questionnaire and analyzed using descriptive statistics and inferential statistics, including Paired t-test, Wilcoxon signed ranks test, and Mann-Whitney U test. The results showed that after the intervention, the experimental group had a significant difference (p<0.05) in knowledge, perceived severity, perceived susceptibility, perceived self-efficacy, response efficacy, and prevention behavior compared to the comparison group with p=0.001, p<0.001, p=0.002, p<0.001, p<0.001 and p=0.005, respectively. These findings suggest that the behavioral promotion program was effective and could be integrated into hand-foot-mouth disease prevention and control strategies in early childhood development centers.

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References

Department of Disease Control, Ministry of Public Health (TH). Hand, Foot and Mouth Disease (HFM) [Internet]. Nonthaburi: Department of Disease Control; 2024 [cited 2024 Mar 22]. Available from: https://ddc.moph.go.th/disease_detail.php?d=11 (in Thai)

Department of Disease Control, Ministry of Public Health (TH). Guidelines for the management of hand, foot and mouth disease and enterovirus 71 infection for medical and public health personnel. Nonthaburi: Department of Disease Control, Ministry of Public Health; 2007. p. 10-18. (in Thai)

Division of Epidemiology, Department of Disease Control (TH). HFM from disease surveillance report 506 [Internet]. 2024 [cited 2024 Mar 22]. Available from: http://doe1.moph.go.th/surdata/disease.php?ds=71 (in Thai)

Epidemiology and Public Health Emergency Response Group, Office of Disease Prevention and Control, Region 4 Saraburi. Hand, Foot and Mouth Disease [Internet]. Saraburi: Office of Disease Prevention and Control 4; 2024 [cited 2024 Mar 22]. Available from: http://lookerstudio.google.com/reporting/5305d6a2-941a-4b58-8e4e-9ef7bb7ba20d/page/p_pf3wd640uc?feature=opengraph (in Thai)

Liao Q, Lam WWT, Cowling BJ, Fielding R. Parental perspectives on hand, foot, and mouth disease among children in Hong Kong: a longitudinal study. Epidemiol Infect. 2018;146(3):324-32.

Liu J, Wang H, Luo H, Fu J, Luo L, Zhang Z. Knowledge, attitudes, and practices status among caregivers of infants and toddlers towards hand, foot and mouth disease: a cross-sectional study. BMC Public Health. 2024;24:3339.

Liu Y, Wang X, Liu Y, Sun D, Ding S, Zhang B, et al. Detecting spatial-temporal clusters of HFMD from 2007 to 2011 in Shandong Province, China. PLoS One. [Internet]. 2013 [cited 2024 Mar 22]. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0063447

Shahar S, Shahar HK, Muthiah SG, Mani KKC. Evaluating Health Education Module on Hand, Foot, and Mouth Diseases Among Preschoolers in Malacca, Malaysia. Front Public Health. 2022;10:811782.

Rogers RW. A protection motivation theory of fear appeals and attitude change. J Psychol. 1975;91(1):93-114.

Faengphong N, Junprasert S, Rattanagreethakul S. 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. The Journal of Faculty of Nursing Burapha University. 2020;28(3):113-25. (in Thai)

Sridet J, Nanthamongkolchai S, Munsawaengsub C, Pitikultang S. Effects of Hand Foot Mouth Preventive Behavior Program Through Online Media for Parents of Preschool Children, Chiang Rai Province. Thailand Journal of Health Promotion and Environmental Health. 2023;46(3):38-49. (in Thai)

Pensuk P, Banchonhattakit P. 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. The Public Health Journal of Burapha University. 2013;8(1):80-93. (in Thai)

Bernard R. Fundamentals of biostatistics. 5th ed. Duxbery: Thomson Learning; 2000.

Noimor A, Kasatpiba N, Chitreecheur J. Effect of Protection Motivational Enhancement on Parents’ Behaviors in Preventing Acute Respiratory Tract Infections of Children. Nursing Journal CMU. 2019;46(1):137-48.

Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. Eleventh edition. Wolters Kluwer, 2021.

Likert R. A technique for the measurement of attitudes. Arch Psychol. 1932;140:1-55.

Milne S, Sheeran P, Orbell S. Prediction and intervention in health-related behavior: A meta-analytic review of protection motivation theory. Journal of applied social psychology. 2000;30(1):106-43.

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Published

2025-12-29

How to Cite

1.
Chamnansil S, Santre S, Sarnkhaowkhom C, Therawiwat M. Effects of a behavioral promotion program on hand-foot-mouth disease prevention by applying the protection motivation theory among parents in early childhood development centers in Saraburi Province. Dis Control J [internet]. 2025 Dec. 29 [cited 2025 Dec. 30];51(4):629-43. available from: https://he01.tci-thaijo.org/index.php/DCJ/article/view/279107

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Original Article