Effect of an Information–Motivation–Behavioral-Skills Program on Scrub Typhus Prevention Practices Among Highland Working-Age

Authors

  • Jutawan Maikum Faculty of Nursing, Chiang Mai University
  • Noppamas Sripetchwandee Faculty of Nursing, Chiang Mai University
  • Sivaporn Aungwattana Faculty of Nursing, Chiang Mai University

Keywords:

information-motivation-behavioral skills program, scrub typhus prevention, working-age, highland communities

Abstract

This quasi-experimental study employed a two-group pretest–posttest design to compare scrub typhus preventive practice scores among working-age adults who received an Information–Motivation–Behavioral Skills (IMB) model–based program before and after the intervention, and with those who received routine health education. The participants consisted of 58 working-age adults aged 35–59 years living in the highland areas of Mae Suai District, Chiang Rai Province. They were selected through purposive sampling and assigned to an experimental group (n = 28) and a control group (n = 30). The research instruments included an IMB-based intervention program and a scrub typhus preventive practice questionnaire with a content validity index of 1.00 and a Cronbach’s alpha coefficient of 0.84. Data were analyzed using descriptive statistics, the Wilcoxon Signed-Rank Test, and the independent samples t-test.
The results demonstrated that the experimental group had significantly higher posttest preventive practice scores than both the pretest and the control group (p < .001). These findings indicated that the IMB model–based program was effective in promoting scrub typhus preventive behaviors among working-age adults and could be applied in community settings.

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References

Walker DH, & Mendell NL. A scrub typhus vaccine presents a challenging unmet need. NPJ Vaccines. 2023;8(1): 1-6.

Xu G, Walker DH, Jupiter D, Melby PC, & Arcari CM. A review of the global epidemiology of scrub typhus. PLoS Negl Trop Dis. 2017;11(11): e1-27.

Bureau of Epidemiology, Department of Disease Control. Report on Manual for surveillance, prevention and control of scrub typhus in Thailand. Nonthaburi: Ministry of Public Health; 2012.

Zhang M, Zhao ZT, Yang HL, Zhang AH, Xu XQ, Meng XP, et al. Molecular epidemiology of Orientia tsutsugamushi in chiggers and ticks from domestic rodents in Shandong, northern China. Parasites & Vectors. 2013;6:312. doi:10.1186/1756-3305-6-312

Chaisiri K, Gill AC, Stekolnikov AA, Hinjoy S, McGarry JW, Darby AC, et al. Ecological and microbiological diversity of chigger mites, including vectors of scrub typhus, on small mammals across stratified habitats in Thailand. Animal Microbiome. 2019;1:18. doi:10.1186/s42523-019-0019-x

Ministry of Public Health. Scrub Typhus, Mite-borne typhus fever. Department of Disease Control: DDC; 2022. (in Thai)

Lee K, Park BC, Im HS, Gwon SS, Choe JS, Kim JR, et al. Comparison of the awareness and knowledge of scrub typhus between case and control groups. Journal of agricultural medicine and community health. 2012;37(1): 1-11.

Tasak N, Apidechkul T, Law ACK, Abdad MY, Srichan P, Perrone C, et al. Prevalence of and factors associated with scrub typhus exposure among the hill tribe population living in high incidence areas in Thailand: a cross-sectional study. BMC Public Health. 2023;23(1):2394. doi:10.1186/s12889-023-17313-z

Kanthawang N, Inchon P, & Kitchanapaibul S. Knowledge and prevention behavior on scrub typhus among Akha people, Chiang Rai Province, Thailand: a pilot study. Journal of Health Science and Alternative Medicine. 2024;6(2):71-8.

Occupational Safety and Health Administration. Guidelines for preventing exposure to vector-borne diseases in outdoor workers. Washington (DC): U.S. Department of Labor; 2021.

Fisher WA, Fisher JD, & Harman J. The informationmotivation-behavioral skills model: a general social psychological approach to understanding and promoting health behavior. In: DiClemente RJ, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research. Oxford: Blackwell Publishing; 2003.

Suaetoo N, Jirapongsuwan A, Rawiworrakul T, & Tipayamongkholgul M. The effect of a program to promote blood pressure control among 35 to 59-year-old patients with uncontrolled hypertension. Journal of Public Health Nursing. 2018;32(2):95-116. (in Thai)

Rittikai N, & Tato R. The effect of informationmotivation-behavioral skills program on condom use behaviors in female sex workers. Journal of Nursing Science Chulalongkorn University. 2014;26(1):116-29. (in Thai)

Jakkujantr C, Kaeodumkoeng K, & Kengganpanich T. Effects of the health literacy promotion program on dengue hemorrhagic fever prevention by applying the IMB model for grade 5 students, Bangkok Metropolitan Administration schools. Disease Control Journal. 2021;47(3):479-89. (in Thai)

Likert R. The human organization: Its management and value. New York: McGraw-Hill; 1967.

Ramsiri K, Homsin P, & Srisuriyawet R. The effects of an information, motivation, and behavioral skills program on the prevention of alcohol consumption among female adolescents. Journal of Health and Nursing Research. 2022;38(2):48-58. (in Thai).

Skinner BF. Science and human behavior. New York: Macmillan; 1953.

Pitchalard K, Moonpanane K, Wimolphan P, Singkhorn O, & Wongsuraprakit S. Implementation and evaluation of the peer-training program for village health volunteers to improve chronic disease management among older adults in rural Thailand. International Journal of Nursing Sciences. 2022;9(3):328-33.

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Published

06-05-2026

How to Cite

1.
Maikum J, Sripetchwandee N, Aungwattana S. Effect of an Information–Motivation–Behavioral-Skills Program on Scrub Typhus Prevention Practices Among Highland Working-Age. J Royal Thai Army Nurses [internet]. 2026 May 6 [cited 2026 May 9];27(2):292-300. available from: https://he01.tci-thaijo.org/index.php/JRTAN/article/view/283808

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Research Articles