ประสิทธิผลของโปรแกรมการสร้างเสริมความรอบรู้ทางสุขภาพต่อความตระหนักรู้และพฤติกรรมในการป้องกันปัจจัยเสี่ยงของโรคไข้เลือดออกของประชากรคนเมืองวัยผู้ใหญ่ เขตดุสิต กรุงเทพมหานคร

Nittaya  Ngamdee; Sasawan Attaworakun; Walaya  Tupanic; Sudkanung  Daranisorn

Authors

Nittaya Ngamdee Kuakarun Faculty of Nursing, Navamindradhiraj University
Sasawan Attaworakun Kuakarun Faculty of Nursing, Navamindradhiraj University
Walaya Tupanic Kuakarun Faculty of Nursing, Navamindradhiraj University
Sudkanung Daranisorn Kuakarun Faculty of Nursing, Navamindradhiraj University

Keywords:

health literacy, preventive behaviors, dengue fever

Abstract

This quasi-experimental study employed a two-group pretest-posttest design to examine the effectiveness of a health literacy enhancement program on awareness and preventative behaviors regarding dengue fever risk factors among urban adults in Dusit District, Bangkok. A purposive sample of 76 adults meeting the inclusion criteria was selected, with participants equally divided into an experimental group (n = 38) and a control group (n = 38). The experimental group participated in a 12-week health literacy program aimed at improving dengue fever risk prevention. The instruments included a health literacy enhancement program, an awareness questionnaire (CVI = .82), and a behavior questionnaire (CVI = .85), both demonstrating high reliability (Cronbach's alpha = .86 and .92, respectively). Data collection was conducted at three time points: before the intervention, after the intervention, and during a follow-up phase. Statistical analyses included descriptive statistics, t-tests, and repeated measures ANOVA.

The results indicated that the experimental group, after undergoing the health literacy enhancement program, was able to maintain their awareness and preventive behaviors regarding the risk factors of dengue fever up to week 12. When comparing the differences in the average scores of awareness and preventive behaviors between the experimental and control groups, no statistically significant differences were found across all three phases (pre-test, post-test, and follow-up; p > .05). However, the control group showed changes in preventive behavior levels, with high scores on the pre-test, a decrease to moderate levels of the week 4 post-test, and a return to high levels by week 12.

Therefore, the health literacy enhancement program is recommended for urban adult populations to promote sustained awareness and preventive behaviors against dengue fever risk factors.

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