{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:34:48Z","timestamp":1787009688857,"version":"build-2736575974"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T00:00:00Z","timestamp":1714953600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["096527"],"award-info":[{"award-number":["096527"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["220211\/Z20\/Z"],"award-info":[{"award-number":["220211\/Z20\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013373","name":"NIHR Oxford Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013373","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Scrub typhus is highly endemic in northern Thailand yet awareness and knowledge are low. We developed a community engagement project to improve awareness in communities at risk of contracting scrub typhus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a series of engagement sessions with healthcare workers and community health volunteers so they would, in turn, engage with their communities. We evaluated our activities by assessing the increase in scrub typhus knowledge, using a series of Likert-scale items and open-ended questions. Three to 6 months after the sessions, participants were followed up to collect their experiences training community members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 134 participants who took part in eight sessions, 87.3% were community health volunteers. Disease knowledge increased substantially after the sessions and was well maintained for up to 5 mo. Satisfaction was high and, through participant feedback, engagement materials were improved to be more useful to the communities. People with higher education had higher scores and retention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Community engagement was shown to be an effective tool to develop and carry out health-promoting activities in a culturally and context-appropriate manner.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/trstmh\/trae028","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T03:09:47Z","timestamp":1713236987000},"page":"666-673","source":"Crossref","is-referenced-by-count":5,"title":["Community engagement around scrub typhus in northern Thailand: a pilot project"],"prefix":"10.1093","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9499-0399","authenticated-orcid":false,"given":"Carlo","family":"Perrone","sequence":"first","affiliation":[{"name":"Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University , Bangkok 10400 ,","place":["Thailand"]},{"name":"Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford , Oxford OX3 7LG ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nipaphan","family":"Kanthawang","sequence":"additional","affiliation":[{"name":"Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University , Bangkok 10400 ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6327-3266","authenticated-orcid":false,"given":"Phaik Yeong","family":"Cheah","sequence":"additional","affiliation":[{"name":"Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University , Bangkok 10400 ,","place":["Thailand"]},{"name":"Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford , Oxford OX3 7LG ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daranee","family":"Intralawan","sequence":"additional","affiliation":[{"name":"Social and Preventive Medicine Department, Chiang Rai Prachanukroh Hospital , Chiang Rai 57000 ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8409-4248","authenticated-orcid":false,"given":"Sue J","family":"Lee","sequence":"additional","affiliation":[{"name":"Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University , Bangkok 10400 ,","place":["Thailand"]},{"name":"Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford , Oxford OX3 7LG ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Supalert","family":"Nedsuwan","sequence":"additional","affiliation":[{"name":"Social and Preventive Medicine Department, Chiang Rai Prachanukroh Hospital , Chiang Rai 57000 ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjarat","family":"Fuwongsitt","sequence":"additional","affiliation":[{"name":"Social and Preventive Medicine Department, Chiang Rai Prachanukroh Hospital , Chiang Rai 57000 ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0430-5699","authenticated-orcid":false,"given":"Tri","family":"Wangrangsimakul","sequence":"additional","affiliation":[{"name":"Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University , Bangkok 10400 ,","place":["Thailand"]},{"name":"Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford , Oxford OX3 7LG ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel C","family":"Greer","sequence":"additional","affiliation":[{"name":"Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University , Bangkok 10400 ,","place":["Thailand"]},{"name":"Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford , Oxford OX3 7LG ,","place":["UK"]},{"name":"Nuffield Department of Primary Care Health Sciences, University of Oxford , Oxford OX2 6GG ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,6]]},"reference":[{"key":"2024100305562744300_bib1","first-page":"5898","article-title":"Acute undifferentiated Febrile illness: a review of the studies in tropical countries reported during 2004 to 2015","volume":"45","author":"Thumnu","year":"2017","journal-title":"J Med Tech Assoc Thailand"},{"issue":"5","key":"2024100305562744300_bib2","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1097\/QCO.0000000000000298","article-title":"State of the art of diagnosis of rickettsial diseases: the use of blood specimens for diagnosis of scrub typhus, spotted fever group rickettsiosis, and murine typhus","volume":"29","author":"Paris","year":"2016","journal-title":"Curr Opin Infect Dis"},{"issue":"3","key":"2024100305562744300_bib3","doi-asserted-by":"crossref","first-page":"442","DOI":"10.4269\/ajtmh.2009.80.442","article-title":"A community-based case-control study of behavioral factors associated with scrub typhus during the autumn epidemic season in South Korea","volume":"80","author":"Kweon","year":"2009","journal-title":"Am J Trop Med Hyg"},{"issue":"3","key":"2024100305562744300_bib4","first-page":"236","article-title":"Epidemiological characteristics of scrub typhus in Beijing during 2009-2019","volume":"37","author":"Lyu","year":"2021","journal-title":"Chinese Journal of Zoonoses"},{"issue":"1","key":"2024100305562744300_bib5","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1186\/s12879-019-4299-2","article-title":"Risk factors for acquisition of scrub typhus in children admitted to a tertiary centre and its surrounding districts in South India: a case control study","volume":"19","author":"Rose","year":"2019","journal-title":"BMC Infect Dis"},{"issue":"1","key":"2024100305562744300_bib6","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1186\/s40249-021-00893-6","article-title":"Ecological and behavioural risk factors of scrub typhus in central Vietnam: a case-control study","volume":"10","author":"Tran","year":"2021","journal-title":"Infect Dis Poverty"},{"issue":"6","key":"2024100305562744300_bib7","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph15061143","article-title":"Awareness and work-related factors associated with scrub t","volume":"15","author":"Kim","year":"2018","journal-title":"Int J Environ Res Public Health"},{"issue":"4","key":"2024100305562744300_bib8","doi-asserted-by":"crossref","first-page":"e0008233","DOI":"10.1371\/journal.pntd.0008233","article-title":"The estimated burden of scrub typhus in Thailand from national surveillance data (2003-2018)","volume":"14","author":"Wangrangsimakul","year":"2020","journal-title":"PLoS Negl Trop Dis"},{"issue":"2","key":"2024100305562744300_bib9","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1093\/jpids\/piz014","article-title":"Clinical characteristics and outcome of children hospitalized with scrub typhus in an area of endemicity","volume":"9","author":"Wangrangsimakul","year":"2020","journal-title":"J Pediatric Infect Dis Soc"},{"key":"2024100305562744300_bib10","author":"Office CPSs","year":"2021"},{"issue":"1","key":"2024100305562744300_bib11","doi-asserted-by":"crossref","first-page":"1114","DOI":"10.1186\/s12913-022-08494-1","article-title":"Healthcare service utilization of hill tribe children in underserved communities in thailand: barriers to access","volume":"22","author":"Moonpanane","year":"2022","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"2024100305562744300_bib12","doi-asserted-by":"crossref","first-page":"e0280056","DOI":"10.1371\/journal.pone.0280056","article-title":"Vulnerability and agency in research participants\u2019 daily lives and the research encounter: a qualitative case study of participants taking part in scrub typhus research in northern Thailand","volume":"18","author":"Greer","year":"2023","journal-title":"PLoS One"},{"issue":"1","key":"2024100305562744300_bib13","doi-asserted-by":"crossref","first-page":"29842","DOI":"10.3402\/gha.v8.29842","article-title":"Exploring the role of community engagement in improving the health of disadvantaged populations: a systematic review","volume":"8","author":"Cyril","year":"2015","journal-title":"Glob Health Action"},{"issue":"1","key":"2024100305562744300_bib14","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1186\/s12889-015-1352-y","article-title":"The effectiveness of community engagement in public health interventions for disadvantaged groups: a meta-analysis","volume":"15","author":"O'Mara-Eves","year":"2015","journal-title":"BMC Public Health"},{"issue":"2","key":"2024100305562744300_bib15","first-page":"A28","article-title":"A promotores de salud intervention to reduce cardiovascular disease risk in a high-risk Hispanic border population, 2005-2008","volume":"7","author":"Balc\u00e1zar","year":"2010","journal-title":"Prev Chronic Dis"},{"issue":"1","key":"2024100305562744300_bib16","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/s12939-020-01169-5","article-title":"Community engagement interventions for communicable disease control in low- and lower- middle-income countries: evidence from a review of systematic reviews","volume":"19","author":"Questa","year":"2020","journal-title":"Int J Equity Health"},{"issue":"3","key":"2024100305562744300_bib17","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1007\/s10461-012-0327-6","article-title":"A systematic review to quantitatively evaluate \u2018Stepping Stones\u2019: a participatory community-based HIV\/AIDS prevention intervention","volume":"17","author":"Skevington","year":"2013","journal-title":"AIDS Behav"},{"key":"2024100305562744300_bib18","author":"Chiang Rai Highland People Development Center","year":"2016"},{"key":"2024100305562744300_bib19","unstructured":"Wangrangsimakul T, Kanthawang N, Jaiboon P. \u00a0Scrub typhus in northern Thailand. Zenodo, 2020. Available at \u00a010.5281\/zenodo.4084196 \u00a0[accessed 25 April 2024]."},{"key":"2024100305562744300_bib20","unstructured":"Wangrangsimakul T, Kanthawang N, Jaiboon P. \u00a0Scrub Typhus Public Engagement in Nort hern Thailand\u2014teaching flipchart in Thai and translation into English. 2023. zenodo.org, 10.5281\/zenodo.8215181 \u00a0[accessed 25 April 2024]."},{"issue":"3","key":"2024100305562744300_bib21","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1370\/afm.2208","article-title":"Roles and functions of community health workers in primary care","volume":"16","author":"Hartzler","year":"2018","journal-title":"Ann Fam Med"},{"issue":"4","key":"2024100305562744300_bib22","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1093\/her\/cyz021","article-title":"Culture-centeredness in community-based participatory research: contributions to health education intervention research","volume":"34","author":"Wallerstein","year":"2019","journal-title":"Health Educ Res"},{"issue":"2","key":"2024100305562744300_bib23","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1080\/13638490400024036","article-title":"Developing behavioural services to meet defined standards within a national system of specialist education services","volume":"8","author":"LaVigna","year":"2005","journal-title":"Pediatr Rehabil"},{"issue":"3","key":"2024100305562744300_bib24","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1901\/jaba.1982.15-335","article-title":"Pyramidal training: a large-scale application with institutional staff","volume":"15","author":"Page","year":"1982","journal-title":"J Appl Behav Anal"},{"issue":"4","key":"2024100305562744300_bib25","article-title":"The consequences of AMR education and awareness raising: outputs, outcomes, and behavioural impacts of an antibiotic-related educational activity in Lao PDR","volume":"7","author":"Haens","year":"2018","journal-title":"Antibiotics"},{"issue":"0","key":"2024100305562744300_bib26","doi-asserted-by":"crossref","first-page":"e2017051","DOI":"10.4178\/epih.e2017051","article-title":"Differences in agricultural activities related to incidence of scrub typhus between Korea and Japan","volume":"39","author":"Ma","year":"2017","journal-title":"Epidemiol Health"},{"issue":"2","key":"2024100305562744300_bib27","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1007\/s11904-015-0258-8","article-title":"Engagement of traditional healers and birth attendants as a controversial proposal to extend the HIV health workforce","volume":"12","author":"Audet","year":"2015","journal-title":"Current HIV\/AIDS Reports"},{"issue":"7","key":"2024100305562744300_bib28","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1111\/j.1365-3156.2005.01443.x","article-title":"Retention and effectiveness of HIV\/AIDS training of traditional healers in far western Nepal","volume":"10","author":"Poudel","year":"2005","journal-title":"Trop Med Int Health"}],"container-title":["Transactions of The Royal Society of Tropical Medicine and Hygiene"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/trstmh\/article-pdf\/118\/10\/666\/59548322\/trae028.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/trstmh\/article-pdf\/118\/10\/666\/59548322\/trae028.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T01:56:40Z","timestamp":1727920600000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/trstmh\/article\/118\/10\/666\/7665303"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,6]]},"references-count":28,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,5,6]]},"published-print":{"date-parts":[[2024,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/trstmh\/trae028","relation":{},"ISSN":["0035-9203","1878-3503"],"issn-type":[{"value":"0035-9203","type":"print"},{"value":"1878-3503","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,10]]},"published":{"date-parts":[[2024,5,6]]}}}