{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T17:36:53Z","timestamp":1784309813154,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,1,29]],"date-time":"2018-01-29T00:00:00Z","timestamp":1517184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000865","name":"Bill and Melinda Gates Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000865","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The zoonotic helminth <jats:italic>Taenia solium<\/jats:italic> is endemic in Zambia, causing human (taeniasis and (neuro)cysticercosis) and pig (porcine cysticercosis) diseases with high health, social and economic burdens. We aimed to evaluate the impact of a health educational program intended to lead to powerful and cumulative improvements in knowledge, attitudes and practices that decrease parasite transmission and disease occurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Half\u2010day health education workshops were conducted in three primary schools in the highly endemic Eastern Province of Zambia, using the computer\u2010based <jats:italic>T. solium<\/jats:italic> educational program \u2018The Vicious Worm\u2019. Questionnaires were administered before and after the educational component to determine the program's impact on knowledge uptake in primary school students.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 99 students participated: 38 males and 61 females, with a median age of 14 years (range 10\u201318 years). Baseline general knowledge of <jats:italic>T. solium<\/jats:italic>, including awareness of the different human and pig disease states, and disease diagnosis, treatment and prevention, was quite high (average score 62%) and consistent across all three study areas. Participants\u2019 knowledge had significantly increased after the educational component, particularly regarding parasite transmission and disease prevention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Preliminary assessment of \u2018The Vicious Worm\u2019 indicates it is an effective tool for the short\u2010term <jats:italic>T. solium<\/jats:italic> education of primary school students in Zambia. Follow\u2010up studies are planned to assess the longer term impact of the program on knowledge uptake in the study neighbourhoods. Inclusion of tailored \u2018The Vicious Worm\u2019 educational workshops should be considered in integrated cysticercosis control programs in endemic areas of sub\u2010Saharan Africa.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13029","type":"journal-article","created":{"date-parts":[[2018,1,4]],"date-time":"2018-01-04T14:11:11Z","timestamp":1515075071000},"page":"306-314","source":"Crossref","is-referenced-by-count":22,"title":["Preliminary assessment of the computer\u2010based <i>Taenia solium<\/i> educational program \u2018The Vicious Worm\u2019 on knowledge uptake in primary school students in rural areas in eastern Zambia"],"prefix":"10.1111","volume":"23","author":[{"given":"Emma C.","family":"Hobbs","sequence":"first","affiliation":[{"name":"One Health Center for Zoonoses and Tropical Veterinary Medicine Ross University School of Veterinary Medicine Basseterre St Kitts, West Indies"},{"name":"Institute of Tropical Medicine Antwerp Belgium"},{"name":"Faculty of Veterinary Medicine Ghent University Merelbeke Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kabemba Evans","family":"Mwape","sequence":"additional","affiliation":[{"name":"School of Veterinary Medicine University of Zambia Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inge","family":"Van Damme","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary Medicine Ghent University Merelbeke Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"Berkvens","sequence":"additional","affiliation":[{"name":"Institute of Tropical Medicine Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gideon","family":"Zulu","sequence":"additional","affiliation":[{"name":"Ministry of Health Government of the Republic of Zambia Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moses","family":"Mambwe","sequence":"additional","affiliation":[{"name":"Ministry of Health Government of the Republic of Zambia Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mwelwa","family":"Chembensofu","sequence":"additional","affiliation":[{"name":"School of Veterinary Medicine University of Zambia Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac Khozozo","family":"Phiri","sequence":"additional","affiliation":[{"name":"School of Veterinary Medicine University of Zambia Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxwell","family":"Masuku","sequence":"additional","affiliation":[{"name":"School of Veterinary Medicine University of Zambia Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Bottieau","sequence":"additional","affiliation":[{"name":"Institute of Tropical Medicine Antwerp Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brecht","family":"Devleesschauwer","sequence":"additional","affiliation":[{"name":"Scientific Institute of Public Health Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niko","family":"Speybroeck","sequence":"additional","affiliation":[{"name":"Institute of Health and Society Universit\u00e9 Catholique de Louvain Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Colston","sequence":"additional","affiliation":[{"name":"Global Alliance for Livestock Veterinary Medicines (GALVmed) Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Dorny","sequence":"additional","affiliation":[{"name":"Institute of Tropical Medicine Antwerp Belgium"},{"name":"Faculty of Veterinary Medicine Ghent University Merelbeke Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Arve Lee","family":"Willingham","sequence":"additional","affiliation":[{"name":"One Health Center for Zoonoses and Tropical Veterinary Medicine Ross University School of Veterinary Medicine Basseterre St Kitts, West Indies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Gabri\u00ebl","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary Medicine Ghent University Merelbeke Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,1,29]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"WHO Estimates of the Global Burden of Foodborne Diseases: Foodborne Disease Burden Epidemiology Reference Group 2007\u20132015","author":"WHO","year":"2015"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001920"},{"key":"e_1_2_8_4_1","unstructured":"CDC.Diseases considered as candidates for global eradication by the International Task Force for Disease Eradication. Recommendations of the International Task Force for Disease Eradication Morbidity and Mortality Weekly Report1993; 42(RR\u201016):8: CDC; 2008."},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(14)70779-0"},{"key":"e_1_2_8_6_1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.actatropica.2015.05.018","article-title":"Controlling Taenia solium and soil transmitted helminths in a northern Lao PDR village: impact of a triple dose albendazole regime","volume":"174","author":"Ash A","year":"2015","journal-title":"Acta Trop"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2015.10.012"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40475-014-0029-4"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0001651"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(00)90451-6"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2016.04.010"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.inhe.2012.04.003"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prevetmed.2007.12.014"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.1997.56.127"},{"key":"e_1_2_8_15_1","doi-asserted-by":"crossref","first-page":"634","DOI":"10.4269\/ajtmh.2010.09-0404","article-title":"Evaluating the efficacy of teaching methods regarding prevention of human epilepsy caused by Taenia solium neurocysticercosis in western Kenya","volume":"82","author":"Wohlgemut J","year":"2010","journal-title":"Am J Trop Med Hyg"},{"key":"e_1_2_8_16_1","first-page":"8","article-title":"School children as health change agents in Magu, Tanzania: a feasibility study","volume":"23","author":"Mwanga JR","year":"2007","journal-title":"Health Promot Int"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0118541"},{"key":"e_1_2_8_18_1","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/j.actatropica.2015.10.022","article-title":"Assessment of a computer\u2010based Taenia solium health education tool \u2018The Vicious Worm\u2019 on knowledge uptake among professionals and their attitudes towards the program","volume":"165","author":"Ertel RL","year":"2015","journal-title":"Acta Trop"},{"key":"e_1_2_8_19_1","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1016\/j.pt.2014.06.003","article-title":"The Vicious Worm: a computer\u2010based Taenia solium education tool","volume":"30","author":"Johansen MV","year":"2014","journal-title":"Trends Parasitol"},{"key":"e_1_2_8_20_1","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/j.vetpar.2014.12.030","article-title":"Preliminary evaluation of community\u2010led total sanitation for the control of Taenia solium cysticercosis in Katete District of Zambia","volume":"207","author":"Bulaya C","year":"2015","journal-title":"Vet Parasitol"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpara.2003.11.014"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0001594"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0002142"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.2003.01149.x"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0003972"},{"key":"e_1_2_8_26_1","volume-title":"Assessment of a Computer\u2010Based Education Tool \u2018The Vicious Worm\u2019 in Mbeya Region, Tanzania","author":"Ertel RL","year":"2014"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0003570"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2014.09.030"},{"key":"e_1_2_8_29_1","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.vetpar.2016.05.029","article-title":"Why pigs are free\u2010roaming: communities\u2019 perceptions, knowledge and practices regarding pig management and taeniosis\/cysticercosis in a Taenia solium endemic rural area in Eastern Zambia","volume":"225","author":"Thys S","year":"2016","journal-title":"Vet Parasitol"}],"container-title":["Tropical Medicine &amp; International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Ftmi.13029","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/tmi.13029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,25]],"date-time":"2023-09-25T20:40:33Z","timestamp":1695674433000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/tmi.13029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,29]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1111\/tmi.13029"],"URL":"https:\/\/doi.org\/10.1111\/tmi.13029","archive":["Portico"],"relation":{},"ISSN":["1360-2276","1365-3156"],"issn-type":[{"value":"1360-2276","type":"print"},{"value":"1365-3156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,29]]}}}