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Studies indicate that non-compliant bednet usage, travelling into the forest and working as farmers and rubber tappers put communities at risk for infection. Despite guidelines, malaria incidence increases yearly and has become a public health concern. In addition to research gaps addressing factors that influence malaria prevention behaviour in these communities, there are no specific guidelines to facilitate strategies against the threat of\n                      <jats:italic>P. knowlesi<\/jats:italic>\n                      malaria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      To examine potential factors that influence malaria-prevention behaviour in communities exposed to\n                      <jats:italic>P. knowlesi<\/jats:italic>\n                      malaria, 12 malaria experts participated in a modified Delphi study; every participant maintained their anonymity throughout the study. Three Delphi rounds were conducted via different online platforms between 15 November 2021 and 26 February 2022, and consensus was achieved when 70% of the participants agreed on a particular point with a 4\u20135 median. The results from the open-ended questions were then subjected to thematic analysis, and the dataset generated by this study was analysed using a deductive and inductive approach.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After a systematic, iterative process, knowledge and belief, social support, cognitive and environmental factors, past experience as a malaria patient, and the affordability and feasibility of a given intervention were critical contributors to malaria-prevention behaviour.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Future research on\n                      <jats:italic>P. knowlesi<\/jats:italic>\n                      malaria could adapt this study\u2019s findings for a more nuanced understanding of factors that influence malaria-prevention behaviour and improve\n                      <jats:italic>P. knowlesi<\/jats:italic>\n                      malaria programmes based on the expert consensus.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-067451","type":"journal-article","created":{"date-parts":[[2023,3,10]],"date-time":"2023-03-10T08:01:43Z","timestamp":1678435303000},"page":"e067451","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["International modified Delphi study on malaria preventive behaviour: new themes, contexts and framework for future research on\n                    <i>Plasmodium knowlesi<\/i>\n                    malaria"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9578-9782","authenticated-orcid":false,"given":"Nurul Athirah","family":"Naserrudin","sequence":"first","affiliation":[{"name":"Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia"},{"name":"Borneo Medical and Health Research Centre, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia"},{"name":"Sabah State Health Department, Ministry of Health, Kota Kinabalu, Sabah, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rozita","family":"Hod","sequence":"additional","affiliation":[{"name":"Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Saffree Jeffree","sequence":"additional","affiliation":[{"name":"Department of Public Health Medicine, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamruddin","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Borneo Medical and Health Research Centre, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia"},{"name":"Department of Pathobiology and Medical Diagnostics, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohd Rohaizat","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia"},{"name":"Borneo Medical and Health Research Centre, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,3,10]]},"reference":[{"key":"2025121514454497000_13.3.e067451.1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0004915","article-title":"Estimating geographical variation in the risk of zoonotic Plasmodium knowlesi infection in countries eliminating malaria","volume":"10","author":"Shearer","year":"2016","journal-title":"PLoS Negl Trop Dis"},{"key":"2025121514454497000_13.3.e067451.2","unstructured":"Abeyasinghe R . 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