{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T10:41:45Z","timestamp":1767177705830,"version":"build-2238731810"},"update-to":[{"DOI":"10.1371\/journal.pntd.0013388","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000}}],"reference-count":24,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T00:00:00Z","timestamp":1754438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Disease Control and Prevention Administration - Public Health Professional Training Supporting Project","award":["FY2024"],"award-info":[{"award-number":["FY2024"]}]},{"name":"Jiangxi Province Focus on Research and Development Plan","award":["20202BBGL73047"],"award-info":[{"award-number":["20202BBGL73047"]}]},{"name":"Science and Technology Plan of Health Commission of Jiangxi Province","award":["202311184"],"award-info":[{"award-number":["202311184"]}]}],"content-domain":{"domain":["www.plosntds.org"],"crossmark-restriction":false},"short-container-title":["PLoS Negl Trop Dis"],"abstract":"<jats:p>\n                    Schistosomiasis remains a critical public health challenge in endemic regions, particularly among school-aged children. Despite global efforts, conventional health education approaches show limited success in translating knowledge into sustained practices change. This study evaluates the efficacy of two innovative educational approaches\u2014curriculum-integrated infiltration and stepwise progressive approaches\u2014compared to traditional methods in enhancing schistosomiasis-related knowledge, attitudes, and practices (KAP) among students. A school-based intervention was conducted in Duchang County\u2019s Zhouxi township, with is an area afferted by schistosomiasis in China. Sixth-grade students (n\u2009\u2248\u2009300) were divided into three groups: a traditional intervention group receiving standard WHO-aligned lectures, an infiltration group with cross-disciplinary curriculum integration, and a stepwise group with modular, tiered content. KAP outcomes were assessed via validated questionnaires at baseline and post-intervention. Both intervention groups demonstrated significant knowledge gains compared to traditional intervention (post-intervention accuracy: infiltration 89.67%, stepwise 91.10%, traditional intervention 86.50%;\n                    <jats:italic>\n                      <jats:italic>P<\/jats:italic>\n                    <\/jats:italic>\n                    \u2009&lt;\u20090.001). Practices knowledge showed the most significant improvement (41.47% increase in the infiltration group vs. 22.38% in traditional intervention). The stepwise approaches achieved the highest overall accuracy (91.10%) but showed no statistically significant advantage over the infiltration approach (\n                    <jats:italic>\n                      <jats:italic>P<\/jats:italic>\n                    <\/jats:italic>\n                    \u2009&gt;\u20090.05). Attitudinal improvements were consistent across groups, with high baseline rates limiting further gains (post-intervention: 95.60\u201396.68%). Curriculum-integrated and stepwise approaches effectively address the knowledge-practices gap in schistosomiasis education. The infiltration strategy, requiring minimal resources, is ideal for practices reinforcement in low-resource settings, while the stepwise approach suits rapid knowledge dissemination in well-resourced areas. These findings advocate for context-adaptive, multisectoral frameworks to optimize school-based interventions, aligning with WHO goals for neglected tropical disease elimination.\n                  <\/jats:p>","DOI":"10.1371\/journal.pntd.0013388","type":"journal-article","created":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T17:41:17Z","timestamp":1754502077000},"page":"e0013388","update-policy":"https:\/\/doi.org\/10.1371\/journal.pntd.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Research on health education and health promotion during the process of schistosomiasis elimination III new approaches for student health education"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0337-5738","authenticated-orcid":true,"given":"Jing","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dandan","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fei","family":"Hu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junjiang","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yifeng","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheng","family":"Ding","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,8,6]]},"reference":[{"key":"pntd.0013388.ref001","unstructured":"World Health Organization (WHO). Schistosomiasis: Key Facts. Updated 1 February 2023. [cited on 30 March 2025]. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/schistosomiasis"},{"issue":"2","key":"pntd.0013388.ref002","doi-asserted-by":"crossref","first-page":"76","DOI":"10.3390\/tropicalmed4020076","article-title":"Schistosomiasis Elimination: Beginning of the End or a Continued March on a Trodden Path","volume":"4","author":"R Bergquist","year":"2019","journal-title":"Trop Med Infect Dis"},{"key":"pntd.0013388.ref003","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/bs.apar.2016.03.004","article-title":"Health Education as an Important Component in the National Schistosomiasis Control Programme in The People\u2019s Republic of China","volume":"92","author":"L Chen","year":"2016","journal-title":"Adv Parasitol"},{"key":"pntd.0013388.ref004","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/j.actatropica.2005.07.016","article-title":"The role of health education and health promotion in the control of schistosomiasis: experiences from a 12-year intervention study in the Poyang Lake area","volume":"96","author":"G-H Hu","year":"2005","journal-title":"Acta Trop"},{"issue":"2","key":"pntd.0013388.ref005","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.parint.2012.11.006","article-title":"The effects of health education on schistosomiasis japonica prevalence and relevant knowledge in the People\u2019s Republic of China: a systematic review and meta-analysis","volume":"62","author":"L-Y Zhou","year":"2013","journal-title":"Parasitol Int"},{"issue":"8","key":"pntd.0013388.ref006","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0007572","article-title":"Is there a gap between health education content and practice toward schistosomiasis prevention among schoolchildren along the shores of Lake Victoria in Kenya?","volume":"13","author":"R Takeuchi","year":"2019","journal-title":"PLoS Negl Trop Dis"},{"issue":"1","key":"pntd.0013388.ref007","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1186\/s12889-018-5776-z","article-title":"Are schoolchildren less infected if they have good knowledge about parasitic worms? A case study from rural C\u00f4te d\u2019Ivoire","volume":"18","author":"MS Palmeirim","year":"2018","journal-title":"BMC Public Health"},{"issue":"5","key":"pntd.0013388.ref008","first-page":"522","article-title":"Effect of peer education on knowledge, attitude and practices towards schistosomiasis among primary school students in endemic foci of Wuhan City","volume":"34","author":"YL Xiong","year":"2022","journal-title":"Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi"},{"issue":"1","key":"pntd.0013388.ref009","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1186\/s12879-022-07829-x","article-title":"Teachers as multipliers of knowledge about schistosomiasis: a possible approach for health education programmes","volume":"22","author":"FLG Murta","year":"2022","journal-title":"BMC Infect Dis"},{"issue":"4","key":"pntd.0013388.ref010","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1093\/her\/17.4.425","article-title":"Schistosomiasis, helminth infection and health education in Tanzania: achieving behaviour change in primary schools","volume":"17","author":"R Lansdown","year":"2002","journal-title":"Health Educ Res"},{"issue":"1","key":"pntd.0013388.ref011","doi-asserted-by":"crossref","first-page":"582","DOI":"10.3390\/ijerph20010582","article-title":"Awareness Status of Schistosomiasis among School-Aged Students in Two Schools on Pemba Island, Zanzibar: A Cross-Sectional Study","volume":"20","author":"Y Liu","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"pntd.0013388.ref012","first-page":"100597","article-title":"Cost analysis for \u201cThe Magic Glasses Philippines\u201d health education package to prevent intestinal worm infections among Filipino schoolchildren","volume":"31","author":"MLS Mationg","year":"2022","journal-title":"Lancet Reg Health West Pac"},{"issue":"3","key":"pntd.0013388.ref013","first-page":"238","article-title":"Development and model of health education and health promotion for schistosomiasis control in mountainous and hilly endemic areas","volume":"31","author":"C Lin","year":"2019","journal-title":"Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi"},{"issue":"1","key":"pntd.0013388.ref014","first-page":"44","article-title":"Study on mode of health education on anti-schistosomiasis among school children in endemic area of lake region","volume":"13","author":"GH Hu","year":"2000","journal-title":"Chin J Parasit Dis Con"},{"issue":"8","key":"pntd.0013388.ref015","first-page":"75","article-title":"Effects of situational education for preventing elementary students infected with schistosomiasis","volume":"6","author":"JC Hu","year":"2008","journal-title":"Journal of Tropical Diseases and Parasitology"},{"issue":"2","key":"pntd.0013388.ref016","first-page":"245","article-title":"Results of permeated health education of the primary school children for the control of schistosomiasis","volume":"2","author":"DQ Li","year":"2002","journal-title":"China Tropical Medicine"},{"key":"pntd.0013388.ref017","unstructured":"World Health Organization (WHO). Ending the neglect to attain the Sustainable Development Goals: A road map for neglected tropical diseases 2021\u20132030. Updated 28 January 2021. [cited on 10 March 2025]. Available online: https:\/\/www.who.int\/publications\/i\/item\/9789240010352"},{"issue":"1","key":"pntd.0013388.ref018","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1186\/s13071-019-3652-z","article-title":"Integration of schistosomiasis control activities within the primary health care system: a critical review","volume":"12","author":"P Bizimana","year":"2019","journal-title":"Parasit Vectors"},{"issue":"1","key":"pntd.0013388.ref019","first-page":"7","article-title":"Interpretation of the Action Plan to Accelerate the Elimination of Schistosomiasis in China (2023-2030)","volume":"36","author":"X Zhou","year":"2024","journal-title":"Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi"},{"issue":"05","key":"pntd.0013388.ref020","first-page":"438","article-title":"KAP related schistosomiasis control among primary school students in transmission-interrupted areas of schistosomiasis in Wuhan City","volume":"39","author":"YL Xiong","year":"2023","journal-title":"Chinese Journal of Health Education"},{"issue":"6","key":"pntd.0013388.ref021","first-page":"687","article-title":"Effect of Health Education on Schistosomiasis and Influencing Factors of Behaviors among Rural Pupils of Wuhan City","volume":"40","author":"YL Xiong","year":"2023","journal-title":"Chinese Journal of Social Medicine"},{"issue":"6","key":"pntd.0013388.ref022","first-page":"626","article-title":"Health education and health promotion during the progress towards schistosomiasis elimination \u2160 Investigation on health education needs and available resource based on integration of community resources","volume":"36","author":"J Zhang","year":"2024","journal-title":"Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi"},{"issue":"2","key":"pntd.0013388.ref023","first-page":"193","article-title":"Impact of self-efficacy on behaviors of contacting infested water among middle school students in Hubei Province","volume":"28","author":"P Min-Jin","year":"2016","journal-title":"Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi"},{"issue":"4","key":"pntd.0013388.ref024","first-page":"236","article-title":"Some thoughts on health education strategies for schistosomiasis among left-behind children","volume":"15","author":"F Xu","year":"2017","journal-title":"Journal of Tropical Diseases and Parasitology"}],"updated-by":[{"DOI":"10.1371\/journal.pntd.0013388","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000}}],"container-title":["PLOS Neglected Tropical Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0013388","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T17:51:17Z","timestamp":1754934677000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pntd.0013388"}},"subtitle":[],"editor":[{"given":"Wei","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,8,6]]},"references-count":24,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2025,8,6]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pntd.0013388","relation":{},"ISSN":["1935-2735"],"issn-type":[{"value":"1935-2735","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,6]]}}}