{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:54:30Z","timestamp":1783385670897,"version":"3.54.6"},"reference-count":19,"publisher":"Korean Society for Parasitology","issue":"1","license":[{"start":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T00:00:00Z","timestamp":1740441600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["parahostdis.org"],"crossmark-restriction":true},"short-container-title":["Parasites Hosts Dis"],"abstract":"<jats:p>Opisthorchis viverrini (OV) infection, which can progress to cholangiocarcinoma (CCA), poses a critical public health challenge. While numerous studies have investigated behavior modification programs aimed at preventing OV and CCA, the effectiveness of these interventions remains inconclusive. This systematic review and meta-analysis sought to synthesize evidence on the efficacy of behavior modification programs, particularly those based on self-efficacy, in preventing OV and CCA. We reviewed experimental and quasi-experimental studies, comprising 2-group comparisons or 1-group pretest-posttest designs, that evaluated health education interventions focused on behavior modification for OV and CCA prevention. Relevant literatures was systematically retrieved from the PubMed, Google Scholar, ThaiJo, and ThaiLis databases. Of 702 identified studies, 13 met the systematic review and meta-analysis inclusion criteria. The analysis assessed the quality of the studies, extracted data, and evaluated the risk of bias. Standardized mean differences were calculated to determine the impact of self-efficacy\u2013 based programs on knowledge, self-efficacy, and behavior modification. The results indicated significant post-intervention improvements in all outcomes (P&lt;0.001) despite high heterogeneity in knowledge (I\u00b2=76%), self-efficacy (I\u00b2=77%), and behavior modification (I\u00b2=93%). The experimental group demonstrated significantly more significant improvements in knowledge (mean difference=1.52, 95% confidence interval (CI)=1.36\u20131.68), self-efficacy (mean difference=1.08, 95% CI=0.90\u20131.26), and behavior modification (mean difference=1.78, 95% CI=1.63\u20131.92) compared to the comparison group, with I\u00b2 values of 74%, 84%, and 92%, respectively. In conclusion, health education programs grounded in self-efficacy principles effectively enhance knowledge, selfefficacy, and behavior modification to prevent OV and CCA. These findings suggest that self-efficacy\u2013based behavior modification programs may also apply to the prevention of other diseases.<\/jats:p>","DOI":"10.3347\/phd.24074","type":"journal-article","created":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T01:33:52Z","timestamp":1740706432000},"page":"1-11","update-policy":"https:\/\/doi.org\/10.3347\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of self-efficacy\u2013based health education programs on behavior modification for Opisthorchis viverrini and cholangiocarcinoma prevention in Thailand: A systematic review and meta-analysis"],"prefix":"10.3347","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6837-2126","authenticated-orcid":true,"given":"Worathon","family":"Busabong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5758-4081","authenticated-orcid":true,"given":"Somkiattiyos","family":"Woradet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3741-367X","authenticated-orcid":true,"given":"Nopparat","family":"Songserm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1900","published-online":{"date-parts":[[2025,2,25]]},"reference":[{"key":"ref1","first-page":"1","volume-title":"Schistosomes, liver flukes and Helicobacter 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Province","author":"Hamsompan","year":"2016"},{"key":"ref12","first-page":"150","volume-title":"Effectiveness of health educational program based on health belief model, self-efficacy and social support to prevent opisthorchiasis among primary school students in Bandung District, Udonthani Province, Thailand","author":"Intanam","year":"2018"},{"key":"ref13","first-page":"17","volume-title":"The effectiveness of liver fluke prevention behaviors program among ordinary people in Tao-Ngoi District, Sakon Nakhon Province, Thailand","author":"Ponrachom","year":"2019"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1177\/21501319221110420"},{"key":"ref15","first-page":"64","volume-title":"Effects of health education program with short video on behavior modification for liver fluke prevention among risk groups aged 40\u201359 years in Selaphum District, Roi-Et Province","author":"Langstan","year":"2017"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1177\/1757975918767622"},{"key":"ref17","first-page":"1","volume-title":"Effect of health education program on health belief model application with social support for behavioral change to prevent opisthorchiasis and cholangiocarcinoma of people aged 40 years over in Muangmai Sub-district, Sriboonruang District, Nong Bua Lamphu Province","author":"Chayngam","year":"2020"},{"key":"ref18","first-page":"298","volume-title":"The effect of health belief modification program on complications preventing behaviors among older persons with cholangiocarcinoma undertaking percutaneous transhepatic biliary drainage","author":"Tananchai","year":"2018"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2021.22.10.3181"}],"container-title":["Parasites, Hosts and Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/parahostdis.org\/upload\/pdf\/PHD-24074.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T01:33:57Z","timestamp":1740706437000},"score":1,"resource":{"primary":{"URL":"https:\/\/parahostdis.org\/journal\/view.php?doi=10.3347\/PHD.24074"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,25]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,2]]}},"URL":"https:\/\/doi.org\/10.3347\/phd.24074","relation":{},"ISSN":["2982-5164","2982-6799"],"issn-type":[{"value":"2982-5164","type":"print"},{"value":"2982-6799","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,25]]},"assertion":[{"value":"2024-10-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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