ผลของโปรแกรมส่งเสริมความรอบรู้ด้านสุขภาพต่อพฤติกรรมสุขภาพ ของกลุ่มที่ตรวจ Fittest พบผลบวก ตำบลกุดโดน อำเภอห้วยเม็ก จังหวัดกาฬสินธุ์

สุชาวดี ศรีมุงคุณ

Authors

สุชาวดี ศรีมุงคุณ

Keywords:

health literacy, health behavior, colorectal cancer, screening, FIT test

Abstract

This study is a quasi-experimental research design (Two-group pretest-posttest design), conducted using both qualitative and quantitative methods. The objective was to examine the effects of a health literacy promotion program on health behaviors among individuals with a positive colorectal cancer screening result, in Kutdon Subdistrict, Huaimek District, Kalasin Province. The study was conducted from January to September 2026 (B.E. 2569), a total of 9 months. The quantitative sample in the program evaluation phase consisted of 60 individuals aged 50–70 years with a positive colorectal cancer screening result, divided equally into an experimental group and a control group (30 per group). The research instruments included the health literacy promotion program, a general information questionnaire, a health literacy assessment form, a health behavior questionnaire, and a program appropriateness evaluation form. Quantitative data were analyzed using descriptive statistics and inferential statistics (Paired t-test, Independent sample t-test), while qualitative data were analyzed using content analysis.

The results showed that, based on the situational analysis prior to receiving the program, the sample had low levels of health literacy and health behavior. This was predicted to result from the absence of a health literacy promotion process specifically tailored to individuals with a positive colorectal cancer screening result. Following implementation of the developed health literacy promotion program, the experimental group's health knowledge score increased to 6.73±1.46, health literacy skill score increased to 32.57±2.93, overall health literacy score increased to 39.30±2.89, and health behavior score increased to 39.87±2.32. These scores were significantly higher than before receiving the program and significantly higher than the control group at the .05 level (t = 7.67, 19.37, 22.60, 20.96, and t = 5.65, 17.43, 19.02, 18.60, respectively).

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References

Sung H, Filho AM, Laversanne M, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2024: GLOBOCAN estimates of incidence and mortality worldwide for 34 cancers in 186 countries. CA Cancer J Clin. 2026;76(4):e70090.

BGI Genomics. 2024 global state of colorectal cancer awareness report [Internet]. Shenzhen: BGI Genomics; 2024 [cited 2026 Sep 13]. Available from: https://www.bgi.com/global/news/bgi-genomics-2024-global-state-of-colorectal-cancer-awareness-report

Local Health Security Fund. Colorectal cancer screening project using FIT test, fiscal year 2024 [Internet]. 2024 [cited 2026 Sep 13]. Available from: https://localfund.happynetwork.org/project/176761

National Health Security Office. NHSO supports FIT test for colorectal cancer screening among people aged 50–70 years, all healthcare schemes, free every 2 years [Internet]. 2026 [cited 2026 Sep 13]. Available from: https://www.hfocus.org/content/2026/07/38619

Chandam P, Boonyanam S, Songsri C, Lohawet N. Effects of implementing access guidelines for colorectal cancer screening among at-risk populations through network participation, primary care unit, Udon Thani Hospital. Udon Thani Hosp Med J. 2025;33(1):125-36.

Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80.

Danyutthasilp C. Pender's health promotion model. Songklanagarind J Nurs. 2018;38(2):132-41.

Ministry of Public Health. Health data center (Health KPI): indicator 021.3, percentage of people receiving colorectal cancer screening, Health Region 7 [Internet]. 2025 [cited 2026 Sep 13].

Khaosod. Kalasin: Yang Talat Hospital achieves 100% success in laparoscopic surgery for colorectal cancer [Internet]. 2026 [cited 2026 Sep 13]. Available from: https://www.khaosod.co.th/around-thailand/news_10139534

Chaimongkol P. Effectiveness of a health literacy promotion program on desirable health behaviors among elderly people in a semi-urban community in Khon Kaen province. J Reg Health Promot Cent 7 Khon Kaen. 2023;15(3):124-37.

Pakdeepaiboonsakul R. Effectiveness of a health literacy promotion program on health behaviors among high-risk groups for diabetes and hypertension. Thai J Public Health Health Educ. 2025;5(2):e275531.

Lim TZ, Lau J, Wong GJ, Tan LYT, Chang YJ, Natarajan K, et al. Factors predicting improved compliance towards colonoscopy in individuals with positive faecal immunochemical test (FIT). Cancer Med. 2021;10(21):7735-46.

Zarrinkamar M, Ebrahimi M, Zahedi M, Amini F, Geran M, Ghadirzadeh E. Prevalence, determinants, and barriers to follow-up colonoscopy after a positive fecal immunochemical test in Qaemshahr, Iran: a population-based cross-sectional study from 2022 to 2023. Prev Med Rep. 2025.

Phuseenam S, Isarangkul Na Ayutthaya W, Sinsuphan N. Development of health literacy and colorectal cancer prevention among village health volunteers, Phra Lap subdistrict, Mueang district, Khon Kaen province. J Educ Health Environ Manag. 2024;9(2):872-81.

Pansuwan C, Naosuwan K. Effects of using video media on pre-colonoscopy preparation behavior, bowel cleanliness, and anxiety among colorectal cancer risk groups at Na Mom Hospital. Rachawadee J Boromarajonani Coll Nurs Surin. 2022;12(1):136-48.

Boirot A, Addamiano MC, Casanova C, Redmond NM, Cazorla G, Rotily M, et al. Acceptability and implementation potential of a health literacy intervention to increase colorectal cancer screening in deprived areas: a qualitative study of patients and general practitioners participating in a cluster randomized controlled trial. PLoS One. 2025;20(8):e0329639.

Sripattha L, Boonthom U, Suriya N. Effects of a colonoscopy preparation program with social support on anxiety, bowel cleanliness quality, and satisfaction among patients at risk of colorectal and anal cancer. Mahasarakham Hosp J. 2025;22(1):133-51.

O'Leary MC, Reuland DS, Randolph C, Ferrari RM, Brenner AT, Wheeler SB, et al. Reach and effectiveness of a centralized navigation program for patients with positive fecal immunochemical tests requiring follow-up colonoscopy. Prev Med Rep. 2023;34:102211.

Azizi Sani Dopolani SF, Shahbazi H, Lotfizadeh M, Naderimagham S. The impact of educational intervention on enhancing health literacy among middle-aged individuals at risk for cardiovascular diseases: a randomized controlled trial. BMC Public Health. 2025;25:2291.