Animation as Supplementary Learning Material About Carcinogenic Liver Fluke in Classes for Primary Schoolchildren


Carcinogenic liver fluke is still an issue of great concern in some countries of Southeast Asia, particularly in Thailand, Cambodia, the Lao People’s Democratic Republic, and Vietnam. The infection, caused by Opisthorchis viverrini, is associated to cholangiocarcinoma and is endemic among human populations for whom raw fish is frequently consumed. Prevention and health education are required. Therefore, this study aimed to evaluate the effectiveness of educational intervention to improve knowledge among primary schoolchildren based on animation-assisted education. In this study, 80 participants (40 participants in the experimental group and 40 participants in the comparison group) were selected in 2018. The effectiveness of an interactive animation program in improving the knowledge of students studying liver fluke was determined based on scores on tests given before and immediately after completion of a 4.29-min animated program on the liver fluke life cycle, risk factors, disease, diagnosis, treatment, prevention, and control. Data were analyzed using SPSS-22 via paired t tests and independent samples t tests at a significance level of 0.05. A marked and significant improvement was observed in the immediate posttest compared with the pretest scores. More importantly, the students who had used the animated program achieved a significantly higher score on the final test than the comparison group. The results offered in the first report show that the use of the animated program facilitated education about liver fluke. It is strongly believed that animations are good supplementary learning materials for students, particularly for learning about serious concepts.

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The present study was supported by a grant from the SUT research and development fund, Suranaree University of Technology (SUT), Thailand.

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Corresponding author

Correspondence to Soraya J. Kaewpitoon.

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The authors declare that they have no conflict of interest.

Ethics statement

This study was approved by the Ethics Committee affiliated with the Health Office in Nakhon Ratchasima Province, Thailand (KHE 2018-041).

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Bukkhunthod, P., Meererksom, T., Pechdee, P. et al. Animation as Supplementary Learning Material About Carcinogenic Liver Fluke in Classes for Primary Schoolchildren. J Canc Educ 35, 14–21 (2020).

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  • Animation-assisted learning
  • Supplementary learning material
  • Educational intervention
  • Carcinogenic liver fluke
  • Primary school children