Zoonotic infectious diseases that can be transmitted from animals to humans, as well as the underlying risk factors and transmission pathways that may lead to spillover events in rural communities in Thailand.
Conditions
Interventions
Group 1: Saan Suk intervention (“Weaving Health”)
Co-developed a One Health educational intervention delivered by Village Health Volunteers (VHVs) that targets knowledge, behavior, attitudes, and self
Sponsors
Heidelberg Institute of Global Health (HIGH), Universitätsklinikum Heidelberg
Center for Research on Plurality in Mekong region (CERP), Khon Kaen University, Thailand
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Village (Cluster) • Classified as a rural village • Located within the defined study area • Has at least 6 Village Health Volunteers (VHVs) • Accessible by vehicle (minibus/van) • At least 2 km distance from other participating villages • Approval for study participation provided by the Village Head • Feasibility of study implementation confirmed through a prior village-level assessment Village Health Volunteer (VHV) • Registered in the national VHV registry • Currently active as a VHV • Regularly responsible for at least 8 households • Receives routine training from the district hospital • Has lived in the study area for more than 6 months • Intends to remain in the area for at least another 6 months (equivalent to the study duration) • Signed informed consent for study participation is available Household • A household assigned to a VHV participating in the intervention training • The household head provides informed consent • Permanent household, i.e., residents have their usual place of residence there • Household with adults aged 18 to 80 years Household Member • Adult aged 18 to 80 years • Resident in the village for more than 6 months prior to enrollment • Mentally able to provide informed consent and participate in the educational intervention • Physically able to travel to the community center for the community meeting and outcome assessments • Signed informed consent available
Exclusion criteria
Exclusion criteria: Village (Cluster) • Urban areas • Located outside the selected provinces and districts • Not feasible for study implementation, e.g., due to armed conflict, lack of government agreements, civil unrest, or similar conditions • Less than 2 km distance from other participating villages • Village Head does not sign consent to participate Village Health Volunteer (VHV) • Not registered • Responsible for fewer than 8 households • Does not regularly attend mandatory training • Has lived in the area for less than 6 months • Intends to leave the area within the next 6 months • Alcohol or drug abuse • Does not sign informed consent to participate in the study Household • A household assigned to a VHV who was not selected to participate in the study • Household head does not provide informed consent • Uninhabited households or households where residents do not live permanently • Households consisting only of individuals under 18 and/or over 80 years of age Household Member • Is younger than 18 years or older than 80 years • Has lived in the village for less than 6 months prior to enrollment • Is mentally or cognitively unable to provide informed consent or meaningfully participate in the educational intervention • Has low literacy or impaired hearing/vision that substantially limits participation • Does not speak Thai sufficiently • Is physically unable to attend community events or participate in outcome assessments • Is under the influence of alcohol or drugs during data collection or intervention sessions • Has a known history of alcohol or substance dependence that may interfere with participation or comprehension of the intervention content • Declines participation or withdraws consent at any point during the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is knowledge, measured as a score using an interviewer-administered structured questionnaire. The questionnaire was specifically developed for this study and reviewed by subject-matter experts. The primary outcome will be assessed once per participant within one week following completion of the intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcomes include behavior (composite index), contacts with zoonotic hosts (ordinal outcome), attitudes (Likert scale), and self-efficacy (Likert scale), all measured using an interviewer-administered structured questionnaire. The questionnaire was developed and expert-reviewed for this study. The secondary outcomes will be assessed once per participant within one week following completion of the intervention. | — |
Countries
Thailand
Contacts
Public ContactMarina Treskova
Heidelberg Institute of Global Health, Universitätsklinikum Heidelberg
Outcome results
None listed