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First published on April 27, 2007, doi:10.1177/1090198106294646

Health Education & Behavior 2007;34:531.

A more recent version of this article appeared on June 1, 2007

Article

A Controlled Trial of a Novel Primary Prevention for Lyme Disease and Other Tick-Borne Illnesses

Lawren H. Daltroy, DrPH, Charlotte Phillips, RN, MPH, CCRC, Robert Lew, PhD, Elizabeth Wright, PhD, Nancy A. Shadick, MD, MPH, Matthew H. Liang, MD, MPH*, Members of the Robert B. Brigham Arthritis and Musculoskeletal Diseases Clinical Research Center

Brigham and Women’s Hospital, Harvard Medical School, Harvard School of Public Health, Boston, Massachusetts

* To whom correspondence should be addressed. E-mail: mliang{at}partners.org.


  Abstract
To evaluate a theory-based educational program to prevent Lyme disease and other tick-borne illnesses (TBI), a randomized controlled trial of an educational program was delivered to ferry passengers traveling to an endemic area in southeastern Massachusetts. Rates of TBI and precautionary and tick check behaviors were measured over three summers in 30,164 passengers. There were lower rates of TBI among participants receiving TBI education compared with control participants receiving bicycle safety education (relative risk [RR] = 0.79) and a 60% reduction in risk among those receiving TBI education who visited Nantucket Island for more than 2 weeks compared to control participants (RR = 0.41,95% confidence intervals = 0.18 to 0.95, p < .038). TBI-educated participants were also significantly more likely to take precautions (use repellent, protective clothing, limit time in tick areas) and check themselves for ticks. The study demonstrates that a theory-based Lyme disease prevention program can increase precautionary behavior and result in a significant reduction in TBI.
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Home page
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M. H. Liang
In Memoriam: Lawren H. Daltroy, DrPH (December 23, 1948-September 22, 2003)
Health Educ Behav, June 1, 2007; 34(3): 543 - 545.
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