What question did this study set out to answer?

The research aims to enhance safety behaviors and reduce risks related to fermented fish production.

March 10, 2026Open Access

3Es-Based Program to Enhance Safety Behaviors Among Fermented Fish Producers in Northeast Thailand: Implications for Liver Fluke and Cholangiocarcinoma Prevention

Key Points

The research aims to enhance safety behaviors and reduce risks related to fermented fish production.
Implemented a 3Es-based program targeting safety knowledge and behaviors
Assessed knowledge, attitudes, and ergonomic risks among fermented fish producers
Evaluated program outcomes using effect size measurements
Significant improvements in safety-related knowledge among producers
Positive changes in attitudes and behaviors related to safety
Reduction in ergonomic risks associated with fish production

Abstract

The 3Es-based program significantly improved safety-related knowledge, attitudes, behaviors, and reduced ergonomic risks. Large effect sizes confirm that these gains are both statistically and practically meaningful, supporting integration into community health services and local policies for sustainable OV and CCA prevention.

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