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In northern Vietnam, <jats:italic>Clonorchis sinensis<\/jats:italic> is recognised as the most important species of the FZT. Up to now, small\u2010scale studies conducted in the country have indicated that health education could improve participants' knowledge and practices related to clonorchiasis, however strong evidence is still lacking. We conducted an intervention trial between 2020 and 2021 in four communes in Yen Bai and Thanh Hoa province, aiming to evaluate the impact of an extended educational package on knowledge, attitude and practices related to clonorchiasis, as well as on knowledge on the large liver fluke and minute intestinal flukes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>To this end, baseline and post\u2010intervention questionnaires were conducted. Generalised estimating equations models were run to analyse the impact of the intervention on knowledge, attitudes and practices over time in the intervention versus control group. Finally, 172 people in the intervention group and 162 in the control group were included for analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Results demonstrated that the intervention significantly improved clonorchiasis knowledge, attitudes and practices, with higher odds for a correct knowledge response (odds ratio (OR)\u2009=\u20092.80, 95% confidence interval (CI)\u2009=\u20091.84\u20134.27, <jats:italic>p<\/jats:italic>\u2010value\u2009&lt;\u20090.001), increased average mean attitude score (mean\u2009=\u20090.363, 95%CI\u2009=\u20090.182\u20130.544, <jats:italic>p<\/jats:italic>\u2010value\u2009&lt;\u20090.001), and a reduced odds of consuming raw fish (OR\u2009=\u20090.15, 95%CI\u2009=\u20090.06\u20130.40, <jats:italic>p<\/jats:italic>\u2009=\u20090.002) in the intervention group compared to the control group post\u2010intervention versus baseline. Additionally, participants in the intervention group exhibited enhanced basic knowledge of the large liver fluke and minute intestinal flukes post\u2010intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings demonstrate the potential of health education programs in preventing clonorchiasis in endemic areas, emphasising the importance of continued health education as a critical component of integrated control programs for clonorchiasis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/tmi.13972","type":"journal-article","created":{"date-parts":[[2024,2,14]],"date-time":"2024-02-14T05:00:04Z","timestamp":1707886804000},"page":"280-291","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of health education in improving knowledge, attitude and practice related to foodborne zoonotic trematodes in Vietnam, with a particular focus on <i>Clonorchis sinensis<\/i>"],"prefix":"10.1111","volume":"29","author":[{"given":"Thao Thi Bich","family":"Nguyen","sequence":"first","affiliation":[{"name":"Center for Environmental Health and Occupational Health, School of Public Health, Universit\u00e9 Libre de Bruxelles (ULB)  Brussels Belgium"},{"name":"Department of Environmental Health, Faculty of Environmental and Occupational Health, Hanoi University of Public Health  Hanoi Vietnam"},{"name":"Research and Technology Innovation Unit, LHUB \u2013 ULB, Groupement Hospitalier Universitaire de Bruxelles (GHUB), Universit\u00e9 Libre de Bruxelles (ULB)  Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dung Thi","family":"Bui","sequence":"additional","affiliation":[{"name":"Department of Parasitology Institute of Ecology and Biological Resources, Vietnam Academy of Science and Technology  Hanoi Vietnam"},{"name":"Graduate University of Science and Technology, Vietnam Academy of Science and Technology  Hanoi 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