Evidence map›Paper›PMID 41859535›Full record

ArticleJournal of multidisciplinary healthcare2026

The Effects of a Parental Behavior Modification Program to Prevent Pesticide Exposure Among Toddlers Living in Agricultural Areas of Thailand: An Experimental Study.

Parichat Ong-Artborirak, Thitirat Nganchamung, Chakkrit Ponrachom, Apiradee Wangkahart, Satinee Siriwat

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Article in Journal of multidisciplinary healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Parichat Ong-ArtborirakDepartment of Research and Medical Innovation, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.ORCID 0000-0003-0884-9466
Thitirat NganchamungCollege of Medicine and Public Health, Ubon Ratchathani University, Ubon Ratchathani, Thailand.ORCID 0000-0002-0464-6023
Chakkrit PonrachomDepartment of Physical Education, Faculty of Education, Kasetsart University, Bangkok, Thailand.
Apiradee WangkahartDepartment of Community Health, Faculty of Public Health, Kasetsart University, Chalermphrakiat Sakon Nakhon Province Campus, Sakon Nakhon, Thailand.
Satinee SiriwatDepartment of Community Health, Faculty of Public Health, Kasetsart University, Chalermphrakiat Sakon Nakhon Province Campus, Sakon Nakhon, Thailand.ORCID 0000-0002-0242-6094

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pesticides pose health risks to vulnerable populations living in agricultural areas, especially children. However, effective interventions demonstrating biomarker-based reductions in pesticide exposure among toddlers remain scarce, including in Thailand. Objective: This quasi-experimental study, using a pre-test/post-test design, aimed to assess the effect of a parental behavior modification program on pesticide exposure among young Thai children. Methods: The sample consisted of 90 families with children aged 1-3 years who lived within 50 meters of agricultural areas, including 46 in the intervention group and 44 in the control group. Guardians in the intervention group received a behavior modification program based on the Theory of Planned Behavior (TPB), which included three training sessions and one home visit. The control group did not receive any intervention. Acetylcholinesterase (AChE) levels in toddlers were measured via finger prick in both groups at three time points: baseline, follow-up 1 (two months after the end of the intervention), and follow-up 2 (five months after the end of the intervention). Results: Linear mixed-model analysis showed that, from baseline to follow-up 1, hemoglobin-adjusted AChE (HAChE) levels in the intervention group were 1.307 U/g Hgb higher than in the control group (P = 0.047). From baseline to follow-up 2, HAChE levels were 2.332 U/g Hgb higher in the intervention group (P = 0.005), and AChE levels were also higher by 0.311 U/mL. Conclusion: These findings suggest that the parental behavior modification program can effectively reduce pesticide exposure in young Thai children, and therefore the program should be considered for implementation as part of efforts to improve health outcomes among children living in agricultural areas of Thailand.

Indexed as

behavior modification programcholinesterasefarming familyparentpesticideyoung children

Identifiers

PMID41859535
PMCPMC12998916

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.