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Related Experiment Video

Updated: Mar 11, 2026

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From Knowledge to Action: Engaging Washington's Commercial Fishing Community in Substance Use Awareness and

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  • 1Child, Family, and Population Health Nursing, University of Washington, Seattle, WA, USA.

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Commercial fishermen in Washington received overdose response training, boosting naloxone knowledge and confidence. This initiative addresses opioid risks in hazardous maritime occupations, improving safety preparedness.

Keywords:
Commercial fishingfishermen safetyfishing industryharm reductionknowledge to action frameworknaloxone trainingoccupational healthoccupational injury preventionopioid overdosesafety training programs

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Area of Science:

  • Public Health
  • Occupational Safety
  • Emergency Medicine

Background:

  • Commercial fishing is a high-risk occupation with significant injury and overdose death rates.
  • Washington's fishing community faces challenges with substance use, necessitating tailored safety training.
  • Existing safety programs lack specific overdose response components for this demographic.

Purpose of the Study:

  • To adapt and implement an overdose response training program for commercial fishermen in Washington state.
  • To integrate overdose response education into the existing Fishermen First Aid and Safety Training (FFAST) program.
  • To address the gap between knowledge and practical application of overdose response interventions in the fishing industry.

Main Methods:

  • Utilized the Knowledge to Action (KTA) framework for training adaptation and implementation.
  • Delivered a training program combining didactic instruction, hands-on naloxone (NARCAN®) administration practice, and harm reduction material distribution.
  • Targeted 25 commercial fishermen, primarily shellfish harvesters, in Washington state.

Main Results:

  • Pre-training assessment revealed a knowledge-practice gap: 54% knew about naloxone (NARCAN®) but only 9% carried it on vessels.
  • Post-training, 100% reported increased knowledge and confidence in overdose response.
  • 70% of participants planned to carry naloxone (NARCAN®) on their vessels, indicating successful knowledge translation.

Conclusions:

  • Integrating overdose response training into established safety programs is a feasible, community-driven strategy for high-risk occupations.
  • Hands-on training and harm reduction materials are crucial for improving emergency preparedness among fishermen.
  • Addressing barriers like occupational isolation, healthcare access, and stigma is vital for effective substance use interventions in maritime settings.