I'm running 2019, and can perform the steps indicated here (and I've got a current Comodo/Sectigo certificate), but of course when I go to save it I get the message about not being able to sign an .accdb file. So the steps are correct, but of course they
don't really work. Not sure why they're still there.
In 2007 and above the only way to avoid that message is to place the database in a Trusted Location. You can create a Trusted Location with code, but if you're deploying this application you'd be much better off doing this in the installation process, otherwise,
you'll always get that initial "This database is not trusted blah blah" message.