A randomised controlled trial of repeated filmed social contact on reducing mental illness-related stigma in young adults

Koike, Shinsuke; Yamaguchi, Sosei; Ojio, Yasutaka; Ohta, Katsutoshi; Shimada, Takafumi; Watanabe, Kazuhiro; Thornicroft, Graham; Ando, Shuntaro

doi:10.1017/s2045796016001050

Cited by 50 publications

(60 citation statements)

References 45 publications

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“…As the present findings show that fear of infection leads to the better-off-dead belief, and that fear of infection is associated with incorrect beliefs about HIV transmission, 37 education to inform people that HIV cannot be transmitted via casual contact is crucial to antistigma campaigns. 12 Moreover, as some studies (including a previous study of ours) show that increasing contact reduces avoidance of stigmatized groups, [38][39][40] it may be particularly helpful if HIV stigma reduction programs can break the mediating effect of social distance.…”

Section: Discussionmentioning

confidence: 85%

Social distance mediates the association between fear of infection and better-off-dead beliefs about people living with HIV

et al. 2019

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Objectives The better-off-dead belief, the idea that death is preferable for people living with human immunodeficiency virus, is a highly devaluing attitude, but little is known about its determinants among the general population. Guided by the instrumental model of stigma, this study examined the contributive roles of fear of infection and social distance to this stigmatizing belief. Methods A total of 304 Chinese university students recruited in Guangzhou and Hong Kong responded to questionnaires assessing the better-off-dead belief, fear of infection and social distance. Structural equation modelling was used to test associations among the variables. Results Fear of infection and social distance were associated with higher levels of the better-off-dead belief. Social distance mediated the association between fear of infection and the better-off-dead belief. Conclusions Fear of infection and social distance are determinants of the better-off-dead belief, with social distance serving as a mediator. This study highlights the importance of addressing fear and avoidance in future public health efforts to reduce the prevalence of the better-off-dead belief.

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Section: Discussionmentioning

confidence: 85%

Social distance mediates the association between fear of infection and better-off-dead beliefs about people living with HIV

et al. 2019

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“…The film for the RCM group covered the following: (1) high prevalence of mental illnesses, (2) recovery-oriented messages and (3) social inclusion/human rights messages (Clement et al, 2010). These messages have a confirmed positive impact on reducing negative stereotype (Thornicroft et al, 2016;Koike et al, 2018aKoike et al, , 2018bYamaguchi et al, 2019). Filmed social contacts were not included in either BMM or RCM.…”

Section: Interventionsmentioning

confidence: 99%

“…The educational approach has been recognised as an effective intervention for reducing mental health-related stigma, mainly through knowledge (or stereotype) (Yamaguchi et al, 2011;Thornicroft et al, 2016). Randomised controlled trials (RCTs) have shown that social contact or contact-based intervention (e.g., filmed social contact) is the most effective strategy for decreasing stigma, especially with regard to mental health-related attitudes and/or behavioural intentions (Thornicroft et al, 2016;Koike et al, 2018aKoike et al, , 2018bYamaguchi et al, 2019). Combining social contact with knowledge-based education, rather than social contact alone, appears to enhance the effect of decreasing stigma (Griffiths et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Effects of biomedical messages and expert-recommended messages on reducing mental health-related stigma: a randomised controlled trial

Ojio

Yamaguchi

Ohta

et al. 2019

Epidemiol Psychiatr Sci

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Aims Mental health-related stigma is a major challenge associated with the huge mental health treatment gap. It has remained unclear what kind of educational content is effective in reducing the stigma. Whether biomedical messages (BMM) about mental illness are effective or harmful in decreasing stigma is controversial. To investigate whether BMM can improve practically useful knowledge of mental illness, comparably to recommended messages (RCM) advocated by experts, of types such as ‘recovery-oriented’, ‘social inclusion/human rights’ and ‘high prevalence of mental illnesses’ through a randomised controlled trial (RCT). Method This study is an individual-level RCT with a parallel-group design over 1 year, conducted in Tokyo, Japan. A total of 179 participants (males n = 80, mean age = 21.9 years and s.d. = 7.8) were recruited in high schools and universities, and through a commercial internet advertisement in June and July 2017, without any indication that the study appertained to mental health. Participants were allocated to the BMM and RCM groups. They underwent a 10-min intervention, and completed self-report questionnaires during baseline, post-test, 1-month follow-up and 1-year follow-up surveys. The primary outcome measures were practically useful knowledge of mental illness at the post-test survey using the Mental Illness and Disorder Understanding Scale (MIDUS). Analysis was conducted in October 2018. Results Both groups demonstrated improved MIDUS score in the post-test survey, and showed similar intervention effects (F(1, 177) = 160.5, p < 0.001, η2 = 0.48). The effect of the interventions continued until the 1-year follow-up survey (B [95% CI] = −2.56 [−4.27, −0.85], p < 0.01), and showed no difference between groups. The reported adverse effect that BMM increase stigma was not confirmed. Conclusions BMM may have a positive impact on stigma, comparable to RCM. These findings may encourage reconsideration of the content of messages about mental health, as it is indicated that combining BMM and RCM might contribute to an effective anti-stigma programme.

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“…16 There have been a number of studies that have explored the impact of education and contact on mental health stigma amongst adolescents, but have produced contradictory results. 17,18 Within the field of dementia, there has been an increasing interest in the 'Human Rights based approach'. 19 This approach has tended to make use of contact based interventions to reduce discrimination against people living with dementia and increase positive opportunities for them.…”

Section: Introductionmentioning

confidence: 99%

The development and validation of the adolescent level of contact with dementia scale

Parveen

Griffiths

Farina

2020

Int J Geriat Psychiatry

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Objectives As the number of people living with dementia increases, reducing stigma has become a policy priority. One way of decreasing stigma is through contact with the stigmatised group. However, the impact of this is difficult to establish due to a lack of validated measures suitable for adolescents. The aim of this study was to develop and validate a level of contact questionnaire designed to assess adolescents' contact with people living with dementia. Methods Participants were recruited from five schools in two studies (N = 446 and N = 488) and completed the preliminary 11‐item version of the adolescent level of contact of dementia (ALoCD). Results Study 1 explored the factor structure of the ALoCD, revealing two factors ‘direct contact’ and ‘indirect contact’. Study 2 confirmed the structure of the ALoCD and tested for discriminant validity. These two studies resulted in a 9‐item scale that showed adequate internal consistency (α = .89, α = .62) and discriminant validity between those who did and did not live with a person with dementia. Conclusion The development of this scale enables assessment of direct (eg, living with a person with dementia) and indirect (watching a TV show about dementia) contact with dementia, and the extent of this contact. This initial validation suggests a psychometrically sound scale but further research should be undertaken to fully explore the properties of the scale.

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A randomised controlled trial of repeated filmed social contact on reducing mental illness-related stigma in young adults

Abstract: This study is registered at UMIN-CTR (No. UMIN000012239).

Cited by 50 publications

References 45 publications

Social distance mediates the association between fear of infection and better-off-dead beliefs about people living with HIV

Social distance mediates the association between fear of infection and better-off-dead beliefs about people living with HIV

Effects of biomedical messages and expert-recommended messages on reducing mental health-related stigma: a randomised controlled trial

The development and validation of the adolescent level of contact with dementia scale

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