Filmed <i>v.</i> live social contact interventions to reduce stigma: randomised controlled trial

Clément, Sarah; Nieuwenhuizen, Adrienne van; Kassam, Aliya; Flach, Clare; Lazarus, Anisha; Castro, Melanie de; McCrone, Paul; Norman, Ian; Thornicroft, Graham

doi:10.1192/bjp.bp.111.093120

Cited by 162 publications

(187 citation statements)

References 28 publications

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“…Some have stated that knowledge does not serve to change beliefs and feelings of individuals toward people with schizophrenia, and they propose, as an alternative, working with the possibility of "feeling" rather than informing [29] . On the other hand, the interventions based on videos that included the experiences of people with mental illness were also positive [30][31][32] . Our program included both aspects, which makes it difficult for us to determine to what extent each measure played a role in influencing the reduction of the students' stigmatizing beliefs.…”

Section: Discussionmentioning

confidence: 99%

Intervention for reducing stigma: Assessing the influence of gender and knowledge

Martínez-Zambrano

García-Morales²,

Garcia-Franco³

et al. 2013

WJP

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AIM:To evaluate the effectiveness in reducing social stigma of an intervention and to assess the influence of gender and knowledge. METHODS:The program consisted in providing information and contact with users of mental health in order to reduce social stigma in the school environment. A total of 62 secondary school students (age 14-16 years) were evaluated with the Opinions on Mental Illness (OMI) questionnaire before and after the intervention. The subscales of the OMI were: authoritarianism, interpersonal etiology, benevolence, restrictiveness and negativism. The analysis was performed over the total sample, separating by gender and knowledge of someone with a mental disorder. t -test for repeated measures was used in the statistical analysis. RESULTS:All the OMI subscales showed a significant change after the intervention (P < 0.001), except for benevolence. Women presented significant changes in the subscales of authoritarianism and restrictiveness, while men presented changes in negativism and interpersonal etiology rather than restrictiveness (P < 0.001-0.003). Students that knew someone with a mental disorder presented significant changes in authoritarianism, interpersonal etiology, and negativism (P < 0.001-0.003) and students that do not know anyone with a mental disorder improved in restrictiveness and authoritarianism (P < 0.001-0.001). In all the subscales of the instrument the students improved their perception of mental disorders, reducing their levels of stigma. CONCLUSION:The intervention designed to reduce social stigma was effective, especially in the area of authoritarianism. The whole sample showed improved attitudes towards mental illness, although the areas were different depending on gender and knowledge.

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Section: Discussionmentioning

confidence: 99%

Intervention for reducing stigma: Assessing the influence of gender and knowledge

Martínez-Zambrano

García-Morales²,

Garcia-Franco³

et al. 2013

WJP

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“…Seven studies compared video intervention to some other type of intervention; five of them compared video intervention to direct contact [25,40,41,48,57], three compared video to an educational session [25,58], one to a session where the experience of hallucinations was simulated and experienced by the study population [42].…”

Section: Is Video Intervention Effective Compared To Other Interventimentioning

confidence: 99%

Can video interventions be used to effectively destigmatize mental illness among young people? A systematic review

et al. 2017

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ABSTRACT:Video is considered to be an effective, easy to use tool employed in anti-stigma interventions among young people. Mass media has been shown to be effective for reducing stigma; however, there is insufficient evidence to determine the destigmatization effects of videos specifically. This article systematically reviews the effectiveness of video intervention in reducing stigma among young people between 13 and 25 years.We searched 13 electronic databases including randomized controlled trials, cluster randomized controlled trials, and controlled before and after studies. Of the 1426 abstracts identified, 23 studies (reported in 22 papers) met the inclusion criteria.Video interventions led to improvements in stigmatising attitudes. Video was found to be more effective than other interventions, such as classical face-to-face educational sessions or simulation of hallucinations. According to results of two studies, social contact delivered via video achieved similar destigmatization effect to that delivered via a live intervention.Although the quality of studies as well as the form of video interventions varied, the findings suggest that video is a promising destigmatization tool among young people; however, more studies in this area are needed. There was a lack of evidence for interventions outside of school environments, in low-and middle-income countries, and studies which looked at long-term outcomes or measured impact on actual behaviour and implicit attitudes. The review generates recommendations for video interventions targeted at young people.

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“…Responses to the items are rated as 'agree strongly', 'agree slightly', 'neither agree nor disagree', 'disagree slightly', 'disagree strongly' and 'don't know'. For each item, a score of 5 was allocated for strong agreement, while a score of 1 was assigned to strong disagreement (score range of the subscale: [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. The response option 'don't know', is coded as neutral (i.e., 3).…”

Section: Instrumentmentioning

confidence: 99%

“…[15][16][17] The RIBS has been mainly used in research conducted in the UK; therefore, little is known about its applicability in Japan or other countries. In addition, previous study has only examined one type of validity relating to the RIBS, namely, content validity.…”

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confidence: 99%

Development of a Japanese version of the Reported and Intended Behaviour Scale: Reliability and validity

Yamaguchi

Koike

Watanabe

et al. 2014

Psychiatry Clin Neurosci

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Aim: The Reported and Intended Behaviour Scale (RIBS) was developed in the UK to measure mental health-related behavior. The current study aimed to evaluate the applicability, and reliability of a Japanese version of the RIBS (RIBS-J) in a Japanese context, and further examine the construct validity of the RIBS-J. Methods:The sample included 224 undergraduate and postgraduate students at a Japanese university. Cronbach's alpha was used to assess internal consistency. Pearson's correlation coefficient was used to examine the divergent validity between the RIBS-J and the Mental Health Knowledge Schedule and the convergent validity between the second subscale of the RIBS-J and Japanese version of the Social Distance Scale. Confirmatory factor analysis assessed the goodness of model fit of the RIBS-J. We also examined test-retest reliability with another undergraduate sample (n = 29).Results: Most items exhibited no floor/ceiling effect. High internal consistency (α = 0.83) was reported.The second subscale of the RIBS-J, measuring intended behavior, correlated with the Mental Health Knowledge Schedule (r = 0.33, P < 0.001) and the Japanese version of the Social Distance Scale (r = −0.60, P < 0.001). In addition, confirmatory factor analysis found good model fit for the RIBS-J (χ 2 = 41.001, d.f. = 19, P = 0.002, goodness-of-fit index = 0.956, adjusted goodness-of-fit index = 0.916, comparative fit index = 0.955, root mean square error of approximation = 0.072). Overall test-retest reliability (ρc) was 0.71. Conclusion:The RIBS-J is an appropriate and psychometrically robust measure of behavior towards individuals with mental health problems in Japan. Further studies using a community sample could assess the generalizability of our findings.

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Filmed v. live social contact interventions to reduce stigma: randomised controlled trial

Abstract: Our hypotheses were confirmed. This study supports the wider use of filmed social contact interventions to reduce stigma about mental illness.

Cited by 162 publications

References 28 publications

Intervention for reducing stigma: Assessing the influence of gender and knowledge

Intervention for reducing stigma: Assessing the influence of gender and knowledge

Can video interventions be used to effectively destigmatize mental illness among young people? A systematic review

Development of a Japanese version of the Reported and Intended Behaviour Scale: Reliability and validity

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