Щоб переглянути інші типи публікацій з цієї теми, перейдіть за посиланням: Stigma reduction interventions.
Статті в журналах з теми "Stigma reduction interventions"
Оформте джерело за APA, MLA, Chicago, Harvard та іншими стилями
Ознайомтеся з топ-50 статей у журналах для дослідження на тему "Stigma reduction interventions".
Біля кожної праці в переліку літератури доступна кнопка «Додати до бібліографії». Скористайтеся нею – і ми автоматично оформимо бібліографічне посилання на обрану працю в потрібному вам стилі цитування: APA, MLA, «Гарвард», «Чикаго», «Ванкувер» тощо.
Також ви можете завантажити повний текст наукової публікації у форматі «.pdf» та прочитати онлайн анотацію до роботи, якщо відповідні параметри наявні в метаданих.
Переглядайте статті в журналах для різних дисциплін та оформлюйте правильно вашу бібліографію.
1
Dalky, Heyam F. "Mental Illness Stigma Reduction Interventions." Western Journal of Nursing Research 34, no. 4 (March 9, 2011): 520–47. http://dx.doi.org/10.1177/0193945911400638.
Повний текст джерела
2
Avin Maria. "Literature Review: Intervensi dalam Mengatasi Stigma-Diri pada Pasien HIV/AIDS." I Care Jurnal Keperawatan STIKes Panti Rapih 1, no. 1 (May 6, 2020): 71–80. http://dx.doi.org/10.46668/jurkes.v1i1.40.
Повний текст джерелаАнотація:
Introduction: Self stigma in people living with HIV/AIDS is a survival mechanism to protect themselves from external stigma. Stigma and discrimination in people living with HIV/AIDS can lead to inequality in sociallife. This inequality can cause inferiority complex, preoccupation, and denial of diagnosis, which correlates with the onset of depression.
Objective: To review an intervention that can be use to reduce self stigma on people living with HIV.
Methods: Researcher conducted a literature review of studies and reports that assessed the effectiveness of interventions to reduce HIV self-stigma. Databases searched from Science Direct, EBSCO Host, PubMed, and Google Scholar. Article criteria is article which published from 2010-2019.
Results: Of 117 articles and reports identified, 3 were included in review representing 4 different interventions which used on reduce self-stigma on peple living with HIV. The interventions are logo therapy, Acceptance and Commitment Therapy (ACT), Family psycoeducation, Stigma Reduction Intervention (SRI).
Conclusion: This literature review showed that stigma reduction intervention with workshop, logotherapy, ACT, FPE and stigma reduction intervention with video can reduce self stigma on HIV patients. There is a need for policies to be able to implement these interventions because through the reduction in selfstigma, the effect is in improving patient health and patient medicationadherence. All intervention are promising nterventions to reduces self- stigma because applicable and feasible to implement due to its flexibility, non-invasive and no side effects.
Keywords: literature review, HIV, self stigma
3
Rivera, Kevin J., Jenny Y. Zhang, David C. Mohr, Annie B. Wescott, and Aderonke Bamgbose Pederson. "A Narrative Review of Mental Illness Stigma Reduction Interventions Among African Americans in The United States." Journal of Mental Health & Clinical Psychology 5, no. 2 (June 30, 2021): 20–31. http://dx.doi.org/10.29245/2578-2959/2021/2.1235.
Повний текст джерелаАнотація:
Among African Americans, the chronicity and severity of mental illness correlates with worse health outcomes and widens health disparities. Stigma related to mental illness compounds mental health disparities by creating barriers to help-seeking behavior. We examine the current tools designed to reduce mental illness stigma and promote improved mental health outcomes among African Americans. The authors reviewed the current evidence in the literature for such stigma reduction interventions. The review team developed a focused search across four databases: PubMed, Embase, Scopus, and APA PsycINFO. Initial searches identified 120 articles, from which six studies were included as reporting on mental illness stigma reduction interventions among African Americans. We describe these four quantitative and two qualitative studies. There have been various interventions used among African Americans to reduce mental illness stigma, and the level of efficacy and effectiveness is not well studied. Our review demonstrated a need for more robust studies to yield strong evidence on effectiveness among stigma reduction interventions in this target population. The evidence does support tailoring intervention studies to this population. Effectively engaging and partnering with key stakeholders, including schools, community organizations, and faith-based institutions enhances the acceptance and delivery of stigma reduction interventions.
4
Mohammadifirouzeh, Mona, Kyeung Mi Oh, and Susan Tanner. "HIV Stigma Reduction Interventions Among Health Care Providers and Students in Different Countries: A Systematic Review." Current HIV Research 20, no. 1 (January 2022): 20–31. http://dx.doi.org/10.2174/1570162x19666211206094709.
Повний текст джерелаАнотація:
Background: Health care providers’ stigmatizing attitudes are obstacles to patients’ well- being and quality of life. Dealing with HIV-related stigma and understanding the impact of feasible interventions on reducing stigmatizing attitudes among health care providers are considered important strategies to improve the quality of HIV care, patient-provider relationships, and provide supportive and safe care services. Objectives: The aim of this study was to systematically review interventions to reduce HIV-related stigma among health care providers. Methods: This systematic review was performed using Medline, CINAHL, ERIC, and APA PsycInfo, Health Source: Nursing/Academic Edition to search for quasi-experimental studies and randomized controlled trials (RCTs) designed to reduce HIV stigma among health care providers. The quality of eligible research studies was independently appraised by two reviewers. Results: A total of 774 studies were screened, 100 articles were assessed for eligibility, and 10 studies met the inclusion criteria. All interventions effectively reduced HIV-related stigma. Elements of successful interventions included knowledge modules, peer education, patients’ testimonials, Photovoice-informed stigma reduction training, stigma-free space intervention, and popular opinion leaders. Interventions were assessed and compared in terms of contents, delivery modes, HIV stigma measurements, follow-up, and limitations. Conclusions: This systematic review supports the effectiveness of in-person educational interventions at reducing HIV-related stigma among health care providers across countries. Comparisons of delivery modes of interventions indicated that educational interventions delivered by patients’ testimonials and peer education strategies are more promising than lecture-based teaching methods. Further studies are needed to assess the long-term effects of interventions on clinical behaviors and practices.
5
Nelson, LaRon E., Laura Nyblade, Kwasi Torpey, Carmen H. Logie, Han-Zhu Qian, Adom Manu, Emma Gyamerah, et al. "Multi-level intersectional stigma reduction intervention to increase HIV testing among men who have sex with men in Ghana: Protocol for a cluster randomized controlled trial." PLOS ONE 16, no. 11 (November 29, 2021): e0259324. http://dx.doi.org/10.1371/journal.pone.0259324.
Повний текст джерелаАнотація:
Background Men with have sex with men (MSM) in Africa face high levels of stigma due to elevated HIV exposure (actual or perceived), same-sex practices, and gender non-conformity. These stigmas are documented barriers to HIV prevention and treatment. Most stigma-reduction interventions have focused on single-level targets (e.g., health care facility level [HCF]) and addressed one type of stigma (e.g., HIV), without engaging the multiple intersecting stigmas that MSM encounter. Determining the feasibility and acceptability of multi-level intervention of reducing intersectional stigma and estimating its efficacy on increasing HIV testing are needed. Methods We proposed a mixed method study among MSM in Ghana. First, we will develop the intervention protocol using the Convergence Framework, which combines three interventions that were previously implemented separately in Ghana for reducing stigma at the HCF-level, increasing HIV testing at the peer group-level, and increasing peer social support at the individual-level. Then, we will conduct a cluster randomized controlled trial with four pairs of HCFs matched on staff size. HCFs within each pair are randomized to the HCF-level stigma-reduction intervention or control arm. MSM (n = 216) will be randomized to receive the group-level and individual-level interventions or standard of care control arm. MSM will be assigned to receive HIV testing at one of the HCFs that match their study assignment (intervention or control facility). The frequency of HIV testing between MSM in the study arms at 3 and 6 months will be compared, and the predictors of HIV testing uptake at the HCF, peer group and individual-levels will be assessed using multi-level regression models. Discussion These findings from this study will provide important evidence to inform a hybrid implementation-effectiveness trial of a public health intervention strategy for increasing HIV case detection among key populations in sub-Saharan African communities. Accurate information on HIV prevalence can facilitate epidemic control through more precise deployment of public health measures aimed at HIV treatment and viral load suppression, which eliminates risk of transmission. Trial registration This study was prospectively registered on ClinicalTrials.gov, Identifier: NCT04108078, on September 27, 2019.
6
Cross, Hugh Alistair, Miriam Heijnders, Ajit Dalal, Silatham Sermrittirong, and Stephanie Mak. "Interventions for Stigma Reduction–Part 1: Theoretical Considerations." Disability, CBR & Inclusive Development 22, no. 3 (February 15, 2012): 62. http://dx.doi.org/10.5463/dcid.v22i3.70.
Повний текст джерела
7
Cross, Hugh Alistair, Miriam Heijnders, Ajit Dalal, Silatham Sermrittirong, and Stephanie Mak. "Interventions for Stigma Reduction – Part 2: Practical Applications." Disability, CBR & Inclusive Development 22, no. 3 (February 15, 2012): 71. http://dx.doi.org/10.5463/dcid.v22i3.72.
Повний текст джерела
8
Foster, Isabel, Michelle Galloway, Wieda Human, Michaile Anthony, Hanlie Myburgh, Nosivuyile Vanqa, Dillon T. Wademan, et al. "Analysing interventions designed to reduce tuberculosis-related stigma: A scoping review." PLOS Global Public Health 2, no. 10 (October 19, 2022): e0000989. http://dx.doi.org/10.1371/journal.pgph.0000989.
Повний текст джерелаАнотація:
Stigma is a critical barrier for TB care delivery; yet data on stigma reduction interventions is limited. This review maps the available literature on TB stigma reduction interventions, using the Health Stigma and Discrimination framework and an implementation analysis to identify research gaps and inform intervention design. Using search terms for TB and stigma, we systematically searched PubMed, EMBASE and Web of Science. Two independent reviewers screened all abstracts, full-texts, extracted data, conducted a quality assessment, and assessed implementation. Results were categorized by socio-ecological level, then sub-categorized by the stigma driver or manifestation targeted. After screening 1865 articles, we extracted data from nine. Three studies were implemented at the individual and interpersonal level using a combination of TB clubs and interpersonal support to target internal and anticipated stigma among persons with TB. Two studies were implemented at the interpersonal level using counselling or a video based informational tool delivered to households to reduce stigma drivers and manifestations. Three studies were implemented at the organizational level, targeting drivers of stigma among healthcare workers (HW) and enacted stigma among HWs. One study was implemented at the community level using an educational campaign for community members. Stakeholder consultation emphasized the importance of policy level interventions and education on the universality of risk to destigmatize TB. Review findings suggest that internal and anticipated TB stigma may be addressed effectively with interventions targeted towards individuals using counselling or support groups. In contrast, enacted TB stigma may be better addressed with information-based interventions implemented at the organizational or community level. Policy level interventions were absent but identified as critical by stakeholders. Implementation barriers included the lack of high-quality training and integration with mental health services. Three key gaps must be addressed in future research: consistent stigma definitions, standardized stigma measurement, and measurement of implementation outcomes.
9
Heijnders, Miriam, and Suzanne Van Der Meij. "The fight against stigma: An overview of stigma-reduction strategies and interventions." Psychology, Health & Medicine 11, no. 3 (August 2006): 353–63. http://dx.doi.org/10.1080/13548500600595327.
Повний текст джерела
10
Bacsu, Juanita R., Marc Viger, Shanthi Johnson, Tom McIntosh, Bonnie Jeffery, Nuelle Novik, and Paul Hackett. "INTERVENTIONS TO REDUCE STIGMA OF DEMENTIA: FINDINGS FROM A SCOPING REVIEW." Innovation in Aging 3, Supplement_1 (November 2019): S463. http://dx.doi.org/10.1093/geroni/igz038.1729.
Повний текст джерелаАнотація:
Abstract Although there is significant stigma attached to dementia, there is a paucity of knowledge on stigma reduction interventions. Guided by a strength-based approach, this presentation consists of two objectives: 1) to identify the literature on interventions to reduce dementia-related stigma; and 2) to recognize the strength-based components of existing anti-stigma interventions. A five-stage scoping review process was used to examine peer-reviewed literature of anti-stigma interventions of dementia from 2008 to 2018. From 744 initial records, 21 articles matched our inclusion criteria and were reviewed. A stigma reduction framework was used for classifying interventions: education (to dispel myths with accurate information), contact (to provide interaction with people with dementia), mixed (education and contact interventions), and protest (to challenge negative attitudes of dementia). A range of education, contact, and mixed interventions were identified. Strength-based components of education interventions included using: facts to dispel myths, multiple mediums to support dementia information, and culturally-informed strategies for specific audiences. Key components of contact and mixed interventions included: showcasing the achievements of people with dementia, relationship-building, and engaging in purposeful learning. Findings from this study can help to inform future interventions to reduce stigma and improve the quality of life for people affected by dementia.
11
Alleva, Jessica M., Kai Karos, Angela Meadows, Moon I. Waldén, Sarah E. Stutterheim, Francesca Lissandrello, and Melissa J. Atkinson. "“What can her body do?” Reducing weight stigma by appreciating another person’s body functionality." PLOS ONE 16, no. 5 (May 14, 2021): e0251507. http://dx.doi.org/10.1371/journal.pone.0251507.
Повний текст джерелаАнотація:
Objective Weight stigma is prevalent across multiple life domains, and negatively affects both psychological and physical health. Yet, research into weight stigma reduction techniques is limited, and rarely results in reduced antipathy toward higher-weight individuals. The current pre-registered study investigated a novel weight stigma reduction intervention. We tested whether a writing exercise focusing on body functionality (i.e., everything the body can do, rather than how it looks) of another person leads to reductions in weight stigma. Method Participants were 98 women (Mage = 23.17, Range = 16–63) who viewed a photograph of a higher-weight woman, “Anne,” and were randomised to complete a writing exercise either describing what “Anne’s” body could do (experimental group) or describing her home (active control group). Facets of weight stigma were assessed at pretest and posttest. Results At posttest, the experimental group evidenced higher fat acceptance and social closeness to “Anne” compared with the active control group. However, no group differences were found in attribution complexity, responsibility, and likeability of “Anne”. Conclusions A brief body functionality intervention effectively reduced some, but not all, facets of weight stigma in women. This study provides evidence that functionality-focused interventions may hold promise as a means to reduce weight stigma.
12
Dunbar, Willy, Aline Labat, Christian Raccurt, Nancy Sohler, Jean William Pape, Nathalie Maulet, and Yves Coppieters. "A realist systematic review of stigma reduction interventions for HIV prevention and care continuum outcomes among men who have sex with men." International Journal of STD & AIDS 31, no. 8 (July 2020): 712–23. http://dx.doi.org/10.1177/0956462420924984.
Повний текст джерелаАнотація:
While stigma associated with human immunodeficiency virus (HIV) infection among men who have sex with men (MSM) is well recognized, there remains relatively limited intervention data on effective stigma reduction strategies. This systematic review was conducted to highlight the mechanisms through which sexual and HIV stigma is reduced in relation to HIV prevention and care engagement. Search of PubMed and Scopus resulted in 11 tested interventions to include in our preliminary model constructed from programme frameworks and recommendations. We refined the preliminary programme theory to identify whether, why, or how mitigation strategies produce observed outcomes. Our review showed that the interventions produced stigma reduction through three groups of mechanisms: (1) Self-acceptance, leadership, and motivational activation for behaviour change from intrapersonal strategies, such as education and mobile health strategies, which intervene on internalized and anticipated stigma; (2) socialization, knowledge sharing, and social empowerment from interpersonal strategies, such as peer support and training for care providers; and (3) community introspection, self-reflection, and humanistic activation from structural strategies such as community leaders’ sensitization, which intervene on both anticipated and enacted stigma. Interventions mechanisms act complementarily and can be activated in different contexts in which MSM exposed to and infected with HIV are living.
13
Chidrawi, H. C., Minrie Greeff, Q. M. Temane, and Colleen M. Doak. "HIV stigma experiences and stigmatisation before and after an intervention." Health SA Gesondheid 21 (October 11, 2016): 196–205. http://dx.doi.org/10.4102/hsag.v21i0.953.
Повний текст джерелаАнотація:
This study focuses on one aspect of a more extensive SANPAD-funded HIV stigma reduction research project. The study addresses not only the continuous burden of HIV stigma, but more specifically on the low rate of participation in healthcare opportunities and HIV stigma reduction interventions by people living with HIV (PLWH) This study tested both change-over-time in HIV stigma experiences of PLWH and change-over-time in the HIV stigmatisation behaviour of people living close to them (PLC) in an urban and rural setting in the North-West in South Africa. These aspects were measured before and after the comprehensive community-based HIV stigma reduction intervention. A quantitative single system research design, with a pre-test and four repetitive post-tests, and purposive voluntary and snowball sampling were used. Findings did not indicate significant differences between urban and rural settings, but demonstrated some significance in change-over-time in the HIV stigma experiences of PLWH as well as the HIV stigmatisationbehaviour of PLC after the intervention. Recommendations include the continuation of this intervention, following the same guidelines that were implemented during the study.
14
Strassle, Carla G. "Reducing Mental Illness Stigma in the Classroom." Teaching of Psychology 45, no. 4 (September 17, 2018): 351–57. http://dx.doi.org/10.1177/0098628318796922.
Повний текст джерелаАнотація:
Psychology courses present unique opportunities to reduce mental illness stigma. The literature highlights contact with people diagnosed with disorders as the best stigma reduction technique. Simple stigma education, however, is also promising and can be accomplished as part of course content coverage. Abnormal psychology students participated in one of five conditions to gauge the impact of different stigma reduction techniques. Results for overall stigma reduction indicate robust effect sizes (Cohen’s d; range = 0.77–1.52) for all interventions conditions, but no effect for the control condition. The current study supports the use of stigma reduction techniques but highlights the usefulness of stigma education as a simple but powerful tool for stigma reduction within standard course curricula.
15
Stuart, Heather. "Managing the stigma of opioid use." Healthcare Management Forum 32, no. 2 (January 30, 2019): 78–83. http://dx.doi.org/10.1177/0840470418798658.
Повний текст джерелаАнотація:
Substance use stigma makes it difficult to reframe the opioid crisis as a public health issue and has been a barrier to accessing life-saving treatments. Interventions using people that convey recovery stories are promising practices. Groups that may benefit from targeted stigma reduction interventions include opioid users (to combat shame and blame), at-risk youth, first responders, dispensary personal, media, and healthcare professionals. The evidence supporting antistigma interventions is thin, with little Canadian research. Research is needed to establish the effectiveness of substance-related stigma reduction strategies. Health leaders should examine their own responsibilities to lead the public health debate, reduce opioid-related stigma, and actively engage members of the community of those with lived experience to become partners in these activities.
16
Amsalem, D. "Change people attitudes towards schizophrenia using a short video." European Psychiatry 65, S1 (June 2022): S115—S116. http://dx.doi.org/10.1192/j.eurpsy.2022.322.
Повний текст джерелаАнотація:
Introduction Social contact-based video interventions effectively reduce stigma toward individuals with psychosis. Objectives We recently demonstrated the efficacy of a 90-second social contact–based video intervention in reducing stigma. The current randomized controlled study presents four briefer videos differing in presenter’s gender and race, with baseline, postintervention, and 30-day follow-up assessments. The study aimed to examine whether people changing their attitudes following the intervention. Methods Using a crowdsourcing platform (CloudResearch), we recruited and assigned 1,993 race and gender-balanced participants ages 18–35 years to one of four brief video-based interventions (Black female, White female, Black male, and White male presenters) or a nonintervention control condition. In the videos, a young presenter with psychosis humanized their illness through an evocative description of living a meaningful and productive life. Results Five-by-three ANOVA showed a significant group-by-time interaction for the total score of all five stigma domains: social distance, stereotyping, separateness, social restriction, and perceived recovery. A one-way ANOVA showed greater reductions in video intervention groups than control at post-intervention and 30-day follow-up, but no differences between video groups. Conclusions This randomized controlled study replicated and extended previous research findings by showing stigma reduction across videos that differ in the presenter’s gender and race, thus enhancing generalizability. The videos described the experience of psychosis and reduced stigma, suggesting their potential utility on social media platforms to increase the likelihood of seeking services and ultimately may improve access to care among young individuals with psychosis. Future research should address intersectional stigma experienced by culturally tailoring the narrative. Disclosure No significant relationships.
17
Keller, Sarah, Vanessa McNeill, and Tan Tran. "The Perceived Stigma Reduction Expressed by Young Adults in Response to Suicide Prevention Videos." International Journal of Environmental Research and Public Health 18, no. 12 (June 8, 2021): 6180. http://dx.doi.org/10.3390/ijerph18126180.
Повний текст джерелаАнотація:
Evidence indicates that stigma impedes an individual’s chance of seeking professional help for a mental health crisis. Commonly reported aggregate-level results for stigma-reduction efforts obfuscate how much stigma reduction is needed to incur a practically meaningful change within an individual, defined here as an attitudinal shift and openness towards seeking mental health for oneself and/or support for others. When basing conclusions and recommendations about stigma-reducing interventions on aggregate scales, it is unclear how much stigma reduction is needed to incur meaningful change within an individual. We explored the impact of reductions in stigma of help-seeking scores in response to an online suicide prevention video among young adults in the United States, using online surveys to collect qualitative and quantitative data. We compared mean changes in the stigma scores from pre- to post-test (video exposure) of 371 young U.S. adults using standard t-tests and individual level analysis. A separate thematic analysis of free-text responses was also conducted from a smaller, randomly-selected subgroup, capturing individuals’ attitudes towards help-seeking for mental health problems. Great attention was given to participants to ensure that they were in a campus setting where counseling services were available. Four main themes emerged: (1) small changes in stigma scores were associated with individual reports of meaningful reductions in their attitudes towards professional counseling; (2) increased empathy towards victims of suicide and other mental health problems sometimes indicated increased empathy for victims of suicide and decreased openness in professional help; (3) empathy towards victims sometimes took the form of increased scores and grief or sadness, possibly thwarting the potential for help-seeking; and (4) self-reports of decreased stigma were not always associated with increased openness towards help-seeking. Results also indicated that small stigma score charges, not meeting statistical significance, were often associated with increased openness towards seeking help. These findings, discovered using mixed-methods, contribute to the body of literature regarding stigma towards suicide and help-seeking by demonstrating deficits in the aggregate-only analysis of stigma-reducing interventions specifically aimed at suicide prevention. Such individuation in stigma experiences indicates that public education on how to reduce the stigma of help-seeking for suicide prevention needs to consider individual-level analyses for improving target populations. Recommendations for future research include additional studies prior to releasing suicide prevention videos to public forums where they may be seen by individuals without access to help.
18
Nickerson, Angela, Yulisha Byrow, Rosanna Pajak, Tadgh McMahon, Richard A. Bryant, Helen Christensen, and Belinda J. Liddell. "‘Tell Your Story’: a randomized controlled trial of an online intervention to reduce mental health stigma and increase help-seeking in refugee men with posttraumatic stress." Psychological Medicine 50, no. 5 (April 11, 2019): 781–92. http://dx.doi.org/10.1017/s0033291719000606.
Повний текст джерелаАнотація:
AbstractBackgroundRefugees report elevated rates of posttraumatic stress disorder (PTSD), but are relatively unlikely to seek help for their symptoms. Mental health stigma is a key barrier to help-seeking amongst refugees. We evaluated the efficacy of an online intervention in reducing self-stigma and increasing help-seeking in refugee men.MethodsParticipants were 103 refugee men with PTSD symptoms from Arabic, Farsi or Tamil-speaking backgrounds who were randomly assigned to either receive an 11-module online stigma reduction intervention specifically designed for refugees (‘Tell Your Story’, TYS) or to a wait-list control (WLC) group. Participants completed online assessments of self-stigma for PTSD and help-seeking, and help-seeking intentions and behaviors at baseline, post-intervention, and at a 1 month follow-up.ResultsIntent-to-treat analyses indicated that, compared to the WLC, TYS resulted in significantly smaller increases in self-stigma for seeking help from post-treatment to follow-up (d = 0.42, p = 0.008). Further, participants in the TYS conditions showed greater help-seeking behavior from new sources at follow-up (B = 0.69, 95% CI 0.19–1.18, p = 0.007) than those in the WLC. The WLC showed significantly greater increases in help-seeking intentions from post-intervention to follow-up (d = 0.27, p = 0.027), relative to the TYS group.ConclusionsThis is the first investigation of a mental health stigma reduction program specifically designed for refugees. Findings suggest that evidence-based stigma reduction strategies are beneficial in targeting self-stigma related to help-seeking and increasing help-seeking amongst refugees. These results indicate that online interventions focusing on social contact may be a promising avenue for removing barriers to accessing help for mental health symptoms in traumatized refugees.
19
Maulik, P. K., S. Devarapalli, S. Kallakuri, A. Tewari, S. Chilappagari, M. Koschorke, and G. Thornicroft. "Evaluation of an anti-stigma campaign related to common mental disorders in rural India: a mixed methods approach." Psychological Medicine 47, no. 3 (November 2, 2016): 565–75. http://dx.doi.org/10.1017/s0033291716002804.
Повний текст джерелаАнотація:
BackgroundStigma related to mental health is a major barrier to help-seeking resulting in a large treatment gap in low- and middle-income countries (LMIC). This study assessed changes in knowledge, attitude and behaviour, and stigma related to help-seeking among participants exposed to an anti-stigma campaign.MethodThe campaign, using multi-media interventions, was part of the SMART Mental Health Project, conducted for 3 months, across 42 villages in rural Andhra Pradesh, in South India. Mixed-methods evaluation was conducted in two villages using a pre-post design.ResultsA total of 1576 and 2100 participants were interviewed, at pre- and post-intervention phases of the campaign. Knowledge was not increased. Attitudes and behaviours improved significantly (p < 0.01). Stigma related to help-seeking reduced significantly (p < 0.05). Social contact and drama were the most beneficial interventions identified during qualitative interviews.ConclusionThe results showed that the campaign was beneficial and led to improvement of attitude and behaviours related to mental health and reduction in stigma related to help-seeking. Social contact was the most effective intervention. The study had implications for future research in LMIC.
20
Bu, Danran, Pak-Kwong Chung, Chun-Qing Zhang, Jingdong Liu, and Xiang Wang. "Mental Health Literacy Intervention on Help-Seeking in Athletes: A Systematic Review." International Journal of Environmental Research and Public Health 17, no. 19 (October 4, 2020): 7263. http://dx.doi.org/10.3390/ijerph17197263.
Повний текст джерелаАнотація:
Mental health literacy (MHL) is recognised as a major factor in whether athletes seek help when they experience mental health difficulties. Therefore, the current study aimed to provide a systematic review of the effectiveness of MHL training programmes in improving mental health knowledge and help-seeking and reducing stigma among athletes. To identify intervention studies of MHL programmes, five electronic databases were systematically searched for articles published before May 2020. The selection procedure was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. All kinds of study designs were included. Effect sizes were calculated for mental health knowledge, stigma reduction and help-seeking attitudes, intentions and behaviours. Risk of bias was assessed for each study using the Cochrane tool and the Newcastle–Ottawa quality assessment scale. Five studies (1239 participants in total) were selected for review. Overall, either small or medium effects were found for mental health knowledge, stigma reduction, help-seeking attitudes, and intentions for post- and follow-up interventions, whereas a null effect was found in help-seeking behaviours for both post- and follow-up interventions. Furthermore, three studies had a low risk of bias, and two had a high risk of bias. MHL interventions can enhance help-seeking attitudes and intentions and mental health knowledge and reduce stigma but do not increase help-seeking behaviours for now. Further studies should evaluate interventions to enhance help-seeking behaviours. Furthermore, the methodological quality of studies, including randomized controlled trials and other designs, should be improved in future research.
21
Mutiso, V. N., K. Pike, C. W. Musyimi, T. J. Rebello, A. Tele, I. Gitonga, G. Thornicroft, and D. M. Ndetei. "Feasibility of WHO mhGAP-intervention guide in reducing experienced discrimination in people with mental disorders: a pilot study in a rural Kenyan setting." Epidemiology and Psychiatric Sciences 28, no. 2 (June 4, 2018): 156–67. http://dx.doi.org/10.1017/s2045796018000264.
Повний текст джерелаАнотація:
AimsStigma can have a negative impact on help-seeking behaviour, treatment adherence and recovery of people with mental disorders. This study aimed to determine the feasibility of the WHO Mental Health Treatment Gap Interventions Guidelines (mhGAP-IG) to reduce stigma in face-to-face contacts during interventions for specific DSM-IV/ICD 10 diagnoses over a 6-month period.MethodsThis study was conducted in 20 health facilities across Makueni County in southeast Kenya which has one of the poorest economies in the country and has no psychiatrist or clinical psychologist. We recruited 2305 participants from the health facilities catchment areas that had already been exposed to community mental health services. We measured stigma using DISC-12 at baseline, followed by training to the health professionals on intervention using the WHO mhGAP-IG and then conducted a follow-up DISC-12 assessment after 6 months. Proper management of the patients by the trained professionals would contribute to the reduction of stigma in the patients.ResultsThere was 59.5% follow-up at 6 months. Overall, there was a significant decline in ‘reported/experienced discrimination’ following the interventions. A multivariate linear mixed model regression indicated that better outcomes of ‘unfair treatment’ scores were associated with: being married, low education, being young, being self-employed, higher wealth index and being diagnosed with depression. For ‘stopping self’ domain, better outcomes were associated with being female, married, employed, young, lower wealth index and a depression diagnosis. In regards to ‘overcoming stigma’ domain; being male, being educated, employed, higher wealth index and being diagnosed with depression was associated with better outcomes.ConclusionsThe statistically significant (p < 0.05) reduction of discrimination following the interventions by trained health professionals suggest that the mhGAP-IG may be a useful tool for reduction of discrimination in rural settings in low-income countries.
22
El Ayadi, Alison M., Justus K. Barageine, Suellen Miller, Josaphat Byamugisha, Hadija Nalubwama, Susan Obore, Abner Korn, et al. "Women’s experiences of fistula-related stigma in Uganda: a conceptual framework to inform stigma-reduction interventions." Culture, Health & Sexuality 22, no. 3 (April 30, 2019): 352–67. http://dx.doi.org/10.1080/13691058.2019.1600721.
Повний текст джерела
23
Beer, Linda, Donna Hubbard McCree, William L. Jeffries, Ansley Lemons, and Catlainn Sionean. "Recent US Centers for Disease Control and Prevention Activities to Reduce HIV Stigma." Journal of the International Association of Providers of AIDS Care (JIAPAC) 18 (January 1, 2019): 232595821882354. http://dx.doi.org/10.1177/2325958218823541.
Повний текст джерелаАнотація:
HIV stigma affects many persons living with HIV in the United States, and reducing stigma is central to the US Centers for Disease Control and Prevention’s (CDC) mission to promote health and prevent HIV transmission. To this end, CDC funds and implements programmatic activities, research, communication campaigns, and monitoring through data collection and public health surveillance. Centers for Disease Control and Prevention-funded programs have developed promising interventions and educational materials for reducing HIV stigma. Research conducted by CDC staff and their collaborators have made important contributions to the scientific literature on stigma, which have informed current CDC programmatic efforts, including public education activities and social marketing campaigns. By monitoring HIV stigma in multiple populations, CDC can evaluate the population-level effectiveness of stigma-reduction efforts and identify key populations in need of support and intervention. This article describes these and other recent CDC efforts to address HIV stigma, and discusses new strategies with the potential to further reduce stigma.
24
Douglass, Mark, and Benjamin Moy. "Evaluation of the impact of a social media–focused intervention on reducing mental health stigma among pharmacy students." Mental Health Clinician 9, no. 3 (May 1, 2019): 110–15. http://dx.doi.org/10.9740/mhc.2019.05.110.
Повний текст джерелаАнотація:
Abstract Introduction Stigma may negatively affect the treatment of people with mental illness, and pharmacists have the opportunity to play a key role in reducing mental health stigma. The purpose of this study was to determine whether a pharmacy student–focused educational intervention impacts stigma toward people with mental illness. Methods A 90-minute interactive learning module, which used social media and fictional case scenarios, was developed and administered to third-year pharmacy students (n = 145) during small group class sessions. The Opening Minds Stigma Scale for Health Care Providers (OMS-HC), a validated tool to measure stigma, was administered immediately before and after the intervention. Pre-post OMS-HC scores were analyzed using related samples t tests. Results A total of 93 presurvey and postsurvey OMS-HC scores were paired and analyzed. Based on the 15-item version of the scale, stigma was significantly reduced, consistent with a score reduction of 4.6%, from 36.8 (95% confidence interval, 35.4-38.1) to 35.1 (95% confidence interval, 33.8-36.3), P < .0001. Discussion Educational interventions for pharmacy students that use social media applications might reduce mental health stigma. After the intervention, most participants believed that stigma impacts the treatment of mental illness, and that pharmacists may play a role in changing mental health stigma.
25
Griffiths, Kathleen M., Helen Christensen, Anthony F. Jorm, Kimberley Evans, and Chloe Groves. "Effect of web-based depression literacy and cognitive–behavioural therapy interventions on stigmatising attitudes to depression." British Journal of Psychiatry 185, no. 4 (October 2004): 342–49. http://dx.doi.org/10.1192/bjp.185.4.342.
Повний текст джерелаАнотація:
BackgroundLittle is known about the efficacy of educational interventions for reducing the stigma associated with depression.AimsTo investigate the effects on stigma of two internet depression sites.MethodA sample of 525 individuals with elevated scores on a depression assessment scale were randomly allocated to a depression information website (BluePages), a cognitive–behavioural skills training website (MoodGYM) or an attention control condition. Personal stigma (personal stigmatising attitudes to depression) and perceived stigma (perception of what most other people believe) were assessed before and after the intervention.ResultsRelative to the control, the internet sites significantly reduced personal stigma, although the effects were small. BluePages had no effect on perceived stigma and MoodGYM was associated with an increase in perceived stigma relative to the control. Changes in stigma were not mediated by changes in depression, depression literacy or cognitive–behavioural therapy literacy.ConclusionsThe internet warrants further investigation as a means of delivering stigma reduction programmes for depression.
26
Zhu, Mengting, Weiping Cai, Linghua Li, Yan Guo, Aliza Monroe-Wise, Yiran Li, Chengbo Zeng, et al. "Mediators of Intervention Effects on Depressive Symptoms Among People Living With HIV: Secondary Analysis of a Mobile Health Randomized Controlled Trial Using Latent Growth Curve Modeling." JMIR mHealth and uHealth 7, no. 11 (November 15, 2019): e15489. http://dx.doi.org/10.2196/15489.
Повний текст джерелаАнотація:
Background Although several studies have investigated the effects of mobile health (mHealth) interventions on depression among people living with HIV, few studies have explored mediators of mHealth-based interventions to improve mental health in people living with HIV. Identifying influential mediators may enhance and refine effective components of mHealth interventions to improve mental health of people living with HIV. Objective This study aimed to examine mediating factors of the effects of a mHealth intervention, Run4Love, designed to reduce depression among people living with HIV using 4 time-point measurement data. Methods This study used data from a randomized controlled trial of a mHealth intervention among people living with HIV with elevated depressive symptoms in Guangzhou, China. A total of 300 patients were assigned to receive either the mHealth intervention (n=150) or a waitlist control group (n=150) through computer-generated block randomization. Depressive symptoms, coping, and HIV-related stigma were measured at baseline, 3-, 6-, and 9-month follow-ups. The latent growth curve model was used to examine the effects of the intervention on depressive symptoms via potential mediators. Mediating effects were estimated using bias-corrected 95% bootstrapped CIs (BCIs) with resampling of 5000. Results Enhanced positive coping and reduced HIV-related stigma served as effective treatment mediators in the mHealth intervention. Specially, there was a significant indirect effect of the mHealth intervention on the slope of depressive symptoms via the slope of positive coping (beta=–2.86; 95% BCI –4.78 to –0.94). The indirect effect of the mHealth intervention on the slope of depressive symptoms via the slope of HIV-related stigma was also statistically significant (beta=–1.71; 95% BCI –3.03 to –0.40). These findings indicated that enhancement of positive coping and reduction of HIV-related stigma were important mediating factors of the mHealth intervention in reducing depression among people living with HIV. Conclusions This study revealed the underlying mediators of a mHealth intervention to reduce depression among people living with HIV using latent growth curve model and 4 time-point longitudinal measurement data. The study results underscored the importance of improving positive coping skills and mitigating HIV-related stigma in mHealth interventions to reduce depression among people living with HIV.
27
Harper, Craig A., Rebecca Lievesley, Nicholas J. Blagden, and Kerensa Hocken. "Humanizing Pedophilia as Stigma Reduction: A Large-Scale Intervention Study." Archives of Sexual Behavior 51, no. 2 (October 29, 2021): 945–60. http://dx.doi.org/10.1007/s10508-021-02057-x.
Повний текст джерелаАнотація:
AbstractThe stigmatization of people with pedophilic sexual interests is a topic of growing academic and professional consideration, owing to its potential role in moderating pedophiles’ emotional well-being, and motivation and engagement in child abuse prevention schemes. Thus, improving attitudes and reducing stigmatization toward this group is of paramount importance. Prior research has suggested that narrative humanization—presenting personal stories of self-identified non-offending pedophiles—could be one route to doing this. However, this work has only been conducted with students or trainee psychotherapists, meaning the public generalizability of this method is still unknown. In this study, we compared two stigma interventions to test whether narratives reduce stigma toward people with pedophilic interests more effectively than an informative alternative (scientific information about pedophilia). Using a longitudinal experimental design with a lack of non-intervention control (initial N = 950; final N = 539), we found that narratives had consistently positive effects on all measured aspects of stigmatization (dangerousness, intentionality), whereas an informative alternative had mixed results, and actually increased perceptions of pedophiles’ levels of deviance. These effects were still present four months after the initial presentation. We discuss these data in relation to ongoing debates about treating pedophilia as a public health issue requiring a broad societal approach to well-being and child abuse prevention.
28
Codjoe, Louisa, Sarah Barber, Shalini Ahuja, Graham Thornicroft, Claire Henderson, Heidi Lempp, and Joelyn N’Danga-Koroma. "Evidence for interventions to promote mental health and reduce stigma in Black faith communities: systematic review." Social Psychiatry and Psychiatric Epidemiology 56, no. 6 (April 18, 2021): 895–911. http://dx.doi.org/10.1007/s00127-021-02068-y.
Повний текст джерелаАнотація:
Abstract Purpose There are significant documented inequalities for the Black community in the UK in relation to mental health care. Research has also indicated that cultural difference exists in pathways into, and engagement with, mental health services. To reduce inequalities and improve engagement with mental health services, it is important that professionals utilise culturally appropriate community networks to increase mental health awareness and reduce stigma. This systematic review considers research in Black faith settings, with two linked aims to review the evidence for the effectiveness of (i) mental health interventions, and (ii) other health stigma interventions as the latter have been implemented in Black faith settings. The review identified ‘active ingredients’ of interventions for this population that can be applied in future work. The authors seek to draw from the mental health and wider health stigma literature to inform the design of the ON TRAC project, a collaborative partnership between King’s College London, South London and Maudsley NHS Foundation Trust and Black faith community groups in Southwark and Lambeth, London, in this currently under-researched area. Methods A systematic search of ten major medical and social sciences databases was conducted in 2019, for studies on mental health or other health stigma interventions in Black faith settings. PRISMA guidelines were followed and search terms and search strategy ensured all possible studies were identified for review. Results The review identified sixteen studies for inclusion. Ten were quantitative studies, four qualitative studies and two systematic reviews. Active ingredients of interventions included utilisation of ‘bottom up’ development of approaches and mental health champions. Multiple factors were found to influence effective implementation. Co-production and partnership working are key to ensure that an acceptable and accessible intervention is agreed. Conclusion Evidence for the effectiveness of interventions focused on mental health awareness and stigma reduction in the Black faith community is limited due to the low quality of studies. This review sheds light on the lessons learnt and necessary key requirements for interventions that can guide future projects. Study registration: PROSPERO registration number: CRD42018110068
29
Vaquero, C., M. Cebollero, M. Á. Escudero, and J. Saiz. "Reduction of negative social attributions towards people with mental illness through a combination of treatments." European Psychiatry 33, S1 (March 2016): s245—s246. http://dx.doi.org/10.1016/j.eurpsy.2016.01.622.
Повний текст джерелаАнотація:
IntroductionStigma towards people with mental illness can have very negative consequences for the persons that experience it. So, it becomes strongly necessary to combat this problem.Objectives/AimsEvaluate the effectiveness of multiple interventions to reduce stigma against mental illness in a group of high school students.MethodsQuasi-experimental study. Seventy-six students between 16 to 19 years old from 3 schools of southern Madrid State participated. No significant differences in age and gender between groups were found. The quasi-control group was obtained from 3 different classrooms (1 in each school). This group did not go through any treatment. The experimental group had 2 treatments. Treatment “A” consisted in 1 psychoeducation session. Treatment “B” was 1 visit (real or virtual) to the Thyssen-Bornemisza museum. Persons exercising as museum guides had been diagnosed with mental illness. They already were participants in the PCEA program of the CRPS Latina. The instrument to assess stigma was the AQ-27, validated in Spanish.ResultsWe found significant reductions of stigma in all dimensions explored: Anger (A vs BC; P < 0.001), Threat (A vs BC; P < 0.001), Fear (A vs BC; P < 0.001), Coercion (A vs BC; P < 0.001) Segregation (A vs BC; P < 0.001) and Avoidance (A vs BC; P < 0.001).ConclusionsThe combination of treatments for intervention on stigma in samples of school students seems to be a very effective option to reduce stigma.Disclosure of interestThe authors have not supplied their declaration of competing interest.
30
Schnall, Rebecca, Lisa M. Kuhns, Marco A. Hidalgo, Dakota Powell, Jennie Thai, Sabina Hirshfield, Cynthia Pearson, et al. "Adaptation of a Group-Based HIV RISK Reduction Intervention to a Mobile App for Young Sexual Minority Men." AIDS Education and Prevention 30, no. 6 (December 2018): 449–62. http://dx.doi.org/10.1521/aeap.2018.30.6.449.
Повний текст джерелаАнотація:
There is a dearth of evidence-based HIV prevention interventions for very young men who have sex with men (YMSM) ages 13–18 years, at high risk for HIV. We adapted the MyPEEPS intervention—an evidence-based, group-level intervention—to individual-level delivery by a mobile application. We used an expert panel review, in-depth interviews with YMSM (n = 40), and weekly meetings with the investigative team and the software development company to develop the mobile app. The expert panel recommended changes to the intervention in the following areas: (1) biomedical interventions, (2) salience of intervention content, (3) age group relevance, (4) technical components, and (5) stigma content. Interview findings reflected current areas of focus for the intervention and recommendations of the expert panel for new content. In regular meetings with the software development firm, guiding principles included development of dynamic content, while maintaining fidelity of the original curriculum and shortening intervention content for mobile delivery.
31
Akatukwasa, Cecilia, Monica Getahun, Alison M. El Ayadi, Judith Namanya, Irene Maeri, Harriet Itiakorit, Lawrence Owino, et al. "Dimensions of HIV-related stigma in rural communities in Kenya and Uganda at the start of a large HIV ‘test and treat’ trial." PLOS ONE 16, no. 5 (May 17, 2021): e0249462. http://dx.doi.org/10.1371/journal.pone.0249462.
Повний текст джерелаАнотація:
HIV-related stigma is a frequently cited barrier to HIV testing and care engagement. A nuanced understanding of HIV-related stigma is critical for developing stigma-reduction interventions to optimize HIV-related outcomes. This qualitative study documented HIV-related stigma across eight communities in east Africa during the baseline year of a large HIV test-and-treat trial (SEARCH, NCT: 01864603), prior to implementation of widespread community HIV testing campaigns and efforts to link individuals with HIV to care and treatment. Findings revealed experiences of enacted, internalized and anticipated stigma that were highly gendered, and more pronounced in communities with lower HIV prevalence; women, overwhelmingly, both held and were targets of stigmatizing attitudes about HIV. Past experiences with enacted stigma included acts of segregation, verbal discrimination, physical violence, humiliation and rejection. Narratives among women, in particular, revealed acute internalized stigma including feelings of worthlessness, shame, embarrassment, and these resulted in anxiety and depression, including suicidality among a small number of women. Anticipated stigma included fears of marital dissolution, verbal and physical abuse, gossip and public ridicule. Anticipated stigma was especially salient for women who held internalized stigma and who had experienced enacted stigma from their partners. Anticipated stigma led to care avoidance, care-seeking at remote facilities, and hiding of HIV medications. Interventions aimed at reducing individual and community-level forms of stigma may be needed to improve the lives of PLHIV and fully realize the promise of test-and-treat strategies.
32
Logie, Carmen H., Lisa V. Dias, Jesse Jenkinson, Peter A. Newman, Rachel K. MacKenzie, Tampose Mothopeng, Veli Madau, Amelia Ranotsi, Winnie Nhlengethwa, and Stefan D. Baral. "Exploring the Potential of Participatory Theatre to Reduce Stigma and Promote Health Equity for Lesbian, Gay, Bisexual, and Transgender (LGBT) People in Swaziland and Lesotho." Health Education & Behavior 46, no. 1 (March 28, 2018): 146–56. http://dx.doi.org/10.1177/1090198118760682.
Повний текст джерелаАнотація:
Stigma and discrimination affecting lesbian, gay, bisexual, and transgender (LGBT) people compromise health and human rights and exacerbate the HIV epidemic. Scant research has explored effective LGBT stigma reduction strategies in low- and middle-income countries. We developed and pilot-tested a participatory theatre intervention (PTI) to reduce LGBT stigma in Swaziland and Lesotho, countries with the world’s highest HIV prevalence. We collected preliminary data from in-depth interviews with LGBT people in Lesotho and Swaziland to enhance understanding of LGBT stigma. Local LGBT and theatre groups worked with these data to create a 2-hour PTI composed of three skits on LGBT stigma in health care, family, and community settings in Swaziland (Manzini) and Lesotho (Maseru, Mapoteng). Participants ( n = 106; nursing students, health care providers, educators, community members) completed 12 focus groups following the PTI. We conducted thematic analysis to understand reactions to the PTI. Focus groups revealed the PTI increased understanding of LGBT persons and issues, increased empathy, and fostered self-reflection of personal biases. Increased understanding included enhanced awareness of the negative impacts of LGBT stigma, and of LGBT people’s lived experiences and issues. Participants discussed changes in attitude and perspective through self-reflection and learning. The format of the theatre performance was described as conducive to learning and preferred over more conventional educational methods. Findings indicate changed attitudes and awareness toward LGBT persons and issues following a PTI in Swaziland and Lesotho. Stigma reduction interventions may help mitigate barriers to HIV prevention, treatment, and care in these settings with a high burden of HIV.
33
Kaddumukasa, Mark, Martin N. Kaddumukasa, William Buwembo, Ian G. Munabi, Carol Blixen, Samden Lhatoo, Nelson Sewankambo, Elly Katabira, and Martha Sajatovic. "Epilepsy misconceptions and stigma reduction interventions in sub-Saharan Africa, a systematic review." Epilepsy & Behavior 85 (August 2018): 21–27. http://dx.doi.org/10.1016/j.yebeh.2018.04.014.
Повний текст джерела
34
Triyono, Wahyu Wirawan, and Fitra Arsy Nur Cory'ah. "The Intervention Programs To Reduce Stigma And Discrimination In People Living With HIV/ AIDS (PLWHA)." Jurnal Kesehatan Prima 14, no. 2 (August 17, 2020): 112. http://dx.doi.org/10.32807/jkp.v14i2.544.
Повний текст джерелаАнотація:
The case of HIV / AIDS is still a global problem and a serious concern from all parties, especially in Central Lombok. HIV/AIDS-related stigma and discriminatory attitudes deter the effectiveness of HIV/AIDS prevention and care programs. The Intervention efforts that have been by Central Lombok for the mobile VCT program through Communication, Information and Education on PLWHA (People Living with HIV/AIDS), Static VCT Programs and Internal In House Training Programs in Praya Hospital and others.This research examines the stigma and discrimination associated with interventions made by the Central Lombok. This type of research is qualitative with a phenomenological approach design, data collection through in-depth interviews and document search. Data analysis with data reduction, data presentation, conclusion drawing and verification. The results revealed that their PLWHA had experienced stigma and discrimination, health workers and the general public had positive and negative views related to still, they discriminated who were in the community. The conclusion in this research is that stigma and discrimination against PLWHA are still prevalent in the community and intervention efforts made in providing advocacy to health workers, the general public has been endeavored to reduce these problems.
35
Hartog, Kim, Carly D. Hubbard, Angelica F. Krouwer, Graham Thornicroft, Brandon A. Kohrt, and Mark J. D. Jordans. "Stigma reduction interventions for children and adolescents in low- and middle-income countries: Systematic review of intervention strategies." Social Science & Medicine 246 (February 2020): 112749. http://dx.doi.org/10.1016/j.socscimed.2019.112749.
Повний текст джерела
36
Bauermeister, José A., Kathryn E. Muessig, Dalmacio D. Flores, Sara LeGrand, Seulki Choi, Willa Dong, Gary W. Harper, and Lisa B. Hightow-Weidman. "Stigma Diminishes the Protective Effect of Social Support on Psychological Distress Among Young Black Men Who Have Sex With Men." AIDS Education and Prevention 30, no. 5 (October 2018): 406–18. http://dx.doi.org/10.1521/aeap.2018.30.5.406.
Повний текст джерелаАнотація:
Addressing stigma remains a pressing HIV priority globally. Young Black men who have sex with men (YBMSM, ages 18–30; N = 474) completed an in-person baseline survey and reported their experiences of externalized stigma (i.e., racial and sexuality discrimination), internalized stigma (i.e., homonegativity), social support, and psychological distress (i.e., anxiety and depression symptoms). We used structural equation modeling to test the association between stigma and psychological distress, and examined whether social support mediated the relationship between stigma and psychological distress. Recognizing that these associations may differ by HIV status, we compared our models by self-reported HIV status (n = 275 HIV negative/unknown; n = 199 living with HIV). Our findings suggest that YBMSM who experience stigma are more vulnerable to psychological distress and may have diminished buffering through social support. These effects are accentuated among YBMSM living with HIV, highlighting the need for additional research focused on the development of tailored stigma reduction interventions for YBMSM.
37
Ha, Judy H., Lynn M. Van Lith, Elizabeth C. Mallalieu, Jose Chidassicua, Maria Dirce Pinho, Patrick Devos, and Andrea L. Wirtz. "Gendered relationship between HIV stigma and HIV testing among men and women in Mozambique: a cross-sectional study to inform a stigma reduction and male-targeted HIV testing intervention." BMJ Open 9, no. 10 (October 2019): e029748. http://dx.doi.org/10.1136/bmjopen-2019-029748.
Повний текст джерелаАнотація:
ObjectivesIncreasing and sustaining engagement in HIV care for people living with HIV are critical to both individual therapeutic benefit and epidemic control. Men are less likely to test for HIV compared with women in sub-Saharan African countries, and ultimately have delayed entry to HIV care. Stigma is known to impede such engagement, placing an importance on understanding and addressing stigma to improve HIV testing and care outcomes. This study aimed to assess the gendered differences in the relationship between stigma and HIV testing.Design and settingA cross-sectional, household probability survey was implemented between November and December 2016 in the Sofala province of Mozambique.ParticipantsData were restricted to men and women participants who reported no prior diagnosis of HIV infection (N=2731).MeasuresMeasures of sociodemographic characteristics, stigma and past exposure to HIV interventions were included in gender-stratified logistic regression models to estimate the relationship between stigma and recent testing for HIV, as well as to identify other relevant correlates.ResultsSignificantly fewer men (38.3%) than women (47.6%; p<0.001) had recently tested for HIV. Men who reported previous engagement in community group discussions about HIV had an increased odds of testing in the past 12 months compared to those who had not participated (adjusted OR (aOR)=1.92; 95% CI 1.51 to 2.44). Concerns about stigma were not a commonly reported barrier to HIV testing; however, men who expressed anticipated individual HIV stigma had a 35% lower odds of recent HIV testing (aOR=0.65; 95% CI 0.44 to 0.96). This association was not observed among women.ConclusionsMen have lower uptake of HIV testing in Mozambique when compared to women. Even amidst the beneficial effects of HIV messaging, individual stigma is negatively associated with recent HIV testing among men. Intervention efforts that target the unique challenges and needs of men are essential in promoting men’s engagement into the HIV care continuum in sub-Saharan Africa.
38
Li, Alan Tai-Wai, Kenneth Po-Lun Fung, Eleanor Maticka-Tyndale, and Josephine Pui-Hing Wong. "Effects Of HIV stigma reduction interventions in diasporic communities: insights from the CHAMP study." AIDS Care 30, no. 6 (October 24, 2017): 739–45. http://dx.doi.org/10.1080/09540121.2017.1391982.
Повний текст джерела
39
Kenny, Amanda, and Boris Bizumic. "Learn and ACT: Changing prejudice towards people with mental illness using stigma reduction interventions." Journal of Contextual Behavioral Science 5, no. 3 (July 2016): 178–85. http://dx.doi.org/10.1016/j.jcbs.2016.06.004.
Повний текст джерела
40
Alexová, Aneta, Anna Kågström, Petr Winkler, Lucie Kondrátová, and Miroslava Janoušková. "Correlates of internalized stigma levels in people with psychosis in the Czech Republic." International Journal of Social Psychiatry 65, no. 5 (May 22, 2019): 347–53. http://dx.doi.org/10.1177/0020764019850204.
Повний текст джерелаАнотація:
Background: Internalized stigma negatively affects lives and prognosis of individuals with psychosis. Aim: This study aimed to identify correlates of internalized stigma among individuals with psychosis in a sample of community care users in the Czech Republic. Methods: A cross-sectional study was conducted among 133 community service users with psychosis. A shortened version of the Internalized Stigma of Mental Illness (ISMI-10) scale was used alongside the 5-level EQ-5D version (EQ-5D-5L), assessing health-related quality of life. Descriptive and linear regression analyses were performed in order to determine levels of internalized stigma and its correlates. Results: High levels of internalized stigma were reported in 25% of participants. Lower internalized stigma levels were associated with better self-reported health status and being married, and higher internalized stigma with a longer period of time since initial contact with psychiatric care. Conclusion: Lower internalized stigma levels are associated with better self-reported health-related quality of life. In addition, clients having used psychiatric care for longer periods of time reported significantly higher internalized stigma levels. Therefore, authors suggest self-stigma reduction interventions based in a community setting with an emphasis on targeting clients with chronic psychosis.
41
Kuperman, Pora, and Sharon Sznitman. "Heteronormativity and the Israeli healthcare experience: A qualitative study of LGBTQ individuals." Psychology of Sexualities Review 7, no. 2 (2016): 26–38. http://dx.doi.org/10.53841/bpssex.2016.7.2.26.
Повний текст джерелаАнотація:
General health disparities have been found in the lesbian, gay, bisexual, transgender and queer (LGBTQ) community which extend beyond conditions directly associated with sexual health. It is posited that stigma can create a continuous strain that negatively impacts health. This study set out to examine both the routine practices within healthcare which may contribute to experienced stigma within the LGBTQ population and whether and how religion affects the presence of stigma for LGBTQ individuals in meetings with the healthcare system. As such, 16 individuals who self-identify as LGBTQ were recruited via word-of-mouth and snowball sampling and then asked open-ended questions regarding their experiences of stigma and the Israeli healthcare system. Analysis revealed three main themes related to stigma and healthcare experiences: heteronormativity in healthcare settings, Hebrew as a gendered language, and religion as exacerbating heteronormative assumptions. The conclusion includes recommendations for interventions aimed at the reduction of social stigma for LGBTQ individuals as a way of reducing health disparities.
42
Tay, Jing Ling, Huiting Xie, and Kang Sim. "Effectiveness of Augmented and Virtual Reality-Based Interventions in Improving Knowledge, Attitudes, Empathy and Stigma Regarding People with Mental Illnesses—A Scoping Review." Journal of Personalized Medicine 13, no. 1 (January 4, 2023): 112. http://dx.doi.org/10.3390/jpm13010112.
Повний текст джерелаАнотація:
Interventions adopting augmented and virtual reality (AR/VR) modalities allow participants to explore and experience realistic scenarios, making them useful psycho-educational tools for mental illnesses. This scoping review aims to evaluate the effectiveness of AR/VR interventions in improving (1) knowledge, (2) attitudes, (3) empathy and (4) stigma regarding people with mental illnesses. Literature on published studies in English up till April 2022 was searched within several databases. Sixteen articles were included. The majority of studies were conducted in the West (93.8%), within undergraduates (68.8%) but also amongst high school students, patients, caregivers, public including online community, and covered conditions including psychotic illnesses, dementia, anxiety and depression. A preponderance of these included studies which employed AR/VR based interventions observed improvements in knowledge (66.7%), attitudes (62.5%), empathy (100%) and reduction of stigma (71.4%) pertaining to people with mental illnesses. In the context of relatively limited studies, extant AR/VR based interventions could potentially improve knowledge, attitudes, empathy and decrease stigma regarding people with mental illness. Further research needs to be conducted in larger and more diverse samples to investigate the relatively beneficial effects of different AR/VR modalities and the durability of observed improvements of relevant outcomes of interests over time for different mental conditions.
43
Andersson, Galit Zeluf, Maria Reinius, Lars E. Eriksson, Veronica Svedhem, Farhad Mazi Esfahani, Keshab Deuba, Deepa Rao, Goodluck Willey Lyatuu, Danielle Giovenco, and Anna Mia Ekström. "Stigma reduction interventions in people living with HIV to improve health-related quality of life." Lancet HIV 7, no. 2 (February 2020): e129-e140. http://dx.doi.org/10.1016/s2352-3018(19)30343-1.
Повний текст джерела
44
Lightner, Joseph S., Serena Rajabiun, Howard J. Cabral, Jessica Flaherty, Jamie Shank, and Ronald Brooks. "Associations of internalized and anticipated HIV stigma with returning to work for persons living with HIV." PLOS ONE 16, no. 6 (June 4, 2021): e0252783. http://dx.doi.org/10.1371/journal.pone.0252783.
Повний текст джерелаАнотація:
Introduction Employment is particularly beneficial for persons living with HIV (PLWH). However, PLWH experiencing internalized stigma or anticipating that they may experience stigma may be less likely to seek employment due to additional barriers associated with HIV. The purpose of this study was to understand the associations between internalized and anticipated stigma and employment barriers for PLWH. Methods Participants (N = 712) from 12 sites across the United States were recruited and interviewed about barriers to employment, HIV stigma, and several other factors related to health. A series of unadjusted and adjusted linear regression models were conducted using cross-sectional data. Results Adjusted models suggest that greater anticipated stigma was related to increased employment barriers (β = 0.12, p = 0.04). Mental and physical health functioning also positively predicted employment barriers (β = -0.18, p <0.001; β = -0.40, p <0.001, respectively). Discussion Employment among PLWH has beneficial impacts on HIV-related health outcomes. This study suggests that anticipated stigma may limit and individual’s willingness to seek out employment, or may cause them to leave employment. Internalized stigma may not play as large of a role in employment as anticipated stigma for PLWH. HIV-related stigma reduction interventions focused on community-level and employers are essential to improve employment opportunities for PLWH.
45
Tippin, Gregory K., and K. Amanda Maranzan. "Photovoice as a Method to Reduce the Stigma of Mental Illness Among Health Care Students." Health Promotion Practice 23, no. 2 (March 2022): 331–37. http://dx.doi.org/10.1177/15248399211057152.
Повний текст джерелаАнотація:
Photovoice is theorized to influence those who interact with the photos and captions, and so it is important to examine and further understand this mechanism. This article seeks to further our understanding of this critical process—that is, what is the impact of the Photovoice Artist’s stories on the viewing audience? Herein we demonstrate how an incarnation of photovoice, digital storytelling, and photo elicitation impacted mental illness stigma among health sciences students. By focusing on application beyond the original exhibition, this article highlights how photovoice methods and aims overlap with best practices in stigma reduction, and its fit with multimodal anti-stigma interventions. Overall, this study contributes to addressing the question of how photovoice can be applied to achieve action for social change.
46
Knaak, Stephanie, Romie Christie, Sue Mercer, and Heather Stuart. "Harm Reduction, Stigma and the Problem of Low Compassion Satisfaction:." Journal of Mental Health and Addiction Nursing 3, no. 1 (July 16, 2019): e8-e21. http://dx.doi.org/10.22374/jmhan.v3i1.37.
Повний текст джерелаАнотація:
Background & Objective: Canada is in the midst of an opioid crisis. Given the sheer magnitude of the crisis and escalating death toll, the mobilization of harm reduction interventions is an important priority. Currently, little is known about the role played by stigmatization, particularly in terms of how this may impact the endorsement and uptake of harm reduction strategies and initiatives among front-line providers.
Materials & Methods: Opening Minds, the anti-stigma initiative of the Mental Health Commission of Canada, undertook a one-and-a-half-year research project to understand the qualities, characteristics, sources, consequences, and solutions to the problem of stigmatization on the front-lines of the opioid crisis. A qualitative key informant design was selected. Participants included various first responder and health provider groups, people with lived experience of opioid or other drug use, and people in key policy or programming roles. Eight focus groups were held across Canada, and 15 one-on-one key informant interviews were completed.
Results: Analysis of focus group and key informant interviews revealed three main ways in which stigma shows up on the front lines of the opioid crisis among providers. These themes coalesced around a central main problem, that of low compassion satisfaction. Suggestions for how these concerns can be addressed were also identified.
Conclusion: The findings from this research revealed several key ways that stigma ‘shows up’ in the experiences and perceptions of front-line providers and provide several promising avenues for combatting stigmatization related to opioid use and harm reduction. An important avenue for future research is to develop and elaborate on the theoretical connections between the concepts of stigmatization and compassion satisfaction as a way to better understanding the problem of stigmatization in helping environments.
47
Machowska, Anna, Babu Lal Bamboria, Courtney Bercan, and Megha Sharma. "Impact of ‘HIV-related stigma-reduction workshops’ on knowledge and attitude of healthcare providers and students in Central India: a pre-test and post-test intervention study." BMJ Open 10, no. 4 (April 2020): e033612. http://dx.doi.org/10.1136/bmjopen-2019-033612.
Повний текст джерелаАнотація:
IntroductionPeople living with HIV and AIDS (PLWHA) experience stigma and discrimination throughout their life. The consequences of stigma and discrimination are severe when enacted by healthcare providers (HCPs), and result in a delay in or poor adherence to treatment. Studies have demonstrated the presence of stigmatising behaviours among HCPs, yet only a few have presented the impact of interventions on the knowledge and attitude of practising (clinicians and nurses) and future (students) HCPs.ObjectivesTo evaluate knowledge, attitudes and infection risk perceptions related to HIV/AIDS among practising and future HCPs in central India. In addition, the impact of the ‘HIV-related stigma-reduction workshop’ using a pre-intervention and post-intervention study design was evaluated.Settings and participantsThe study was conducted in 2016 at two tertiary-care hospitals and three healthcare colleges in central India. Overall, 650 HCPs (75 clinicians and 211 nurses) and students (205 medical, 123 nursing and 36 Diploma in Medical and Laboratory Technology (DMLT)) voluntarily participated in the study.InterventionThe educational intervention comprised of training in epidemiology, the transmission and treatment of the HIV infection, the rights of PLWHA, the duties of HCPs and the use of standard precautions.ResultsAt pre-intervention, DMLT students had the lowest and clinicians the highest knowledge scores (24% and 45%, respectively). The stigmatised attitude was reflected in all groups, the lowest among clinicians (21%) and the highest among DMLT students (34%). Improvement in the post-intervention knowledge scores was the highest in medical students (36%) and the lowest among clinicians (16%). The participants’ attitudes improved between 3% and 17% across all groups.ConclusionsSignificant post-intervention improvements were seen in both knowledge and attitudes in all groups. Students had a higher tendency to improve than HCPs. Further long-term studies are needed to evaluate the sustainability of the improvements in knowledge and attitudes of the participants.
48
Ashcroft, K., and B. Insua-Summerhays. "Interim results of remotely provided, one-on-one, tailored psycho-education and skills training to caregivers of patients with mental health difficulties." European Psychiatry 33, S1 (March 2016): s281—s282. http://dx.doi.org/10.1016/j.eurpsy.2016.01.755.
Повний текст джерелаАнотація:
In the past several decades, considerable evidence has emerged on the efficacy of caregiver and family interventions in the treatment of severe and enduring mental health disorders, particularly schizophrenia. Studies have demonstrated benefits of these interventions with regard to both reduced rates of burden in caregivers, and a reduction in relapse and improvement in symptoms of the person with psychosis. However, many caregivers who may benefit from such interventions are unable to access them, due to limited resources and geographical factors. Additionally, concerns about stigma and time constraints may deter caregivers from accessing support. The following study is among the first to address these barriers using a remotely delivered, one-on-one caregiver intervention. Caregivers (n = 93) of patients with severe and enduring mental health difficulties took part in a tailored psychoeducation and skills training intervention, consisting of weekly 40 minute videoconference or telephone sessions with a trained clinician. Caregivers completed the Involvement Evaluation Questionnaire (IEQ) and General Health Questionnaire (GHQ-12) at baseline, and eight sessions (mid treatment). It was hypothesized that caregivers would show a reduction of distress and burden in response to the intervention. Interim comparison of pre- versus 8th session measures demonstrated a highly significant reduction in GHQ scores (P < 001), as well as a highly significant reduction in IEQ scores (P < 001). Results suggest that remotely provided, one-on-one, tailored psycho-education and skills training may be an effective and accessible intervention to improve the well-being of, and decrease burden in, caregivers of mental health patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
49
Carlberg-Racich, Suzanne. "Harm reduction interventions in HIV care: a qualitative exploration of patient and provider perspectives." PeerJ 4 (April 14, 2016): e1932. http://dx.doi.org/10.7717/peerj.1932.
Повний текст джерелаАнотація:
Background.A culture of stringent drug policy, one-size-fits-all treatment approaches, and drug-related stigma has clouded clinical HIV practice in the United States. The result is a series of missed opportunities in the HIV care environment. An approach which may address the broken relationship between patient and provider is harm reduction—which removes judgment and operates at the patient’s stage of readiness. Harm reduction is not a routine part of care; rather, it exists outside clinic walls, exacerbating the divide between compassionate, stigma-free services and the medical system.Methods.Qualitative, phenomenological, semi-structured, individual interviews with patients and providers were conducted in three publicly-funded clinics in Chicago, located in areas of high HIV prevalence and drug use and serving African-American patients (N= 38). A deductive thematic analysis guided the process, including: the creation of an index code list, transcription and verification of interviews, manual coding, notation of emerging themes and refinement of code definitions, two more rounds of coding within AtlasTi, calculation of Cohen’s Kappa for interrater reliability, queries of major codes and analysis of additional common themes.Results.Thematic analysis of findings indicated that the majority of patients felt receptive to harm reduction interventions (safer injection counseling, safer stimulant use counseling, overdose prevention information, supply provision) from their provider, and expressed anticipated gratitude for harm reduction information and/or supplies within the HIV care visit, although some were reluctant to talk openly about their drug use. Provider results were mixed, with more receptivity reported by advanced practice nurses, and more barriers cited by physicians. Notable barriers included: role-perceptions, limited time, inadequate training, and the patients themselves.Discussion.Patients are willing to receive harm reduction interventions from their HIV care providers, while provider receptiveness is mixed. The findings reveal critical implications for diffusion of harm reduction into HIV care, including the need to address cited barriers for both patients and providers to ensure feasibility of implementation. Strategies to address these barriers are discussed, and recommendations for further research are also shared.
50
Shanks, Emelie, and Ylva Spånberger Weitz. "Supportive practices: perceptions of interventions targeting parents whose children are placed in out-of-home care." Adoption & Fostering 44, no. 4 (December 2020): 349–62. http://dx.doi.org/10.1177/0308575920968239.
Повний текст джерелаАнотація:
Knowledge regarding the needs of parents whose children are placed in out-of-home care is still limited and studies focusing on interventions targeting this group are scarce. This article explores birth parents’ views on their needs and perceptions of support delivered by two different interventions: one offering support to individuals and the other providing a parental group. The methodology comprised a thematic analysis of 14 qualitative interviews. Parents’ expressed needs revolved around five issues: participation and influence in the relations with child welfare services; their emotional needs; their social needs; their relationship with their child; and practical and financial arrangements. The results revealed that the two interventions had overlapping as well as specific supportive functions and that these met some of the identified needs. Both programmes provided an opportunity for parents to speak openly about their grief and experiences of stigma and to receive help to cope with it, thus functioning as empowering and stigma-relieving practices that provide emotional support. The intervention that offered individual support contributed to a reduction in parents’ feelings of powerlessness when negotiating with child welfare services and functioned as an equalising practice by facilitating participation and influence. The parental group succeeded in reducing parents’ social isolation, providing social support and functioning as a normalising practice. However, neither intervention was explicitly perceived as helpful for improving parent–child relationships or practical and financial arrangements. The study highlights how the parents benefitted from receiving different types of support and contributes to knowledge about a group that has been neglected in practice and research.