Centre for International Mental Health, The University of Melbourne, Parkville, Victoria, Australia.
Int J Ment Health Syst. 2009 Sep 7;3(1):19. doi: 10.1186/1752-4458-3-19.
The aim of this project was to investigate in members of the Vietnamese community in Melbourne the impact of Mental Health First Aid (MHFA) training on attitudes to people with mental illness and on knowledge about mental disorders. Our hypotheses were that at the end of the training participants would have increased knowledge of mental disorders and their treatments, and decreased negative attitudes towards people with mental disorders.
Respondents were 114 participants in two-day MHFA training workshops for the Vietnamese community in Melbourne conducted by two qualified MHFA trainers. Participants completed the research questionnaire prior to the commencement of the training (pre-test) and at its completion (post-test). The questionnaires assessed negative attitudes towards people with mental illness (as described in four vignettes), ability to recognise the mental disorders described in the vignettes, and knowledge about how to assist someone with one of these disorders. Responses to open-ended questions were content analysed and coded. To evaluate the effect of the training, answers to the structured questions and to the coded open-ended questions given at pre- and post-test were compared using McNemar tests for dichotomous values and Wilcoxon tests for other scores.
Between pre- and post-test there was significant improvement in recognition of mental disorders; more targeted and appropriate mental health first aid responses, and reduction in inappropriate first aid responses; and negative attitudes to the people described in the vignettes declined significantly on many items of the stigma scale.
A two-day, MHFA training course for general members of the Vietnamese community in Melbourne demonstrated significant reductions in stigmatising attitudes, improved knowledge of mental disorders and improved knowledge about appropriate forms of assistance to give to people in the community with mental disorder. There is sufficient evidence to scale up to a population level program for the Vietnamese community, and a need for longitudinal evaluation of such a scaled up program.
本项目旨在调查墨尔本越南社区成员接受心理健康急救 (MHF A) 培训对他们对精神病患者的态度和对精神障碍的认识的影响。我们的假设是，在培训结束时，参与者将增加对精神障碍及其治疗方法的了解，并减少对精神病患者的负面态度。
114 名参与者参加了在墨尔本由两名合格的 MHF A 培训师为越南社区举办的为期两天的 MHF A 培训课程。参与者在培训开始前（前测）和完成后（后测）完成研究问卷。问卷评估了对精神病患者的负面态度（如四个情景描述）、识别情景描述中精神障碍的能力，以及了解如何帮助患有这些障碍之一的人的知识。对开放式问题的回答进行了内容分析和编码。为了评估培训的效果，使用二项式值的 McNemar 检验和其他分数的 Wilcoxon 检验比较了前测和后测时对结构化问题和编码的开放式问题的回答。
在前测和后测之间，对精神障碍的识别有显著改善；更有针对性和适当的心理健康急救反应，减少了不适当的急救反应；对情景描述中描述的人的负面态度在许多耻辱量表项目上显著下降。
在墨尔本为越南社区的普通成员举办为期两天的 MHF A 培训课程，显著减少了污名化态度，提高了对精神障碍的认识，以及提高了对向社区中有精神障碍的人提供适当帮助形式的认识。有足够的证据将该计划扩大到越南社区的人群水平，并且需要对扩大规模的计划进行纵向评估。
