Department of Rehabilitation Science, University of Toronto, 500 University Ave., Toronto, Ontario M5G 1V7, Canada.
Psychiatr Serv. 2013 Jul 1;64(7):694-702. doi: 10.1176/appi.ps.201200409.
The purpose of this scoping study was to identify and describe the principles and characteristics embedded in workplace mental health antistigma initiatives. Research in this area is diffuse and not well synthesized. Therefore, a scoping study is useful in generating a breadth of coverage and identifying all relevant literature on the topic regardless of study design. Results will inform evaluation strategies and can be used to distinguish the effectiveness of particular elements in future research.
The "York Framework," a five-stage methodological design (with an optional sixth stage) was used as the structure for this study. Eleven peer-reviewed and gray-literature databases were searched (2000-2011), and an extensive Internet review was also conducted. Two reviewers independently reviewed all abstracts to determine study selection. A data chart consisting of key issues and themes was utilized to extract data from the included studies. Preliminary results were used to inform a stakeholder consultation with seven international experts.
Twenty-two antistigma interventions were included in the study. Most of the initiatives have appeared in the past four years and across geographic boundaries, reflecting the growing international interest in mental health in the workplace. A large proportion of the interventions utilize educational approaches to reducing stigma, and a substantial number target military personnel.
Stronger evidence for effective practices needs to be established through the use of standardized workplace-specific interventions, reliable and valid evaluation tools, and overall enhanced scientific rigor.
本范围研究旨在确定和描述工作场所心理健康反污名倡议所嵌入的原则和特征。该领域的研究较为分散，且未得到很好的综合。因此，范围研究有助于广泛涵盖该主题的所有相关文献，而不论其研究设计如何。研究结果将为评估策略提供信息，并可用于区分未来研究中特定要素的有效性。
本研究采用了“约克框架”（一个五阶段的方法设计，可选第六阶段）作为结构。对 11 个同行评议和灰色文献数据库进行了搜索（2000-2011 年），并进行了广泛的互联网审查。两位审查员独立审查了所有摘要，以确定研究的选择。一个包含关键问题和主题的数据图表被用来从纳入的研究中提取数据。初步结果用于与 7 位国际专家进行利益相关者磋商。
本研究共纳入了 22 项反污名干预措施。大多数举措都出现在过去四年中，并且跨越了地理边界，反映了国际上对工作场所心理健康的日益关注。干预措施中有很大一部分采用了教育方法来减少污名化，相当数量的干预措施针对的是军人。
需要通过使用标准化的特定于工作场所的干预措施、可靠和有效的评估工具以及整体提高科学严谨性，来建立更有效的实践证据。
