Maulik P K, Devarapalli S, Kallakuri S, Tewari A, Chilappagari S, Koschorke M, Thornicroft G
Research & Development, George Institute for Global Health,New Delhi,India.
Centre for Global Mental Health, Institute of Psychiatry, Psychology and Neuroscience, King's College,London,UK.
Psychol Med. 2017 Feb;47(3):565-575. doi: 10.1017/S0033291716002804. Epub 2016 Nov 2.
Stigma 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.
The 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.
A 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.
The 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.
与心理健康相关的污名是寻求帮助的主要障碍，导致低收入和中等收入国家（LMIC）存在巨大的治疗差距。本研究评估了参与反污名运动的参与者在知识、态度和行为以及与寻求帮助相关的污名方面的变化。
该运动采用多媒体干预措施，是“SMART心理健康项目”的一部分，在印度南部安得拉邦农村的42个村庄开展了3个月。采用前后设计在两个村庄进行了混合方法评估。
在运动的干预前和干预后阶段，分别对1576名和2100名参与者进行了访谈。知识水平没有提高。态度和行为有显著改善（p < 0.01）。与寻求帮助相关的污名显著减少（p < 0.05）。定性访谈中确定社交接触和戏剧是最有益的干预措施。
结果表明该运动是有益的，导致了与心理健康相关的态度和行为的改善以及与寻求帮助相关的污名的减少。社交接触是最有效的干预措施。该研究对LMIC未来的研究具有启示意义。
