Department of Psychiatry, The University of Hong Kong, Pokfulam, Hong Kong.
The State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Pokfulam, Hong Kong.
Early Interv Psychiatry. 2021 Apr;15(2):278-285. doi: 10.1111/eip.12938. Epub 2020 Feb 11.
Direct contact interventions are known to reduce stigma. Effects of both filmed and direct social contact were found similar in reducing stigma. This study aims to understand the effect of video intervention, especially the effects between patient-sharing video and expert information video, among the medical students.
Seventy-two medical students were recruited from two consecutive clinical study periods. Students from one period were in the patient-sharing group, watching a 7-minute patient-sharing video. The others were in expert information group watching a 5-minute psychosis video. Subject's desire of social distance (Reported and Intended Behaviour Scale) knowledge (the Social Contact Intended Learning Outcome) attitude towards mental illness (Clinicians Attitudes Scales version 4) and emotional reactions (the Emotional Reactions to Mental illness Scales) were measured. Assessments were done at baseline, immediately after video watching and at 1 to 2 weeks follow-up. Within-group ANOVA was used to assess the difference between time points. Group by time effect was explored.
Significant improvement in knowledge level was found with a significant group by time effect (F = 6.261, P = .004) for PS group and was maintained at follow-up. Post-intervention attitude was significantly improved in PS group but not maintained. Only social distance was improved significantly in EX group (F = 8.093, P = 0.003). Both groups had a significant reduction in fear sub-score.
This study provided evidence on the effect of patient-sharing video in improving the attitude and knowledge of medical students. Expert information video about psychosis can improve social proximity. Combining these approaches may improve stigma and knowledge among medical students.
直接接触干预措施已被证实可减少污名化。研究发现,影片和直接社会接触都能起到减少污名化的效果。本研究旨在了解视频干预的效果,特别是在医学生中,患者分享视频和专家信息视频之间的效果。
从两个连续的临床研究期间招募了 72 名医学生。其中一个期间的学生属于患者分享组,观看了 7 分钟的患者分享视频。其他人则属于专家信息组,观看了 5 分钟的精神病学视频。通过报告和意向行为量表、社会接触意向学习结果量表、临床医生态度量表第 4 版和精神疾病情绪反应量表,对学生的社交距离意愿、知识、对精神疾病的态度和情绪反应进行了测量。在基线、观看视频后即刻和 1 至 2 周随访时进行评估。采用组内方差分析评估时间点之间的差异。探讨了组间时间效应。
在 PS 组中,知识水平显著提高,且存在显著的组间时间效应(F = 6.261,P =.004),并在随访时得以维持。PS 组的态度在干预后显著改善,但未能维持。仅在 EX 组中,社会距离显著改善(F = 8.093,P = 0.003)。两组的恐惧子量表得分均显著降低。
本研究为患者分享视频改善医学生态度和知识提供了证据。有关精神病学的专家信息视频可以提高社会接近度。结合这些方法可能会改善医学生的污名化和知识水平。