Department of Psychology, University of Southern California, Los Angeles, California, USA.
USC Alzheimer's Disease Research Center, Los Angeles, California, USA.
Early Interv Psychiatry. 2022 Feb;16(2):147-152. doi: 10.1111/eip.13140. Epub 2021 Mar 25.
Initiatives aimed at reducing the duration of untreated psychosis (DUP) attempt to increase the community's level of psychosis literacy. Most of these efforts, however, have failed to reduce DUP. One plausible explanation is that the campaigns do not actually increase psychosis literacy. To date, there have been few efforts to assess whether the campaign messaging does indeed increase psychosis literacy prior to or during the campaign. This study evaluated whether the message of the La CLAve DUP reduction program delivered during the campaign increased the psychosis literacy of a U.S. Latinx community.
The sample consisted of 81 Latinx community residents aged 15-84. Two community health educators of the La CLAve campaign facilitated workshops using a narrative film to initiate a conversation in the community about the signs of psychosis and the importance of professional help-seeking early in the illness course. Psychosis literacy was assessed via questionnaires pertaining to a hypothetical vignette administered before and after the workshops.
The psychosis literacy of participants increased after the workshops in several domains. Participants' knowledge of multiple psychotic symptoms, self-efficacy in their ability to recognize psychosis in others, and correct attributions of a hypothetical vignette's psychotic symptoms significantly increased. No changes were observed in recommendations for professional help-seeking.
These findings provide support for the effectiveness of the La CLAve messaging in increasing psychosis literacy of U.S. Latinx community residents. Evidence-based campaign messaging is needed to increase the success of DUP reduction programs especially among underserved communities.
旨在缩短未治疗精神病期（DUP）的举措旨在提高社区的精神病学素养水平。然而，这些努力大多未能降低 DUP。一个合理的解释是，这些活动实际上并没有提高精神病学素养。迄今为止，很少有努力评估在活动之前或期间，活动信息是否确实提高了精神病学素养。本研究评估了在活动期间传达的 La CLAve DUP 降低计划的信息是否提高了美国拉丁裔社区的精神病学素养。
该样本由 81 名年龄在 15-84 岁之间的拉丁裔社区居民组成。La CLAve 运动的两名社区健康教育工作者使用叙事电影来促进研讨会，在社区中就精神病的迹象和在疾病早期寻求专业帮助的重要性展开对话。精神病学素养通过在研讨会前后进行的假设情况问卷调查进行评估。
在研讨会之后，参与者在多个领域的精神病学素养提高了。参与者对多种精神病症状的认识、识别他人精神病的能力自我效能感，以及对假设情况中精神病症状的正确归因显著提高。寻求专业帮助的建议没有变化。
这些发现为 La CLAve 信息提高美国拉丁裔社区居民精神病学素养的有效性提供了支持。需要基于证据的活动信息来提高 DUP 降低计划的成功率，特别是在服务不足的社区。
