Peking University Sixth Hospital, Peking University Institute of Mental Health, China; NHC Key Laboratory of Mental Health (Peking University) & National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), China.
Centre for Global Mental Health and Centre for Implementation Science, Health Service and Population Research Department, King's College London, Institute of Psychiatry, Psychology and Neuroscience, London, United Kingdom.
Asian J Psychiatr. 2022 Jul;73:103096. doi: 10.1016/j.ajp.2022.103096. Epub 2022 Apr 6.
The aim was to assess the feasibility of an intervention to reduce stigma among primary care and community healthcare staff in Beijing, China through a contact-based education intervention. Participants were randomly assigned to: (i) "education only" group, a lecture-based education; or (ii) "education and contact" group, lectures plus contact with people with lived experience of mental illness. Each participant completed an assessment of mental health stigma related: knowledge (mental health knowledge schedule, MAKS); attitudes (mental illness: clinicians' attitudes scale, MICA-4); and behavior (reported and intended behavior scale, RIBS) before and after the intervention, with follow up at 1 month and 3 months after the intervention. A total of 121 healthcare staff were recruited. Both "education only" group and "education and contact" group showed improved knowledge after the intervention, MAKS scores increased by 1.77 ± 3.15 VS 2.46 ± 2.49 (both p < 0.001), respectively. There was no between-group difference in MAKS score. The "education and contact" group showed a significantly greater improvement for MICA and RIBS score than the "education only" group: the MICA score decreased by 4.43 ± 9.42 VS 8.41 ± 7.48 (p = 0.027), and the RIBS score increased by 2.28 ± 3.89 VS 4.57 ± 3.53 (p = 0.003), in the "education only" and the "education and contact" groups respectively, but the between group differences disappeared at 1 month and 3 months follow-up points. The positive effects on stigma levels (knowledge, attitudes and behaviours) in both groups were sustained at 3 months. The intervention to reduce stigma among the primary and community healthcare staff through a contact-based education intervention was feasible in Beijing.
目的 评估通过基于接触的教育干预减少中国北京初级保健和社区卫生保健人员污名化的干预措施的可行性。参与者被随机分配到：（i）“仅教育”组，即基于讲座的教育；或（ii）“教育和接触”组，即讲座加与有精神疾病生活经历的人接触。每位参与者在干预前后完成了与心理健康污名相关的评估：知识（心理健康知识量表，MAKS）；态度（精神疾病：临床医生态度量表，MICA-4）；和行为（报告和预期行为量表，RIBS），干预后 1 个月和 3 个月进行随访。共招募了 121 名卫生保健人员。“仅教育”组和“教育和接触”组在干预后知识均有所提高，MAKS 评分分别增加 1.77±3.15 VS 2.46±2.49（均 p<0.001）。MAKS 评分无组间差异。“教育和接触”组在 MICA 和 RIBS 评分方面的改善明显大于“仅教育”组：MICA 评分下降 4.43±9.42 VS 8.41±7.48（p=0.027），RIBS 评分增加 2.28±3.89 VS 4.57±3.53（p=0.003），分别为“仅教育”和“教育和接触”组，而在 1 个月和 3 个月的随访点，组间差异消失。两组对污名水平（知识、态度和行为）的积极影响在 3 个月时仍持续存在。通过基于接触的教育干预减少初级和社区卫生保健人员污名化的干预措施在北京是可行的。
