Odukoya Deborah, Chege Winfred, Scior Katrina
Clinical Educational and Health Psychology, University College London, London, United Kingdom.
Front Psychiatry. 2024 Mar 5;15:1331107. doi: 10.3389/fpsyt.2024.1331107. eCollection 2024.
The negative consequences of stigma for the wellbeing of people with disabilities have raised public and global health concerns. This study assessed the impact of an e-intervention to reduce intellectual disability (ID) stigma among Nigerian and Kenyan internet-users.
Participants aged 18+ and citizens of Nigeria and Kenya were recruited through online advertising. Qualtrics, a web survey platform, randomly assigned (1:1) participants to watch either a short experimental or control film, while masked to their assignment. The experimental film featured education about ID and indirect contact. The control film was on an unrelated topic. Their attitudes were measured on three dimensions (affect, cognitions and behaviour) at three time points (baseline, post intervention and one-month follow-up). Between October 2016 and April 2017, 933 participants were randomised, 469 to the experimental condition and 464 to the control condition. Of these, 827 (89%) provided pre-and post-intervention data but only 287 (31%) were retained at follow-up.
An intent-to-treat analysis revealed that participants in the experimental but not the control condition showed a positive shift in their attitudes towards people with ID over time. Their willingness to interact with people with ID increased post-intervention.
A brief intervention that integrates education and indirect contact can make an effective contribution to efforts to reduce stigma faced by people with ID in Africa. Trial registered with the ISRCTN trial registry (number ISRCTN92574712).
污名化对残疾人福祉产生的负面影响引发了公众和全球健康领域的关注。本研究评估了一项电子干预措施对减少尼日利亚和肯尼亚互联网用户中智力残疾（ID）污名化现象的影响。
通过在线广告招募年龄在18岁及以上的尼日利亚和肯尼亚公民作为参与者。使用网络调查平台Qualtrics将参与者随机（1:1）分配观看一部简短的实验性影片或对照影片，同时对其分组情况保密。实验性影片内容为关于智力残疾的教育及间接接触。对照影片则是关于一个不相关的主题。在三个时间点（基线、干预后和1个月随访）从三个维度（情感、认知和行为）测量他们的态度。2016年10月至2017年4月期间，933名参与者被随机分组，469人进入实验组，464人进入对照组。其中，827人（89%）提供了干预前后的数据，但随访时仅保留了287人（31%）。
意向性分析显示，随着时间推移，实验组成员而非对照组成员对智力残疾者的态度出现了积极转变。干预后他们与智力残疾者互动的意愿有所增加。
一项整合教育与间接接触的简短干预措施能够有效助力减少非洲智力残疾者所面临的污名化现象。该试验已在国际标准随机对照试验编号注册库（编号ISRCTN92574712）注册。
