Gaiha Shivani Mathur, Gasparrini Antonio, Koschorke Mirja, Raman Usha, Petticrew Mark, Salisbury Tatiana Taylor
Indian Institute of Public Health-Hyderabad, India.
Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, UK.
SSM Ment Health. 2024 Dec;6:100339. doi: 10.1016/j.ssmmh.2024.100339. Epub 2024 Aug 8.
Mental-health-related stigma prevents youth from seeking help for mental health problems. Limited studies in low- and middle-income countries assess the effect of arts-based education in reducing such stigma among youth, thereby leaving a gap in evidence-based, age- and culturally-appropriate interventions.
To evaluate the impact, feasibility, and acceptability of CREATORS, an arts-based educational program on reducing mental-health-related stigma among youth in India.
We conducted a mixed-methods, pre-post control group study among college-going adolescents in Hyderabad, India. At baseline and post-intervention (after six weeks), we examined differences in intended behavior towards people with mental health problems.
Our study involved 432 participants across three study groups: participants creating art on the theme of mental-health-related stigma over six weeks (n = 123), a student audience viewing 2-h arts show by participants (n = 244), and a control group (n = 65). Between baseline and post-test, participants creating art showed significantly lower stigma towards people with mental health problems compared to members of the control group (coefficient = 1.55, 95%CI 0.06-3.04, p = 0.041). Participants found the intervention useful and enjoyable (>95%; n = 773 across six weeks). Participants identified that collaborative creation of art made the subject of mental health interesting and relatable.
Participating in an arts-based educational program was associated with significantly lower mental-health-related stigma among youth compared to a control group in the short term. High acceptability of the program demonstrates the utility of arts-based education to address mental-health-related stigma. With community partners and artists as facilitators, our program may support mental health specialists in mental health promotion.
与心理健康相关的污名化阻碍青少年寻求心理健康问题的帮助。在低收入和中等收入国家，仅有有限的研究评估了以艺术为基础的教育对减少青少年此类污名化的效果，从而在基于证据、适合年龄和文化的干预措施方面留下了空白。
评估“创作者”（CREATORS）这一以艺术为基础的教育项目对减少印度青少年与心理健康相关污名化的影响、可行性和可接受性。
我们在印度海得拉巴的大学生青少年中进行了一项混合方法的前后对照研究。在基线和干预后（六周后），我们检查了对有心理健康问题者的预期行为差异。
我们的研究涉及三个研究组的432名参与者：在六周内围绕与心理健康相关污名化主题创作艺术作品的参与者（n = 123）、观看参与者两小时艺术表演的学生观众（n = 244）以及对照组（n = 65）。在基线和测试后，与对照组成员相比，创作艺术作品的参与者对有心理健康问题者的污名化显著降低（系数 = 1.55，95%置信区间0.06 - 3.04，p = 0.041）。参与者认为该干预有用且有趣（>95%；六周内共773人）。参与者指出，艺术作品的合作创作使心理健康主题变得有趣且易于理解。
与对照组相比，参与以艺术为基础的教育项目在短期内与青少年中与心理健康相关的污名化显著降低有关。该项目的高可接受性表明了以艺术为基础的教育在解决与心理健康相关污名化方面的效用。通过社区伙伴和艺术家作为促进者，我们的项目可能会在心理健康促进方面支持心理健康专家。
