解决德国高等教育中的精神疾病污名问题：基于社会心理环境的干预措施的混合方法评估研究方案。

Addressing mental illness stigma in German higher education: study protocol for a mixed-methods evaluation of a psychosocial setting-based intervention.

机构信息

Department of Health and Prevention, Institute of Psychology, University of Greifswald, Greifswald, Germany

Department of Health and Prevention, Institute of Psychology, University of Greifswald, Greifswald, Germany.

出版信息

BMJ Open. 2024 Aug 28;14(8):e084916. doi: 10.1136/bmjopen-2024-084916.

DOI:10.1136/bmjopen-2024-084916

PMID:39209502

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11367309/

Abstract

INTRODUCTION

Mental illness stigma is associated with a range of negative consequences, such as reduced help-seeking for mental health problems. Since stigma affects individual, social, and structural aspects, multilevel interventions such as the Canadian programme The Working Mind have been proven to be the most effective. Given the solid evidence base for The Working Mind, it is our aim to implement and evaluate culturally adapted versions of the programme in German higher education, targeting students, employees and managers.

METHODS AND ANALYSIS

We will evaluate the programme with regard to its effect on mental illness stigma, openness to mental health problems, willingness to seek help, and positive mental health outcomes. Further, we will investigate the programme's effectiveness dependent on gender and personal values, various mechanisms of change, and factors facilitating and hindering implementation. The study uses a sequential explanatory mixed-methods evaluation design (QUAN → qual) that consists of three steps: (1) quasi-experimental online survey with programme participants, (2) focus groups with programme participants, and (3) qualitative interviews with programme stakeholders. The quantitative data collected in step 1 will be analysed using 2×3 analysis of variances and a parallel multiple mediation analysis. The results will inform the qualitative data to be collected in steps 2 and 3, which will be analysed using qualitative content analysis.

ETHICS AND DISSEMINATION

The study was approved by the local Ethics Committee (Ethics Committee of University Medicine Greifswald; BB 098/23). Participants have to provide written consent before taking part in a focus group or interview. As for the online survey, participants have to give their consent by agreeing to an online data protection form before they can start completing the survey. We will publish central results and the anonymised data in an Open Access Journal. Further, the statistical code will be included as a supplement to the paper(s) documenting the results of the study.

TRIAL REGISTRATION NUMBER

DRKS00033523.

摘要

简介

精神疾病污名与一系列负面后果相关，例如减少对心理健康问题的寻求帮助。由于污名涉及个人、社会和结构方面，因此已证明多层次干预措施（如加拿大的“工作思维”项目）是最有效的。鉴于“工作思维”项目有坚实的证据基础，我们的目标是在德国高等教育中实施和评估该项目的文化适应版本，针对学生、员工和管理人员。

方法和分析

我们将评估该项目对精神疾病污名、对心理健康问题的开放性、寻求帮助的意愿和积极心理健康结果的影响。此外，我们将研究该项目的有效性取决于性别和个人价值观、各种变化机制以及促进和阻碍实施的因素。该研究使用顺序解释性混合方法评估设计（QUAN→qual），包括三个步骤：（1）对项目参与者进行准实验性在线调查，（2）对项目参与者进行焦点小组讨论，（3）对项目利益相关者进行定性访谈。步骤 1 中收集的定量数据将使用 2×3 方差分析和并行多重中介分析进行分析。结果将为步骤 2 和 3 中要收集的定性数据提供信息，这些数据将使用定性内容分析进行分析。

伦理和传播

该研究已获得当地伦理委员会（格赖夫斯瓦尔德大学医学伦理委员会；BB 098/23）的批准。参与者必须在参加焦点小组或访谈之前提供书面同意。对于在线调查，参与者必须在同意在线数据保护表格后才能开始完成调查，从而同意参与。我们将在开放获取期刊上发表核心结果和匿名数据。此外，统计代码将包含在记录研究结果的论文（s）的附录中。