Effectiveness of direct contact intervention with people with mental illness to reduce stigma in nursing students

被引:35
作者
Martinez-Martinez, Concepcion [1 ]
Sanchez-Martinez, Vanessa [2 ]
Sales-Orts, Rafael [2 ]
Dinca, Andra [3 ]
Richart-Martinez, Miguel [4 ]
Diego Ramos-Pichardo, Juan [5 ]
机构
[1] Univ Europea, Dept Nursing & Physiotherapy, Fac Hlth Sci, Valencia, Spain
[2] Univ Valencia, Fac Nursing & Podiatry, Valencia, Spain
[3] Tecn Integrac Social ASIEM Assoc Integral Hlth Pe, Madrid, Spain
[4] Univ Alicante, Nursing Dept, Hlth Sci Fac, Alicante, Spain
[5] Univ Huelva, Nursing Dept, Huelva, Spain
关键词
attitudes; educational intervention; health knowledge; mental illnesses; nursing students; practice; stigma; HEALTH PROFESSIONALS; KEY INGREDIENTS; ATTITUDES; CARE; DISCRIMINATION; EXPERIENCE; BELIEFS; USERS;
D O I
10.1111/inm.12578
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
People with mental illnesses are at a higher risk than the general population of suffering from somatic diseases. However, they receive less attention from healthcare services. Some studies have indicated that this situation can be partially explained by the stigmatizing attitudes of health professionals, including nurses. With the objective to improve future nursing professionals' attitudes towards people with mental illnesses, an intervention involving direct contact with people who had lived experience with mental illnesses was designed and its effectiveness was measured. It consisted of a single 90-min session involving a mental health professional, a person with a mental illness, and a family member of someone with a mental illness. The intervention was based on a structured script where they described their experiences with the illness and their history of recovery, and then, they had a discussion with the attendees. The effectiveness of this approach was measured through a quasi-experimental study with a pretest-post-test design. The differences in the scores obtained in the AQ-27-E questionnaire before and after the intervention indicated that there was a decrease in fear, feelings of danger, avoidance, segregation, and coercive attitudes, while positive feelings increased, including a tendency to help and compassion. These results are important for clinical practice because this intervention could improve the quality of care provided to people with mental illnesses.
引用
收藏
页码:735 / 743
页数:9
相关论文
共 43 条
[1]   Mental illness stigma and ethnocultural beliefs, values, and norms: An integrative review [J].
Abdullah, Tahirah ;
Brown, Tamara L. .
CLINICAL PSYCHOLOGY REVIEW, 2011, 31 (06) :934-948
[2]  
Allport Gordon., 1954, NATURE PREJUDICE
[3]  
[Anonymous], 2006, EQ TREATM CLOS GAP
[4]   Educational intervention to decrease stigmatizing attitudes of undergraduate nurses towards people with mental illness [J].
Bingham, Helen ;
O'Brien, Anthony John .
INTERNATIONAL JOURNAL OF MENTAL HEALTH NURSING, 2018, 27 (01) :311-319
[5]   Filmed v. live social contact interventions to reduce stigma: randomised controlled trial [J].
Clement, Sarah ;
van Nieuwenhuizen, Adrienne ;
Kassam, Aliya ;
Flach, Clare ;
Lazarus, Anisha ;
de Castro, Melanie ;
McCrone, Paul ;
Norman, Ian ;
Thornicroft, Graham .
BRITISH JOURNAL OF PSYCHIATRY, 2012, 201 (01) :57-64
[6]  
Cohen J, 1988, Statistical Power Analysis for the Behavioral Sciences, VSecond
[7]   An attribution model of public discrimination towards persons with mental illness [J].
Corrigan, P ;
Markowitz, FE ;
Watson, A ;
Rowan, D ;
Kubiak, MA .
JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 2003, 44 (02) :162-179
[8]   Key Ingredients to Contact-Based Stigma Change: A Cross-Validation [J].
Corrigan, Patrick W. ;
Michaels, Patrick J. ;
Vega, Eduardo ;
Gause, Michael ;
Larson, Jon ;
Krzyzanowski, Richard ;
Botcheva, Luba .
PSYCHIATRIC REHABILITATION JOURNAL, 2014, 37 (01) :62-64
[9]   The California Schedule of Key Ingredients for Contact-Based Antistigma Programs [J].
Corrigan, Patrick W. ;
Larson, Jon ;
Michaels, Patrick J. ;
Vega, Eduardo ;
McClintock, Glen ;
Krzyzanowski, Richard ;
Gause, Michael ;
Buchholz, Blythe .
PSYCHIATRIC REHABILITATION JOURNAL, 2013, 36 (03) :173-179
[10]   Research and the elimination of the stigma of mental illnesst [J].
Corrigan, Patrick W. .
BRITISH JOURNAL OF PSYCHIATRY, 2012, 201 (01) :7-8