None listed
Conditions
Brief summary
People with a mental disorder go through a harsh process of stigmatization that leads to discrimination. Contrary to expectations, health personnel present prejudices, negative attitudes and discriminatory behavior towards people diagnosed with mental disorders. Stigmatization has important consequences: it is a barrier to access to health services, it makes it difficult to adhere to treatment, it influences morbidity and mortality rates, it reduces the chances of recovery, and it is considered the fundamental cause of inequities in population health. This process of stigmatization is already present in the training of future health professionals, so its reduction is essential to modify the discriminatory attitudes and behaviors of new professionals. The objective of this study is to evaluate the effectiveness of an intervention to reduce stigma towards people with a diagnosis of mental disorder in students of health careers. The hypotheses proposed are the following: 1.- The health careers students who receive the intervention will present fewer negative attitudes towards people with mental ilness [MI] than the health careers students in the post-intervention control group. 2.- The students of health careers who receive the intervention will present less social distance towards people with MI than the students of health careers of the post-intervention control group. For this, the already elaborated intervention will be redesigned and protocolized. The strategies of education, contact and skills development will be used. Its effectiveness will be tested through a randomized clinical trial in 7 health careers: medicine, nursing, obstetric dentistry, kinesiology, psychology and social work. The proposal will also have a "community-based participation" approach and will have a group of people diagnosed with MI who will be part of the work team and will collaborate both in the redesign and in the execution of the proposal intervention (experts by expèrieces). The universe will be made up of second-year university students from the aforementioned careers at the University of Concepción.
Interventions
This study aims to evaluate the effectiveness of an intervention to reduce stigma in students of health careers. For this, the intervention elaborated with psychology students will be redesigned and protocolized. The strategies of education, contact and skills development will be used. Its effectiveness will be tested through an allegorical clinical trial in 7 health careers: medicine, nursing, obstetric dentistry, kinesiology, psychology and social work. The proposal will also have a "community-based participation" approach and will have a group of people with a diagnosis of TM (peer to peer support) who will be part of the work team and will collaborate both in the redesign and in the execution of the intervention. In the intervention, will be involved in this process experts by experiences (a person who has lived experience on mental illness). Psychologists, whose will be facilitator in the workshop and undergraduates students. The process will involve 3x2 hour workshop conducted via face to face. And the process will occur: first a pilot application 2 months prior to the intervention administration. The intervention is a experiential based workshop. Each participant attends 1 workshop per week for a 1 month period. The duration of every session is 2 hours. We will use a game about "demolishing myths". It is played on a large board that is placed on the floor of the place. The board has a series of squares through which the teams must advance according to the number indicated by the dice. In the boxes there are different figures that have requirements:myth or true, what would i do?. The students write in a paper some beliefs about mental ilness and then they read this paper and discuss between them and talk with experts by experiences; we will use experiences based video about professional role in mental health. workshop sessions are over, the teacher will ask the students in groups (the number of students per group will be determined by the teacher, taking care that the groups do not exceed eight people) to build an "anti-stigma project". The intervention will be delivered to students in face to face educational workshop and we use group discussion and presentation of videos. The intervention will be delivered as weekly sessions over a month period. Psychologists in a facilitator role and experts by experiences will deliver the intervention. To monitor adherence to the intervvention , we will use sessions attendance checklist. We have changed the TM (acronym in spanish) by MI [mental illness]
Sponsors
Study design
Eligibility
Inclusion criteria
nursing, kinesiology, medicine, obstetrics, dentistry, psychology, and social work undergraduated students from Universidad de Concepción. Signing of the informed consent.
Exclusion criteria
Having been exposed to practical curricular activities that involve direct contact with people diagnosed with a mental disorder.