Effectiveness of participatory video in lowering stigma against people with mental, neurological and substance use disorders in Kenya.
Effectiveness of participatory video in lowering stigma against people with mental, neurological and substance use disorders in Kenya.
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DOI：
10.1192/bjo.2023.587
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发表时间：
2023-11-13
期刊：
影响因子：
5.4
通讯作者：
Newton, Charles R. J. C.
中科院分区：
文献类型：
--
作者：
Bitta, Mary A.;Baariu, Judy;Grassi, Simone;Kariuki, Symon M.;Lennox, Belinda;Newton, Charles R. J. C.
在全球范围内，与精神、神经和物质使用（MNS）障碍相关的耻辱感非常普遍，阻碍了患有这些疾病的人的健康和整体福祉。以人为本的数字方法，如参与性视频，可能会减少耻辱，但没有证据表明其在非洲的有效性。评估参与式视频在资源有限的环境中减少心理健康相关污名的有效性。我们评估了使用参与式视频和面对面的互动与MNS疾病的人和目标受众之间的有效性，以降低耻辱感420人生活在肯尼亚基利菲。知识，态度和行为（KAB）的变化进行了测量，通过比较基线得分后，立即观看参与性视频和干预后4个月的得分。使用多变量线性回归模型检查了耻辱评分的社会人口统计相关性。与基线相比，KAB评分在两个时间点均显著改善，表明耻辱水平降低。在4个月时，分数的变化是：（β = 0.20，95%CI 0.16-0.25; P < 0.01），宽容态度（β = 1.08，95%CI 0.98-1.17; P < 0.01），同情态度（β = 0.52，95% CI 0.42-0.62; P < 0.01）、容忍态度（β = 0.72，95% CI 0.61-0.83; P < 0.01）和行为（β = 0.37，95% CI 0.31-0.43; P < 0.01）。社会人口统计学变量与KAB得分显着相关，相关性在各个领域并不一致。在资源有限的情况下，示范性录像是一种可行和有效的战略，可以改善知识、态度和预期行为。需要开展进一步研究，以了解减少污名化的机制，并审查多方面干预措施的长期可持续性和有效性。
Globally, stigma associated with mental, neurological and substance use (MNS) disorders is rampant and a barrier to good health and overall well-being of people with these conditions. Person-centred digital approaches such as participatory video may reduce stigma, but evidence on their effectiveness in Africa is absent. To evaluate the effectiveness of participatory video in reducing mental health-related stigma in a resource-limited setting. We evaluated the effectiveness of using participatory video and face-to-face interaction between people with MNS disorders and a target audience in lowering stigma among 420 people living in Kilifi, Kenya. Changes in knowledge, attitudes and behaviour (KAB) were measured by comparing baseline scores with scores immediately after watching the participatory videos and 4 months after the intervention. Sociodemographic correlates of stigma scores were examined using multivariable linear regression models. Compared with baseline, KAB scores significantly improved at both time points, suggesting reduced stigma levels. At 4 months, the changes in scores were: knowledge (β = 0.20, 95% CI 0.16–0.25; P < 0.01), liberal attitude (β = 1.08, 95% CI 0.98–1.17; P < 0.01), sympathetic attitude (β = 0.52, 95% CI 0.42–0.62; P < 0.01), tolerant attitude (β = 0.72, 95% CI 0.61–0.83; P < 0.01) and behaviour (β = 0.37, 95% CI 0.31–0.43; P < 0.01). Sociodemographic variables were significantly correlated with KAB scores; the correlations were not consistent across the domains. Participatory video is a feasible and effective strategy in improving knowledge, attitudes and intended behaviour in a resource-limited setting. Further studies are required to understand the mechanisms through which it lowers stigma and to examine long-term sustainability and the effectiveness of multicomponent interventions.
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DOI：
10.1016/j.yebeh.2012.02.019
发表时间：
2012-05
期刊：
Epilepsy & behavior : E&B
影响因子：
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作者：
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DOI：
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发表时间：
2015-06-01
影响因子：
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